Year 2019, Volume 29 , Issue 3, Pages 440 - 447 2019-07-16

MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY

Ertan YALÇIN [1] , Hakan USLU [2] , Ertunç DAYI [3]


ABSTRACT

Aim: The aim of this study is to compare the microbiological colonization on different intraoral suture materials used in patients, undergone oral surgery.

Material and Methods: Suture materials were applied to 60 patients during dentoalveolar surgical interventions. Patients were randomly divided into 4 groups of 15. Four different types of suture materials were introduced into the patients after surgical removal of their impacted lower third molars. In the postoperative seventh day, suture materials were removed. These sutures were isolated and differentiated by various techniques after being washed in sterile saline solution containing tubes.

Results: In microbiological examination, 13 aerobic species, 7 anaerobic species, 1 yeast species, and 1 mold species were isolated from the non-absorbable suture materials. Eight aerobic strains, 9 anaerobic strains, and additionally, 1 yeast and 2 mold strains were isolated from the absorbable suture materials.

Conclusion: In light of the data obtained, we believe that polyglycolic acid based suture  materials might be preferred in oral surgery. However, this choice should be made by considering the other features of the suture materials. And also, since the colonization of pathogenic microorganisms could turn the sutures into a potential oral pathogen reservoir, sutures should be removed as soon as possible.





Keywords: Suture materials, microbiological strains, oral surgery

Oral Cerrahi Uygulanan Hastalarda İpek, Polyester [poly(ethyleneterephthalate)], Polyglycolic acid ve Poly(glycolide-co-lactide) Sütür Materyallerinin Mikrobiyolojik Açıdan Karşılaştırılması

 ÖZ

Amaç: Bu çalışmanın amacı oral cerrahi uygulanmış hastalarda kullanılan farklı sütür materyallerinde meydana gelen mikrobiyolojik kolonizasyonların karşılaştırılmasıdır.

Bireyler ve Yöntem: Sütür materyalleri dentoalveolar cerrahi yapılan toplam 60 hastaya uygulandı. Hastalar randomize olarak herbiri 15 hastadan oluşan 4 gruba bölündü. Gömülü alt yirmi yaş dişi operasyonu yapılan bu hastalara sütür materyalleri inraoral olarak uygulandı. Postoperatif 7. gün sütürler alındı. Alınan sütürler steril salin solüsyonu ihtiva eden tüplerde yıkandıktan sonra mikrobiyolojik izolasyon ve diferensiasyon teknikleri gerçekleştirildi.

Bulgular: Mikrobiyolojik inceleme sonucu olarak; emilemeyen sütürlerde; 13 aerob ve 7 anaerob bakteri türüne ek olarak 1 maya ve 1 küf mantarı türü, emilebilen sütürlerde ise; 8 aerob ve 9 anaerob bakteri türüne ek olarak 1 maya ve 2 küf mantarı türü izole edildi.

Sonuç: Elde edilen verilerin ışığında çalışmamızda kullanılan Sentesorb® sütür materyalinin oral cerrahide tercih edilebileceğini düşünmekteyiz. Ancak bu seçim sütür materyallerinin diğer özellikleri de göz önüne alınarak yapılmalıdır. Sütürlere kolonize olabilen patojen mikroorganizmalar yara yerinde bulunan bu sütürleri potansiyel patojen mikroorganizma rezervuarları haline getirdikleri için sütürler mümkün olan en kısa sürede alınmalıdır.

Anahtar Kelimeler: sütür materyalleri, mikrobiyolojik türler, oral cerrahi


Suture materials, microbiological strains
  • 1. Yu GV, Cavaliere R. Suture material, properties and uses. J Am Podiatry Assoc 1983; 73: 57–64.
  • 2. Parirokh M, Asgary S, Eghbal MJ, Stowe S, Kakoei S. A scanning electron microscope study of plaque accumulation on silk and PVDF suture materials in oral mucosa. Int Endod J. 2004; 37: 776–781.
  • 3. Yaltirik M, Dedeoglu K, Bilgic B, Koray M, Ersev H, Issever H, Dulger O, Soley S. Comparison of four different suture materials in soft tissues of rats. Oral Dis 2003; 9: 284-286.
  • 4. Shaw RJ, Negus TW, Mellor TK. A prospective clinical evaluation of longevity of resorbable sutures in oral mucosa. Br J Oral Maxillofac Surg. 1996; 34: 252-254.
  • 5. Bayer S, Demirtas N, Kazancıoglu HO. Suture materials in maxillofacial surgery: A literature review. J Dent Fac Atatürk Uni. 2015; Suppl 11; 105-113.
  • 6. Selvig KA, Biagiotti GR, Leknes KN, Wikesjo UME (1998) Oral tissue reactions to suture materials. Int J Periodontics Restorative Dent. 1998; 18: 475–487.
  • 7. Greenwald D, Shumway S, Albear P, Gottlieb L. Mechanical comparison of 10 suture materials before and after in vivo incubation. J Surg Res 1994; 56: 372-377.
  • 8. Sortino F, Lombardo C, Sciacca A. Silk and polyglycolic acid in oral surgery: A comparative study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105: e15-e18.
  • 9. Chu CC, Williams DF. Effects of physical configuration and chemical structure of suture materials on bacterial adhesion. Am J Surg 1984; 147: 197-204.
  • 10. Banche G, Roana J, Mandras N, Amasio M, Angeretti A, Tullio V, Cuffini AM. Microbial adherence on various intraoral suture materials in patients undergoing dental surgery. J Oral Maxillofac Surg 2007; 65: 1503-1507.
  • 11. Grigg TR, Liewer FR, Patton WR,Buxton TB, Mcpherson JC. Effect of the wicking behaviour of multifilament sutures. J Endod 2004; 30: 649-652.
  • 12. Otten JE, Wiedmann-Al-Ahmad M, Jahnke H, et al. Bacterial colonization on different suture materials-A potential risk for intraoral dentoalveolar surgery. J Biomed Mater Res B Appl Biomater 2005; 74: 627.
  • 13. Giray CB. Clinical and electron microscope comparison of silk sutures and n butyl-2-cyanoacrylate in human mucosa. Aust Dent J 1997; 42: 255-258.
  • 14. Lilly GE. Reaction of oral tissues to suture materials. Oral Surg Oral Med Oral Pathol 1968; 26: 128-133.
  • 15. Lilly GE, Armstrong JH, Salem JE, Cutcher JL. Reaction of oral tissues to suture materials.II. Oral Surg Oral Med Oral Pathol 1968; 26: 592-599.
  • 16. Durdley P, Bucknall TE. Assesment of sutures for use in colonic surgery: an experimental study. J R Soc Med 1984; 77: 472-477.
  • 17. Rothenburger S, Spangler D, Bhende S, Burkley D. In vitro antimicrobial evaluation of coated Vicryl plus antibacterial suture (coated polyglactin 910 with triclosan) using zone inhibition assays. Surg Infect 2002; 3: 79-87.
  • 18. Brown AR, Papasian CJ, Shultz P, Theisen FC, Shultz RE. Bacteremia and intraoral suture removal: Can an antimicrobial rinse help? J Am Dent Assoc 1998; 129: 1455-1461.
  • 19. King RC, Crawford BA, Small EW. Bacteremia following intraoral suture removal. Oral Surg Oral Med Oral Pathol 1988; 65: 23-28.
  • 20. Giglio JA, Rowland RW, Dalton HP, Laskin DM. Suture removal-induced bacteremia: a possible endocarditis risk. J Am Dent Assoc 1992; 123: 65-70.
  • 21. Martin M. Is there a link between tooth brushing and infective endocarditis? Int Dent J 2003; 53: 187-189
Primary Language en
Subjects Dental
Journal Section Araştırma Makalesi
Authors

Orcid: 0000-0003-2785-7576
Author: Ertan YALÇIN

Orcid: 0000-0003-1478-7441
Author: Hakan USLU

Orcid: 0000-0001-7201-2025
Author: Ertunç DAYI

Dates

Publication Date : July 16, 2019

Bibtex @research article { ataunidfd566794, journal = {Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi}, issn = {1300-9044}, eissn = {2667-5161}, address = {}, publisher = {Ataturk University}, year = {2019}, volume = {29}, pages = {440 - 447}, doi = {10.17567/ataunidfd.566794}, title = {MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY}, key = {cite}, author = {YALÇIN, Ertan and USLU, Hakan and DAYI, Ertunç} }
APA YALÇIN, E , USLU, H , DAYI, E . (2019). MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi , 29 (3) , 440-447 . DOI: 10.17567/ataunidfd.566794
MLA YALÇIN, E , USLU, H , DAYI, E . "MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29 (2019 ): 440-447 <https://dergipark.org.tr/en/pub/ataunidfd/issue/47796/566794>
Chicago YALÇIN, E , USLU, H , DAYI, E . "MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29 (2019 ): 440-447
RIS TY - JOUR T1 - MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY AU - Ertan YALÇIN , Hakan USLU , Ertunç DAYI Y1 - 2019 PY - 2019 N1 - doi: 10.17567/ataunidfd.566794 DO - 10.17567/ataunidfd.566794 T2 - Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi JF - Journal JO - JOR SP - 440 EP - 447 VL - 29 IS - 3 SN - 1300-9044-2667-5161 M3 - doi: 10.17567/ataunidfd.566794 UR - https://doi.org/10.17567/ataunidfd.566794 Y2 - 2019 ER -
EndNote %0 Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY %A Ertan YALÇIN , Hakan USLU , Ertunç DAYI %T MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY %D 2019 %J Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi %P 1300-9044-2667-5161 %V 29 %N 3 %R doi: 10.17567/ataunidfd.566794 %U 10.17567/ataunidfd.566794
ISNAD YALÇIN, Ertan , USLU, Hakan , DAYI, Ertunç . "MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29 / 3 (July 2019): 440-447 . https://doi.org/10.17567/ataunidfd.566794
AMA YALÇIN E , USLU H , DAYI E . MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY. Ata Diş Hek Fak Derg. 2019; 29(3): 440-447.
Vancouver YALÇIN E , USLU H , DAYI E . MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2019; 29(3): 447-440.