THE COMPARATIVE ANALYSIS OF DIFFERENT SUTURE MATERIALS USED IN THE ORAL SURGERY

Authors: Mihaela Maftei, Maria Voroneanu

Abstract:

A great variety of suture materials is now available for usage in oral surgery, with the purpose of forwarding the healing process. The suture itself is the cause of new microscopically wounds in the already traumatized and perforated tissues. Placing a suture in gingival tissue induces an inflammatory response of a magnitude varying upon the suture material used. The study was conducted on a batch of 36 patients which underwent alveoloplastic dental extractions, in the Ambulatory of Oral and Maxilo- Facial Surgery Clinic of Iassy, during 7.01.2005-30.06.2006. We h ave d ivided t he b atch i n 3 e qual g roups. The postextractional wounds were sutured with silk in the first group, polyester suture in the second group and nylon in the third group. We analyzed the gingival reaction to the suture material from clinical and morphopathological point of view. The study revealed that nylon was the most appropriate suture for the wound healing process. Because of its multifilament structure, silk delays the wound repairing, while polyester sutures slightly prolong the healing, inducing mild inflammation in the early stage of
the process.

Keywords:
  • ALVEOLOPLASTIC DENTAL EXTRACTION
  • HEALING
  • inflammation
  • SUTURE