Indications and Characteristics of Clinical Application of Periodontal Suturing
Authors: Saimir Heta, Ilma Robo, Vera Ostreni, Glorja Demika, Sonila Kapaj
Abstract:
Suturing, as a procedure of joining the lips of the lembo or wound, is important at the beginning of the healing process. This procedure helps to pass the healing process from the procedure per secundam to the stages of healing per primam, thus logically reducing the healing time of the wound. The purpose of this article is to publish some data on the clinical characteristics of periodontal suturing, presenting the advantages and disadvantages of different types of suture threads. The article is a mini-review type of articles selected from the application of keywords on the PubMed page. The number of articles extracted from this article publication page is in accordance with the 10-year publication time limit. The element that remains in the individual selection of the dentist applying the suture is the selection of the suture material. At a moment when some types of sutures are offered for use, some elements should be considered in the selection of the suture depending on the constituent material, the cross-section of the suture elements, and whether it collects bacteria in the "pits" created by the material. The presence of bacteria is a source of infection and possible delay in the healing of the sutured wound. The marketing of suture types offers a variety of materials, from which the selection of the most suitable suture type for specific application cases is a personal indication of the dental surgeon based on professional experiences and knowledge in this field.
Keywords: Suture, suture material, types of sutures, clinical application.
Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 145References:
[1] Michael Newman, Henry Takei, Perry Klokkevold, Fermin Carranza; “Newman and Carranza's Clinical Periodontology”; 13th Edition - May 29, 2018; Contributor: Austin OSaben; eBook ISBN: 9780323533232; Hardcover ISBN: 9780323523004
[2] Kulkarni S, Dodwad V, Chava V. Healing of periodontal flaps when closed with silk sutures and N-butyl cyanoacrylate: a clinical and histological study. Indian J Dent Res. 2007 Apr-Jun;18(2):72-7. doi: 10.4103/0970-9290.32424. PMID: 17502712.
[3] Asher R, Chacartchi T, Tandlich M, Shapira L, Polak D. Microbial accumulation on different suture materials following oral surgery: a randomized controlled study. Clin Oral Investig. 2019 Feb;23(2):559-565. doi: 10.1007/s00784-018-2476-0. Epub 2018 May 2. PMID: 29717362.
[4] Varma SR, Jaber M, Fanas SA, Desai V, Al Razouk AM, Nasser S. Effect of Hyaluronic Acid in Modifying Tensile Strength of Nonabsorbable Suture Materials: An In Vitro Study. J Int Soc Prev Community Dent. 2020 Feb 5;10(1):16-20. doi: 10.4103/jispcd.JISPCD_343_19. PMID: 32181217; PMCID: PMC7055341.
[5] Abullais SS, Alqahtani NA, Alkhulban RM, Alamer SH, Khan AA, Pimple S. In-vitro evaluation of commonly used beverages on tensile strength of different suture materials used in dental surgeries. Medicine (Baltimore). 2020 Nov 25;99(48):e19831. doi: 10.1097/MD.0000000000019831. PMID: 33235053; PMCID: PMC7710252.
[6] Park JC, Koo KT, Lim HC. The hidden X suture: a technical note on a novel suture technique for alveolar ridge preservation. J Periodontal Implant Sci. 2016 Dec;46(6):415-425. doi: 10.5051/jpis.2016.46.6.415. Epub 2016 Dec 26. PMID: 28050319; PMCID: PMC5200867.
[7] https://www.boztibbi.com/en/dental-suture-techniques-and-materials-in-oral-surgery/
[8] Otten, J.-E., Wiedmann-Al-Ahmad, M., Jahnke, H. and Pelz, K. (2005), Bacterial colonization on different suture materials—A potential risk for intraoral dentoalveolar surgery. J. Biomed. Mater. Res., 74B: 627-635. https://doi.org/10.1002/jbm.b.30250
[9] Dragovic, M., Pejovic, M., Stepic, J. et al. Comparison of four different suture materials in respect to oral wound healing, microbial colonization, tissue reaction and clinical features—randomized clinical study. Clin Oral Invest 24, 1527–1541 (2020). https://doi.org/10.1007/s00784-019-03034-4