Vojnosanitetski pregled 2015 Volume 72, Issue 9, Pages: 765-769
https://doi.org/10.2298/VSP140401064G
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A clinical study on the influence of suturing material on oral wound healing
Gazivoda Dragan (Military Medical Academy, Department of Oral Surgery, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade)
Pelemiš Dejan (Department of Oral Surgery, Military Medical Academy, Belgrade)
Vujašković Goran (Faculty of Dentistry, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade)
Background/Aim. Suture materials play an important role in healing, enabling
reconstruction and reassembly of tissue separated by the surgical procedure
or trauma, and at the same time facilitating and promoting healing and
hemostasis. Suture materials are used daily in oral surgery, and are
considered to be substances most commonly implanted in human body. The aim of
this clinical study was to examine the speed of wound healing and
complications incidence, after the use of three different absorbable
synthetic suture materials in oral surgery (catgut, Dexon and Vicryl rapide),
and to ascertain which one is the most suitable for oral surgery. Methods.
The study was conducted on 96 patients undergoing root resection or surgical
extraction of third molars. Each of the suture materials (catgut, Dexon and
Vicryl rapide) was used for 8 root resections and 8 surgical third molar
extractions in the maxilla, as well as in the mandible (a total of 32
surgical interventions for each suture material). Results. The faster wound
healing was obtained with Vicryl rapide compared to other two suturing
material tested. There was no significant difference regarding the presence
of local reaction in all the three groups of patients on the 21st
postoperative day. Conclusion. The results of our clinical study point out
that Vycrilrapid contributes more than catgut or Dexon to faster healing of
human wounds, with fewer incidences of wound dehiscence and milder local
reactions.
Keywords: oral surgical procedures, sutures, treatment outcome