Microbial accumulation on different suture materials following oral surgery: a randomized controlled study

Abstract

The study provides the microbial profile of commonly used sutures and may assist in suture selection during clinical procedures.

Bacterial Accumulation on Triclosan-Coated and Silk Sutures After Dental Implant Surgery

“…Asher et al found that bacterial adhesion of coated polyglactin suture was not different from that of other suture materials 7 days after oral surgery. (1) In a clinical study by Sala-Pérez et al, the antibacterial effect of Monocryl Plus suture was observed after 3 days, but this effect was not considerable 7 days after oral surgery. (3) In addition, antibacterial activity of triclosancontaining suture was reported for 96 hours in a study by Edmiston et al and for 12 hours in a study by Masini et al (16,17) Based on previous studies and the results of the present study, it can be concluded that the use of triclosan-coated suture offers no benefit in oral surgery.…”

“…Following the incubation of plates at 37°C for 24 hours, colony-forming units (CFUs) and bacterial growth rates were evaluated. (1,3,13) The sample size was calculated based on previous studies according to power calculations with a 5% alpha error rate. (14,15) A minimum of 20 patients was estimated for statistical significance.…”

“…The suture material is defined as a potential risk factor for wound infection in oral surgery. (1,2) The selection of appropriate suture may depend on bacterial adhesion, duration of the presence of sutures, tensile strength, handling quality of the suture, and surgeon's preference. (1)(2)(3)(4)(5) Suture materials are usually classified based on mechanical properties (such as tensile strength), bio-absorbable properties (absorbable and non-absorbable sutures), Suture tissue reactivity is another important factor evaluated in previous research.…”

“…(6) Braided and absorbable sutures produce a greater inflammatory response. (1,6) Monofilament suture has been described to decrease the number of bacteria, to make handling difficult, and to contribute to patient discomfort because of its physical composition. (1,(6)(7)(8)(9)(10) Triclosan-coated multifilament suture reduces surgical site infections due to its antibacterial property .…”

“…(1,6) Monofilament suture has been described to decrease the number of bacteria, to make handling difficult, and to contribute to patient discomfort because of its physical composition. (1,(6)(7)(8)(9)(10) Triclosan-coated multifilament suture reduces surgical site infections due to its antibacterial property . (11)(12)(13) However, this antibacterial effect has been observed during the first three days after suture placement, and this antibacterial suture can provide little safety in surgical site infection control.…”