scholarly journals Microbial Adherence of three different suture materials in patients undergoing periodontal flap surgery. A clinical & microbiological study

2020 ◽  
Vol 6 (2) ◽  
pp. 28-32
Author(s):  
Pranav Kumar Singh ◽  
Sarita Joshi Narayan ◽  
TV Narayan ◽  
Umesh Yadalam ◽  
Vijay Raghava ◽  
...  
Keyword(s):  
Microbial Colonization ◽  
Base Line ◽  
Clinical Parameters ◽  
Flap Surgery ◽  
Suture Materials ◽  
Bleeding On Probing ◽  
Significant Difference ◽  
Vicryl Suture ◽  
Micro Organisms ◽  
Periodontal Flap Surgery

proliferation of microbes to the parts open to the oral cavity. Hence, microbial colonization on various intraoral suture materials from patients undergoing periodontal flap surgery and its impact on healing of gingival tissues was compared. Patients and Methods: During periodontal flap surgery, three different suture materials (silk, polyamide, & vicryl) were used in 25 patients. Eight days postoperatively, the sutures were removed, and adhered micro-organisms were counted by culturing on nutrient agar. Additionally clinical parameters, bleeding on probing and papillary position to assess healing were recorded to baseline, at 2 weeks, 4 weeks, and 6 weeks. Wilcoxon signed ranks test was used for statistical analysis. Results: Mean CFU’s for silk, polyamide and vicryl sutures were 6.239 ±1.476 X 108, 2.425 ± 1.010 X 108, 4.431 ± 1.069 X 108. There was no inter-group statistical difference in the clinical parameters i.e. bleeding on probing, papillary position at all time periods (p>0.05). There was a significant statistical improvement in bleeding on probing in all the three groups from base line (p<0.05). Conclusions: The results of the present study demonstrated that bacteria have different affinity towards different suture materials. Monofilament polyamide suture adhered the least amount of bacteria, followed by multifilament vicryl suture, while silk adhered maximum amount of bacteria. There was no statistically significant difference in the healing of gingival tissues in between all the three groups. Keywords: Monofilament sutures, Multifilament sutures, Colony forming units, Periodontal flap surgery  

scholarly journals A comparative evaluation of the effects on postoperative pain of systemic and topical forms of benzydamine hydrochloride after periodontal flap surgery: A randomized controlled clinical trial

2020 ◽  
Vol 7 (2) ◽  
pp. 394-399
Author(s):  
Gülhan Kocaman
Keyword(s):  
Postoperative Pain ◽  
Topical Application ◽  
Pain Control ◽  
Double Blind Study ◽  
Clinical Parameters ◽  
Flap Surgery ◽  
Postoperative Pain Control ◽  
Significant Difference ◽  
Spray Form ◽  
Periodontal Flap Surgery

Objective:  The aim of this study was to evaluate comparatively the topical and systemic forms in the postoperative pain control periodontal flap surgery in spite of the daily dose of benzydamine hydrochloride spray form about one in twenty of the oral dose,. Materials and Methods: In this randomized trial, the 48 systemic healthy individuals in need double-blind study with periodontal flap surgery were evaluated. Consent, demographic information and periodontal clinical parameters were obtained before surgery and periodontal flap surgery was performed with local anesthesia. The patients who underwent surgery were randomly assigned to two groups. One of the groups was prescribed tablet form of postopertive benzydamine hydrochloride and for the other was spray form as topical application. Postoperative pain was assessed by visual analog scale at 2, 6, 8, 12, 24 and 48 hours. Results: There was no difference between systemic and topical drug groups in terms of demographic characteristics and periodontal clinical parameters. A statistically significant difference was found between 2 and 6 hours in favor of topical application. (p <0.05), but there was no significant difference in pain intensity at the 8th, 12th, 24th and 48th hours. Conclusion: Although the topical form of benzydamine hydrochloride was 1/20 lower in postoperative pain control after periodontal flap surgery, it was found to be more effective in the early period compared to the systemic form, but equally effective in the late period. We premierly recommend that topical application should be preferred primarily in the prevention of overdose and toxicity in postoperative pain control after periodontal flap operation.

scholarly journals Antibacterial-Coated Suture in Reducing Surgical Site Infection in Breast Surgery: A Prospective Study

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Enora Laas ◽  
Cécile Poilroux ◽  
Corinne Bézu ◽  
Charles Coutant ◽  
Serge Uzan ◽  
...  
Keyword(s):  
High Risk ◽  
Breast Surgery ◽  
High Risk Group ◽  
Microbial Colonization ◽  
Suture Materials ◽  
Significant Difference ◽  
Axillary Lymphadenectomy ◽  
Group 2 ◽  
A Prospective Study ◽  
Group 1

Background. To reduce the incidence of microbial colonization of suture material, Triclosan- (TC-)coated suture materials have been developed. The aim of this study was to assess the incidence of suture-related complications (SRC) in breast surgery with and without the use of TC-coated sutures.Methods. We performed a study on two consecutive periods: 92 patients underwent breast surgery with conventional sutures (Group 1) and 98 with TC-coated sutures (Group 2). We performed subgroups analyses and developed a model to predict SRC in Group 1 and tested its clinical efficacy in Group 2 using a nomogram-based approach.Results. The SRC rates were 13% in Group 1 and 8% in Group 2. We found that some subgroups may benefit from TC-coated sutures. The discrimination obtained from a logistic regression model developed in Group 1 and based on multifocality, age and axillary lymphadenectomy was 0.88 (95% CI 0.77–0.95) (). There was a significant difference in Group 2 between predicted probabilities and observed percentages (). The predicted and observed proportions of complications in the high-risk group were 38% and 13%, respectively.Conclusion. This study used individual predictions of SRC and showed that using TC-coated suture may prevent SRC. This was particularly significant in high-risk patients.

scholarly journals Microbiological Evaluation of the Antibacterial Vicryl Suture in the Mandibular Third Molar Surgery

2021 ◽  
Author(s):  
Milad Etemadi Sh ◽  
Sameen Rahgozar ◽  
Golnaz Tajmiri ◽  
Javad Alizargar ◽  
Shu-Fang Vivienne Wu
Keyword(s):  
Third Molar ◽  
Third Molar Surgery ◽  
P Value ◽  
Suture Materials ◽  
Number Of Patients ◽  
Mandibular Third Molar ◽  
Surgical Extraction ◽  
Significant Difference ◽  
Vicryl Suture ◽  
Double Blinded

Background: Selection and application of suture materials, has gained more importance especially with the increasing number of patients seeking oral surgeries. Since lying in a bacterial-filled environment, sutures make the tissue prone to infection. Suture material plays an important role in the reduction of the risk of infection. This study aimed to assess the success rate of an antibacterial suture named Vicryl Plus in preventing bacterial growth in the surgical site of the mandibular third molar. Methods: 27 patients were included in this double-blinded randomized clinical trial study. Surgical Extraction of the mandibular wisdom tooth was done and the incision was managed by randomly using Vicryl Plus and Vicryl sutures. After 7 days, sutures were removed and assessed microbiologically. Predominant species of Streptococcus mutans and Lactobacillus were assessed as well as the total number of colonies on each suture. Results: There was a significant difference between two suture materials in colony number-length ratio of lactobacillus (p-value= 0.031) and total bacterial colonies (p-value=0.016); but not for S. mutans species (p-value=0.201). Conclusion: Antibacterial Vicryl suture can be a useful tool for the reduction in the rate of surgical site infection in high-risk cases and situations.

scholarly journals Comparison of Efficacy of Pain Control Using the Interseptal Injection Technique and Inferior Alveolar Block Accompanied by Long Buccal Infiltration in Mandibular Periodontal Flap Surgery

2018 ◽  
Vol 6 (1) ◽  
pp. 8-12
Author(s):  
Mohammad Taghi Chitsazi ◽  
Reza Pourabbas ◽  
Adileh Shirmohammadi ◽  
Saied Nezafati ◽  
Amin Mousavi
Keyword(s):  
Pain Control ◽  
Statistical Significance ◽  
Inferior Alveolar Nerve ◽  
Anesthetic Technique ◽  
Flap Surgery ◽  
Pain Scores ◽  
Significant Difference ◽  
To Receive ◽  
Buccal Infiltration ◽  
Periodontal Flap Surgery

Background and aims. Pain control ensures patient satisfaction and cooperation. This study aimed to compare the interseptal anesthetic technique (IA) as the initial injection for pain control during periodontal flap surgery with the inferior alveolar nerve block (IANB) accompanied by long buccal infiltration (LBI). Materials and methods. This single-blind randomized clinical trial included 40 periodontitis patients. Pain intensity was evaluated immediately after injection and at the end of surgery. One side was chosen as the control to receive IANB accompanied by LBI and the other side as the test to receive IA. After the injection, the patients were asked to mark their reaction to the pain immediately after the injection on a visual analogue scale, which was repeated to analyze pain the day after surgery. Data were analyzed with independent-samples t-test using SPSS 13. Statistical significance was set at P < 0.05. Results. The mean pain scores immediately after injection in the control and test groups were 20.62 ± 7.62 and 21.47 ± 8.62, respectively, with no statistically significant difference (df = 78, t = −0.466, P = 0.642). Pain scores 24 hours after completion of surgery in the control and test groups were 7.97 ± 3.43, and 9.30 ± 3.24, respectively, with no significant difference (df = 78, t = −1.775, P = 0.080). Conclusion. Based on the results, interseptal anesthetic technique was not shown to be superior to conventional injections.

OCTENIDINE SPRAY: SIDE EFFECTS AND EFFICACY ON CLINICAL PARAMETERS AFTER PERIODONTAL FLAP SURGERY

2019 ◽  
Vol 75 (2) ◽  
Author(s):  
Canan Onder ◽  
Cem A. Gurgan ◽  
Sivge Kurgan ◽  
Muhittin A. Serdar ◽  
Elif Unsal
Keyword(s):  
Side Effects ◽  
Clinical Parameters ◽  
Flap Surgery ◽  
Periodontal Flap Surgery

scholarly journals Comparison of effects of bracket types and treatment duration on periodontal health of adult patients

2019 ◽  
Vol 9 ◽  
pp. 94-98
Author(s):  
Gülbahar Ustaoglu ◽  
Yasemin Nur Korkmaz ◽  
Koray Halicioglu ◽  
Özge Uysal
Keyword(s):  
Treatment Duration ◽  
Adult Patients ◽  
Plaque Index ◽  
Clinical Parameters ◽  
Gingival Index ◽  
Duration Of Treatment ◽  
Periodontal Health ◽  
Bleeding On Probing ◽  
Significant Difference ◽  
Conventional Brackets

Objective The aim of this study was to assess the effect of fixed orthodontic treatments with steel-ligated conventional brackets and self-ligating brackets (SLBs) on periodontal clinical parameters. Materials and Methods Seventy-seven patients (24 male and 53 female) aged between 18 and 30 years were enrolled in the study. Periodontal parameters including plaque index (PI), gingival index (GI), and bleeding on probing (BOP) index were obtained from all the bonded teeth. Results When the effect of bracket type and duration of treatment on gingival tissues was examined, there was no statistically significant difference between the treatment times (P = 0.670) and bracket types (P = 0.596) in terms of PI. The GI was significantly different between the different treatment durations (P = 0.045); it was higher in patients with a treatment duration of 18–36 months. However, the GI did not change according to the bracket types (P = 0.270). This result was not significantly different between different treatment durations (P = 0.270). There was no significant difference between the treatment periods (P = 0.189) in terms of BOP index, and this result did not change according to the bracket types (P = 0.621). Conclusion SLBs do not require ligatures, which may facilitate plaque accumulation. However, our results showed that SLBs were not advantageous over CBs in terms of periodontal health.

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