Comparison and Evaluation of Different Suture Materials used for the Post-Operative Closure Following Extraction of Third molars.
Keywords:
Extractions ; Silk ; Surgical Site Infections(SSI) ; Suture ; Third molar ; Vicryl ; InnovativeAbstract
Suture materials play a very important role in healing and enabling reconstruction and reassembly of tissue separated by the surgical procedure or trauma. Suture materials are used daily in oral surgery, and are considered to be substances most commonly implanted in the human body. Silk has been used as biomedical suture material for centuries and it provides important clinical repair options for many applications but the disadvantage is the biocompatibility problems .In the present day, Vicryl suture material is the most commonly used material in oral surgery, as it proves to be more biocompatible and plaque accumulation is reduced . Evaluation of 685 patients undergoing third molar extractions and evaluate the type of suture material given and compare between the different suture materials and their efficacy . Excel tabulation was done and SPSS results were derived .The study was able to evaluate and notice that Silk suture material was the most commonly given suture material and based it was also seen that the plaque accumulation was more in patients given silk sutures while Vicryl sutures was used the most post extraction of 18,28.From the present study we were able to conclude that Silk was the commonly used suture Material and the incidence of surgical site infection were greater in these patients . Of the 63 patients that were given Vicryl Sutures , there was no Surgical Site Infection (SSI) observed in any of the patients , this is attributed to the Antibacterial properties of Vicryl sutures that helps in avoiding surgical site infections ,
References
Abdul Wahab, P. U. et al. (2017) ‘Risk Factors for Post-operative Infection Following Single Piece Osteotomy’, Journal of maxillofacial and oral surgery, 16(3), pp. 328–332.
Abhinav, R. et al. (2019) ‘The patterns and etiology of maxillofacial trauma in South India’, Annals of Maxillofacial Surgery, p. 114. doi: 10.4103/ams.ams_233_18.
Abhinav, R. P., Sweta, V. R. and Ramesh, A. (2019) ‘Role of virtual reality in pain perception of patients following the administration of local anesthesia’, Annals of Maxillofacial Surgery, p. 110. doi: 10.4103/ams.ams_263_18.
Ashok, B. S., Ajith, T. A. and Sivanesan, S. (2017) ‘Hypoxia-inducible factors as neuroprotective agent in Alzheimer’s disease’, Clinical and experimental pharmacology & physiology, 44(3), pp. 327–334.
Banche, G. et al. (2007) ‘Microbial Adherence on Various Intraoral Suture Materials in Patients Undergoing Dental Surgery’, Journal of Oral and Maxillofacial Surgery, pp. 1503–1507. doi: 10.1016/j.joms.2006.10.066.
Christabel, A. et al. (2016) ‘Comparison of pterygomaxillary dysjunction with tuberosity separation in isolated Le Fort I osteotomies: a prospective, multi-centre, triple-blind, randomized controlled trial’, International Journal of Oral and Maxillofacial Surgery, pp. 180–185. doi: 10.1016/j.ijom.2015.07.021.
Danda, A. K. (2010) ‘Comparison of a single noncompression miniplate versus 2 noncompression miniplates in the treatment of mandibular angle fractures: a prospective, randomized clinical trial’, Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 68(7), pp. 1565–1567.
Devi, V. S. and Gnanavel, B. K. (2014) ‘Properties of Concrete Manufactured Using Steel Slag’, Procedia Engineering, 97, pp. 95–104.
Eapen, B. V., Baig, M. F. and Avinash, S. (2017) ‘An Assessment of the Incidence of Prolonged Postoperative Bleeding After Dental Extraction Among Patients on Uninterrupted Low Dose Aspirin Therapy and to Evaluate the Need to Stop Such Medication Prior to Dental Extractions’, Journal of maxillofacial and oral surgery, 16(1), pp. 48–52.
Emori, T. G. and Gaynes, R. P. (1993) ‘An overview of nosocomial infections, including the role of the microbiology laboratory’, Clinical Microbiology Reviews, pp. 428–442. doi: 10.1128/cmr.6.4.428.
Forbes, S. S. et al. (2008) ‘Implementation of Evidence-Based Practices for Surgical Site Infection Prophylaxis: Results of a Pre- and Postintervention Study’, Journal of the American College of Surgeons, pp. 336–341. doi: 10.1016/j.jamcollsurg.2008.03.014.
Gómez-Alonso, A. et al. (2007) ‘Study of the efficacy of Coated VICRYL Plus® Antibacterial suture (coated Polyglactin 910 suture with Triclosan) in two animal models of general surgery’, Journal of Infection, pp. 82–88. doi: 10.1016/j.jinf.2006.01.008.
Gopalakannan, S., Senthilvelan, T. and Ranganathan, S. (2012) ‘Modeling and Optimization of EDM Process Parameters on Machining of Al 7075-B4C MMC Using RSM’, Procedia Engineering, 38, pp. 685– 690.
Govindaraju, L., Neelakantan, P. and Gutmann, J. L. (2017) ‘Effect of root canal irrigating solutions on the compressive strength of tricalcium silicate cements’, Clinical oral investigations, 21(2), pp. 567–571.
Gusman, D. N. (2012) ‘Suture materials and techniques’, Lower Extremity Soft Tissue & Cutaneous Plastic Surgery, pp. 77–100. doi: 10.1016/b978-0-7020-3136-6.00009-6.
Jain, S. V. et al. (2019) ‘Evaluation of Three-Dimensional Changes in Pharyngeal Airway Following Isolated Lefort One Osteotomy for the Correction of Vertical Maxillary Excess: A Prospective Study’, Journal of Maxillofacial and Oral Surgery, pp. 139–146. doi: 10.1007/s12663-018-1113-4.
Jeevanandan, G. and Govindaraju, L. (2018) ‘Clinical comparison of Kedo-S paediatric rotary files vs manual instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial’, European Archives of Paediatric Dentistry, pp. 273–278. doi: 10.1007/s40368-018-0356-6.
Jesudasan, J. S., Abdul Wahab, P. U. and Muthu Sekhar, M. R. (2015) ‘Effectiveness of 0.2% chlorhexidine gel and a eugenol-based paste on postoperative alveolar osteitis in patients having third molars extracted: a randomised controlled clinical trial’, British Journal of Oral and Maxillofacial Surgery, pp. 826–830. doi: 10.1016/j.bjoms.2015.06.022.
Kaplan, D. L. et al. (1997) ‘Silk’, Protein-Based Materials, pp. 103–131. doi: 10.1007/978-1-4612-4094- 5_4.
Kavitha, M. et al. (2014) ‘Solution combustion synthesis and characterization of strontium substituted hydroxyapatite nanocrystals’, Powder Technology, 253, pp. 129–137.
Kumar, S. (2017a) ‘KNOWLEDGE, ATTITUDE AND AWARENESS OF DENTAL UNDERGRADUATE STUDENTS REGARDING HIV/AIDS PATIENTS’, Asian Journal of Pharmaceutical and Clinical Research, p. 175. doi: 10.22159/ajpcr.2017.v10i5.17277.
Kumar, S. (2017b) ‘RELATIONSHIP BETWEEN DENTAL ANXIETY AND PAIN EXPERIENCE DURING DENTAL EXTRACTIONS’, Asian Journal of Pharmaceutical and Clinical Research, p. 458. doi: 10.22159/ajpcr.2017.v10i3.16518.
Kumar, S. (2017c) ‘THE EMERGING ROLE OF BOTULINUM TOXIN IN THE TREATMENT OF OROFACIAL DISORDERS: LITERATURE UPDATE’, Asian Journal of Pharmaceutical and Clinical Research, p. 21. doi: 10.22159/ajpcr.2017.v10i9.16914.
Kumar, S. and Rahman, R. (2017) ‘KNOWLEDGE, AWARENESS, AND PRACTICES REGARDING BIOMEDICAL WASTE MANAGEMENT AMONG UNDERGRADUATE DENTAL STUDENTS’, Asian Journal of Pharmaceutical and Clinical Research, p. 341. doi: 10.22159/ajpcr.2017.v10i8.19101.
Kumar, S. and Sneha, S. (2016) ‘KNOWLEDGE AND AWARENESS REGARDING ANTIBIOTIC PROPHYLAXIS FOR INFECTIVE ENDOCARDITIS AMONG UNDERGRADUATE DENTAL STUDENTS’, Asian Journal of Pharmaceutical and Clinical Research, p. 154. doi: 10.22159/ajpcr.2016.v9s2.13405.
Leaper, D. et al. (2010) ‘Healthcare associated infection: novel strategies and antimicrobial implants to prevent surgical site infection’, The Annals of The Royal College of Surgeons of England, pp. 453–458. doi: 10.1308/003588410x12699663905276.
Lekha, L. et al. (2014a) ‘Schiff base complexes of rare earth metal ions: Synthesis, characterization and catalytic activity for the oxidation of aniline and substituted anilines’, Journal of organometallic chemistry, 753, pp. 72–80.
Lekha, L. et al. (2014b) ‘Synthesis, spectroscopic characterization and antibacterial studies of lanthanide(III) Schiff base complexes containing N, O donor atoms’, Journal of Molecular Structure, pp. 307–313. doi: 10.1016/j.molstruc.2013.10.014.
Marimuthu, M. et al. (2018) ‘Canonical Wnt pathway gene expression and their clinical correlation in oral squamous cell carcinoma’, Indian Journal of Dental Research, p. 291. doi: 10.4103/ijdr.ijdr_375_17.
Menon, S. et al. (2018) ‘Selenium nanoparticles: A potent chemotherapeutic agent and an elucidation of its mechanism’, Colloids and surfaces. B, Biointerfaces, 170, pp. 280–292.
Ming, X., Nichols, M. and Rothenburger, S. (2007) ‘In Vivo Antibacterial Efficacy of MONOCRYL Plus Antibacterial Suture (Poliglecaprone 25 with Triclosan)’, Surgical Infections, pp. 209–214. doi: 10.1089/sur.2006.004.
Ming, X., Rothenburger, S. and Nichols, M. M. (2008) ‘In Vivo and In Vitro Antibacterial Efficacy of PDS Plus (Polidioxanone with Triclosan) Suture’, Surgical Infections, pp. 451–457. doi: 10.1089/sur.2007.061.
‘National Nosocomial Infections Surveillance (NNIS) Report, data summary from October 1986–April 1996, issued May 1996’ (1996) American Journal of Infection Control, pp. 380–388. doi: 10.1016/s0196- 6553(96)90026-7.
Neelakantan, P. et al. (2015) ‘Antibiofilm activity of three irrigation protocols activated by ultrasonic, diode laser or Er:YAG laser in vitro’, International endodontic journal, 48(6), pp. 602–610.
Neelakantan, P. et al. (2015) ‘Influence of Irrigation Sequence on the Adhesion of Root Canal Sealers to Dentin: A Fourier Transform Infrared Spectroscopy and Push-out Bond Strength Analysis’, Journal of endodontia, 41(7), pp. 1108–1111.
Neelakantan, P., Grotra, D. and Sharma, S. (2013) ‘Retreatability of 2 mineral trioxide aggregate-based root canal sealers: a cone-beam computed tomography analysis’, Journal of endodontia, 39(7), pp. 893–896.
Osborn, T. P. et al. (1985) ‘A prospective study of complications related to mandibular third molar surgery’, Journal of Oral and Maxillofacial Surgery, pp. 767–769. doi: 10.1016/0278-2391(85)90331-3.
Packiri, S. (2017) ‘Management of Paediatric Oral Ranula: A Systematic Review’, JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. doi: 10.7860/jcdr/2017/28498.10622.
Parthasarathy, M. et al. (2016) ‘Effect of hydrogen on ethanol-biodiesel blend on performance and emission characteristics of a direct injection diesel engine’, Ecotoxicology and environmental safety, 134(Pt 2), pp. 433–439.
Patil, S. B. et al. (2017a) ‘Comparison of Extended Nasolabial Flap Versus Buccal Fat Pad Graft in the Surgical Management of Oral Submucous Fibrosis: A Prospective Pilot Study’, Journal of Maxillofacial and Oral Surgery, pp. 312–321. doi: 10.1007/s12663-016-0975-6.
Patil, S. B. et al. (2017b) ‘Comparison of Extended Nasolabial Flap Versus Buccal Fat Pad Graft in the Surgical Management of Oral Submucous Fibrosis: A Prospective Pilot Study’, Journal of maxillofacial and oral surgery, 16(3), pp. 312–321.
Patturaja, K. and Pradeep, D. (2016) ‘Awareness of Basic Dental Procedure among General Population’,
Research Journal of Pharmacy and Technology, p. 1349. doi: 10.5958/0974-360x.2016.00258.4.
PradeepKumar, A. R. et al. (2016) ‘Diagnosis of Vertical Root Fractures in Restored Endodontically Treated Teeth: A Time-dependent Retrospective Cohort Study’, Journal of endodontia, 42(8), pp. 1175– 1180.
Praveen, K. et al. (2001) ‘Hypotensive anaesthesia and blood loss in orthognathic surgery: a clinical study’,
The British journal of oral & maxillofacial surgery, 39(2), pp. 138–140.
Putchala, M. C. et al. (2013) ‘Ascorbic acid and its pro-oxidant activity as a therapy for tumours of oral cavity – A systematic review’, Archives of Oral Biology, pp. 563–574. doi:
1016/j.archoralbio.2013.01.016.
Rajendran, R. et al. (2019) ‘Comparative Evaluation of Remineralizing Potential of a Paste Containing Bioactive Glass and a Topical Cream Containing Casein Phosphopeptide-Amorphous Calcium Phosphate: An in Vitro Study’, Pesquisa Brasileira em Odontopediatria e Clínica Integrada, pp. 1–10. doi: 10.4034/pboci.2019.191.61.
Rao, T. D. and Santhosh Kumar, M. P. (2018) ‘Analgesic Efficacy of Paracetamol Vs Ketorolac after Dental Extractions’, Research Journal of Pharmacy and Technology, p. 3375. doi: 10.5958/0974- 360x.2018.00621.2.
Rozzelle, C. J., Leonardo, J. and Li, V. (2008) ‘Antimicrobial suture wound closure for cerebrospinal fluid shunt surgery: a prospective, double-blinded, randomized controlled trial’, Journal of Neurosurgery: Pediatrics, pp. 111–117. doi: 10.3171/ped/2008/2/8/111.
Sajan, D. et al. (2011) ‘Molecular structure and vibrational spectra of 2,6-bis(benzylidene)cyclohexanone: a density functional theoretical study’, Spectrochimica acta. Part A, Molecular and biomolecular spectroscopy, 78(1), pp. 113–121.
Sala-Perez, S. et al. (2016) ‘Antibacterial suture vs silk for the surgical removal of impacted lower third molars. A randomized clinical study’, Medicina Oral Patología Oral y Cirugia Bucal, pp. e95–e102. doi: 10.4317/medoral.20721.
Stern, H. and Elek, S. D. (1957) ‘Antigenic structure ofStaphylococcus pyogenes’, The Journal of Pathology and Bacteriology, pp. 473–483. doi: 10.1002/path.1700730218.
Storch, M. et al. (2002) ‘A 28-Day Study of the Effect of Coated VICRYL* Plus Antibacterial Suture (Coated Polyglactin 910 Suture with Triclosan) on Wound Healing in Guinea Pig Linear Incisional Skin Wounds’, Surgical Infections, pp. 89–98. doi: 10.1089/10962960260496370.
Uthrakumar, R. et al. (2010) ‘Bulk crystal growth and characterization of non-linear optical bisthiourea zinc chloride single crystal by unidirectional growth method’, Current applied physics: the official journal of the Korean Physical Society, 10(2), pp. 548–552.
Vijayakumar, G. N. S. et al. (2010) ‘Synthesis of electrospun ZnO/CuO nanocomposite fibers and their dielectric and non-linear optic studies’, Journal of alloys and compounds, 507(1), pp. 225–229.
Vishnu Prasad, S. et al. (2018) ‘Report on oral health status and treatment needs of 5-15 years old children with sensory deficits in Chennai, India’, Special care in dentistry: official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 38(1), pp. 58–59.
Wahab, P. U. A. et al. (2018) ‘Scalpel Versus Diathermy in Wound Healing After Mucosal Incisions: A Split-Mouth Study’, Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 76(6), pp. 1160–1164.
Yilmaz, N. et al. (2010) ‘Effects of Polyglecaprone 25, Silk and Catgut Suture Materials on Oral Mucosa Wound Healing in Diabetic Rats: An Evaluation of Nitric Oxide Dynamics’, Medicina Oral Patología Oral y Cirugia Bucal, pp. e526–e530. doi: 10.4317/medoral.15.e526.
Downloads
Published
How to Cite
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
