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. 2022 Jun;72(3):278-287.
doi: 10.1016/j.identj.2022.02.005. Epub 2022 Mar 16.

Characteristics of Suture Materials Used in Oral Surgery: Systematic Review

Abdullah Faris  1 , Lian Khalid  1 , Mohammed Hashim  1 , Sara Yaghi  1 , Taif Magde  1 , Ward Bouresly  1 , Zaid Hamdoon  1 , Asmaa T Uthman  2 , Hesham Marei  2 , Natheer Al-Rawi  3
Affiliations

Characteristics of Suture Materials Used in Oral Surgery: Systematic Review

Abdullah Faris et al. Int Dent J. 2022 Jun.

Abstract

Background: The aim of this review was to evaluate the most used suture materials with regards to their inflammatory response, their bacterial adhesion, and their physical properties when used to close oral wounds.

Methods: Four databases (PubMed, Scopus, Dentistry & Oral Sciences, and OVID) were searched to retrieve relevant studies from January 1, 2000, to January 31, 2020.

Results: Out of the 269 articles, only 13 studies were selected as they were relevant and met the systematic review's protocol. These studies showed that almost all suture materials studies (catgut, polyglycolic acid [PGA] sutures, nylon, expanded polytetrafluoroethylene, and silk sutures) caused bacterial adherence and tissue reaction. In nylon and chromic catgut, the number of bacteria accumulated was lowest. Silk and nylon were found to be more impacted than catgut and PGA in terms of physical characteristics such as tensile strength. PGA, on the other hand, was said to be the most susceptible to knot unwinding.

Conclusions: Following an oral surgical operation, all sutures revealed varied degrees of irritation and microbial accumulation. Nonresorbable monofilament synthetic sutures, however, exhibited less tissue response and less microbial accumulation.

Keywords: Bacterial adhesion; Inflammation; Suture; Tissue reaction.

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Conflict of interest statement

Conflict of interest None disclosed.

Figures

Fig 1
Fig. 1
PRISMA flow chart of the included studies.
See this image and copyright information in PMC

References

    1. Kakoei S, Baghaei F, Dabiri S, Parirokh M, Kakooei S. A comparative in vivo study of tissue reactions to four suturing materials. Iran Endod J. 2010;5(2):69. - PMC - PubMed
    1. Srinivasulu K, Dhiraj Kumar N. A review on properties of surgical sutures and applications in medical field. International J Res Eng Technol. 2014;2(2):85–96.
    1. Minozzi F, Bollero P, Unfer V, Dolci A GM. The sutures in dentistry. Eur Rev Med Pharmacol Sci. 2009;13(3):217–226. - PubMed
    1. Javed F, Al-Askar M, Almas K, Romanos GE, Al-Hezaimi K. Tissue reactions to various suture materials used in oral surgical interventions. ISRN Dent. 2012:1–6. - PMC - PubMed
    1. Petrie EM. Cyanoacrylate adhesives in surgical applications. Rev Adhes. 2014;2(3):253–310.

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