Influence of suturing on wound healing

By Bukhardt and Lang.

Date: 11/2000
Journal: Periodontology

Purpose: To understand the effect of different suture materials and techniques on wound healing.

Most highlighted results:

•The most popular technique for wound closure is the application of sutures.

•As a consequence some clinicians have proposed surgical clamps as an alternative

•Silk sutures are prone to colonization by biofilms, hence should not be applied for prolonged period of time

•Catgut suture material is no longer utilized in periodontal surgery because it loses its consistency owing to enzymatic resorption

•In current periodontal surgical practice synthetic suture materials are predominantly employed because of its stable physical properties and biocompatibility.

•It is evident that prolonged retention time of sutures may have negative effects on the surgical outcome.

•The primary objective of suturing is to position and secure surgical flaps to promote optimal healing, to fulfill this requirement firm anchorage point must be selected in order to maintain stability

•Main anchoring structures: ( Teeth and immobile implants, masticatory mucosa, periosteum, and connective tissue )

•The interrupted simple loop is the most common technique is periodontal plastic surgery.

•Stabilization and  adaptation of the soft tissue covering the wound area with appropriate suturing appears to be a key for achieving optimal surgical outcomes.

•Sutures should be as few as needed to assure stability of the healing wound. ( because of its adverse effect on blood circulation )

Clinical significance:

The knowledge of different types of suture materials and techniques can aid in better wound healing.