Effects of myrrh on the strength of suture materials: an <i>in vitro</i> study

Abstract

The present in vitro study sought to determine the effects of myrrh-containing solutions on common suture materials used in periodontal surgery. Three commonly used suture materials (silk, polyglactin 910, polytetrafluoroethylene) were immersed in four thermostatically controlled experimental media to simulate daily oral rinsing activity, namely -artificial saliva, normal saline solution with 0.2% Commiphora myrrh, full-concentration (100%) Commiphora myrrh oil, and a myrrh-containing commercial mouthwash. Tensile strength was measured at the end of each day using an Instron tensile testing machine. Silk sutures were susceptible to tensile strength loss when exposed to 0.2% myrrh solution once daily for 5 days. Myrrh-containing commercial mouthwash had no effect on tensile strength, but all three suture materials lost tensile strength when exposed to 100% myrrh oil. For patients that routinely use myrrh mouthwashes postoperatively, findings of this study suggested that silk sutures might not be the optimal material choice.

Effect of disinfection and sterilization on the tensile strength, surface roughness, and wettability of elastomers

“…Specimens failing at the reduced section and at the junction of the reduced and grip sections were discarded. Tensile strength was recorded by built‐in software integrated with the Instron machine …”

Evaluation of mechanical properties of three commonly used suture materials for clinical oral applications: An in vitro study

“…The time frame and test frequencies of the present study were in accordance with the clinical relevance of the frequent oral and periodontal surgical procedures. Different studies have found a positive correlation between the reduction in tensile strength and resorption rates of distinct suture materials under controlled experimental conditions 26,27,28 . A prime element that can influence the resorption rate of suture materials is the variation in pH of the solution.…”

The Effect of Suturing Protocols on Coronally Advanced Flap Root‐Coverage Outcomes: A Meta‐Analysis

“…Within each type of suture (i.e., absorbable or non‐absorbable), there was marked variation regarding the type of suture material used (e.g., gut, polyglactin, nylon, polytetrafluoroethylene, silk). Given the reported differences among specific materials regarding loss of material properties in simulated oral environments 81 or induction of inflammatory tissue reaction, 12,82‐85 the use of a particular suture material might be of significance under certain circumstances.…”