Evaluation of bacterial colonization and clinical properties of different suture materials in dentoalveoler surgery
Küçük Resim Yok
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
W B Saunders Co-Elseiver Inc
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: This study aimed to compare the effects of 10 different suture materials commonly used in dentoalveolar surgery on wound healing, their postoperative microbial colonization, and related clinical parameters. Methods: A total of 172 suture samples from patients who had undergone extraction of impacted third molars were included in the study. The suture materials studied were poly-glycolide-colactide, fast absorbable poly-glycolide-colactide, poly-glycolic acid-cocaprolactone, polydioxanone, silk, polypropylene, polyvinylidene difluoride, polyamide, polyester, and polytetrafluoroethylene (PTFE). The microbial colonization in all sutures and clinical parameters were evaluated after 1 week. Results: Multifilament sutures had higher bacterial colonization compared with monofilament sutures (P < .001). No dental plaque accumulation was observed in any samples of polypropylene sutures. Polydioxanone, PTFE, and poly-glycolic acid-cocaprolactone sutures exhibited less postoperative slack compared with all other sutures after 1 week. Patients with silk, polyvinylidene difluoride, and PTFE sutures had less suture-related discomfort. According to the Landry index score, monofilament sutures demonstrated superior wound healing to multifilament sutures (P = .019). In addition, nonabsorbable sutures showed significantly better wound epithelization than absorbable sutures (P < .001). Conclusions: Bacterial colonization and tissue reactions due to the surface properties of the suture affected the wound healing after dentoalveolar surgery. Multifilament sutures should not be applied for prolonged periods because of their tendency for microbial colonization. The tissue reaction to the absorbable suture materials may adversely affect wound healing. (C) 2021 The American Association of Oral and Maxillofacial Surgeons.
Açıklama
The sutures used in this study were supported by Boz Tibbi A. S, Ankara, Turkey.
Anahtar Kelimeler
Surgical Site Infection, Tensile-Strength, Coated Sutures, Silk, Monofilament
Kaynak
Journal of Oral and Maxillofacial Surgery
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
80
Sayı
2
Künye
Yaman, D., Paksoy, T., Ustaoğlu, G., & Demirci, M. (2022). Evaluation of bacterial colonization and clinical properties of different suture materials in dentoalveoler surgery. Journal of Oral and Maxillofacial Surgery, 80(2), 313-326.
