Various suturing material and wound healing process after oral surgery procedure - a review paper

Dimova, Cena and Popovska, Mirjana and Evrosimovska, Biljana and Zlatanovska, Katerina and Papakoca, Kiro and Petrovski, Mihajlo and Ivanovska-Stojanovska, Marija and Spasovski, Spiro (2020) Various suturing material and wound healing process after oral surgery procedure - a review paper. Journal of Hygienic Engineering and Design, 30. pp. 96-100. ISSN 1857- 8489

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The most oral surgical interventions require primary
wound closure with stitches after previously raised
mucoperiosteal flap. Different suture materials are
used for this purpose which are classified upon their
origin (organic and synthetic) or according to their
durability in host tissues (absorbable and non-absorbable). The aim of the review paper was to emphasize
the all-important properties of suture material include
knot safety, stretch capacity, tissue reactivity, and
wound safety.
MEDLINE and PubMed databases were explored from
the 1970 up to 2018 using the keywords in different combinations: oral surgery, suture material, flap,
dental implants, nylon, periodontal, polyglecaprone,
polytetrafluoroethylene, polyglycolic acid, polylactic
acid, silk. Normal wound healing after oral surgery procedures requires multiple finely tuned processes that
occur in a specific sequence as well as proliferation,
regeneration and organization (differentiation). The
final stage of the wound healing process is named the
contraction phase, which begins following sufficient
collagen formation in the granular tissue. Traditionally, silk has been the mostly used as suture material for
oral surgical procedures, with rarely including others
as: nylon, polyester, cat gut, polytetrafluoroethylene
(ePTFE), polyglycolic acid (PGA) etc. Surgery with silk
sutures increases the risk of infections because they
react with the connective tissue, causing adhesion
of dental plaque and bacteria adherence around the
stitch. On the other hand, a specific form of wound
healing occurs around placed dental implants. Usually
the implants are placed directly under or at the same
level as the bone surface at biphasic dental implant
In conclusion, besides the carefully used surgical and
suturing technique, and properly oral hygiene in the
postoperative period, the choice of suture material
may also influence the healing of the incised soft tissues. Thus the selection of the suture material should
be brought under consideration during treatment
planning for oral surgical interventions, periodontal
surgery and dental implantation.
Key words: Oral, Surgery, Periodontal, Implants, Flap, Suture, Silk, Nylon.

Item Type: Article
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health biotechnology
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Cena Dimova
Date Deposited: 21 Apr 2020 09:30
Last Modified: 21 Apr 2020 09:30

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