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Nonresorbable versus Resorbable Sutures in Oral Implant Surgery: A Prospective Clinical Study

Identifieur interne : 008937 ( Main/Exploration ); précédent : 008936; suivant : 008938

Nonresorbable versus Resorbable Sutures in Oral Implant Surgery: A Prospective Clinical Study

Auteurs : Carl-Johan Ivanoff [Suède] ; Göran Widmark [Suède]

Source :

RBID : ISTEX:2FD0E4560C60DAD369CD971B993AE2EF4F8C0F1D

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English descriptors

Abstract

Background: Regarding the Brånemark implant system, nonresorbable sutures have been advocated for reapproxima‐tion of the flaps. Fast‐absorbable sutures are frequently used in oral surgery, which is convenient for both the patient and the surgeon. It would be advantageous if fast‐absorbable sutures are suitable in implant surgery as well. Purpose: The purpose of this study was to compare irradiated polyglactin 910 (Vicryl Rapide, Ethicon GmbH, Norderstedt, Germany) suture with a nonresorbable polyfilament suture (Supramid, Schwarz, Resorba GmbH, Nürnberg, Germany) used in oral implant surgery. Materials and Methods: The study comprised 101 edentulous patients (52 females, 49 males) who were provided with 350 Brånemark implants. They were randomized to receive either Vicryl Rapide suture (n = 61) or 3‐0 Supramid suture (n = 40). The patients were evaluated after 10 days and at the time of abutment surgery. Any wound complications and implant losses were recorded. Results: The implant failure rate at abutment surgery was low (1.2%), and no difference was seen between the two suture groups. A higher incidence of complications (mainly wound dehiscence) was found in the absorbable suture group, especially when a continuous suture was used. Conclusions: The results of this study indicate that it is possible to use irradiated polyglactin 910 sutures in oral implant surgery without affecting the rate of early implant failure. However, it is recommended to add interrupted “security sutures” if a continuous suture technique is used in combination with fast‐absorption suture material.

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DOI: 10.1111/j.1708-8208.2001.tb00129.x


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Le document en format XML

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<term>Absorbable</term>
<term>Absorbable Implants</term>
<term>Abutment</term>
<term>Abutment surgery</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Branemark</term>
<term>Continuous suture</term>
<term>Continuous suture technique</term>
<term>Dehiscence</term>
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<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implants</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Higher incidence</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant loss</term>
<term>Incidence</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Maxillofacial surgery</term>
<term>Middle Aged</term>
<term>Molndal</term>
<term>Molndal hospital</term>
<term>Nonresorbable</term>
<term>Nylons (chemistry)</term>
<term>Oral cavity</term>
<term>Oral implant surgery</term>
<term>Polyglactin</term>
<term>Polyglactin 910 (chemistry)</term>
<term>Postoperative</term>
<term>Present study</term>
<term>Prospective Studies</term>
<term>Rapide</term>
<term>Security sutures</term>
<term>Supramid</term>
<term>Supramid group</term>
<term>Surg</term>
<term>Surgical</term>
<term>Surgical Flaps</term>
<term>Surgical Wound Dehiscence (etiology)</term>
<term>Suture</term>
<term>Suture Techniques</term>
<term>Suture material</term>
<term>Sutures</term>
<term>Vicryl</term>
<term>Vicryl rapide</term>
<term>Vicryl rapide group</term>
<term>Vicryl rapide suture</term>
<term>Vicryl rapide sutures</term>
<term>Wound dehiscence</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implant résorbable</term>
<term>Implants dentaires</term>
<term>Implants dentaires unitaires</term>
<term>Incidence</term>
<term>Lambeaux chirurgicaux</term>
<term>Lâchage de suture (étiologie)</term>
<term>Matériaux de suture</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Nylons ()</term>
<term>Piliers dentaires</term>
<term>Polyglactine 910 ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Techniques de suture</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
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<keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en">
<term>Nylons</term>
<term>Polyglactin 910</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Surgical Wound Dehiscence</term>
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<term>Dental Implantation, Endosseous</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Jaw, Edentulous, Partially</term>
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<term>Lâchage de suture</term>
<term>Pose d'implant dentaire endo-osseux</term>
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<term>Absorbable Implants</term>
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<term>Abutment surgery</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Branemark</term>
<term>Continuous suture</term>
<term>Continuous suture technique</term>
<term>Dehiscence</term>
<term>Dental Abutments</term>
<term>Dental Implants</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis Design</term>
<term>Dental Restoration Failure</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Higher incidence</term>
<term>Humans</term>
<term>Implant</term>
<term>Implant loss</term>
<term>Incidence</term>
<term>Male</term>
<term>Maxillofacial surgery</term>
<term>Middle Aged</term>
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<term>Molndal hospital</term>
<term>Nonresorbable</term>
<term>Oral cavity</term>
<term>Oral implant surgery</term>
<term>Polyglactin</term>
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<term>Present study</term>
<term>Prospective Studies</term>
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<term>Security sutures</term>
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<term>Surgical</term>
<term>Surgical Flaps</term>
<term>Suture</term>
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<term>Vicryl</term>
<term>Vicryl rapide</term>
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<term>Vicryl rapide sutures</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implant résorbable</term>
<term>Implants dentaires</term>
<term>Implants dentaires unitaires</term>
<term>Incidence</term>
<term>Lambeaux chirurgicaux</term>
<term>Matériaux de suture</term>
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<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Nylons</term>
<term>Piliers dentaires</term>
<term>Polyglactine 910</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Techniques de suture</term>
<term>Échec de restauration dentaire</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">Background: Regarding the Brånemark implant system, nonresorbable sutures have been advocated for reapproxima‐tion of the flaps. Fast‐absorbable sutures are frequently used in oral surgery, which is convenient for both the patient and the surgeon. It would be advantageous if fast‐absorbable sutures are suitable in implant surgery as well. Purpose: The purpose of this study was to compare irradiated polyglactin 910 (Vicryl Rapide, Ethicon GmbH, Norderstedt, Germany) suture with a nonresorbable polyfilament suture (Supramid, Schwarz, Resorba GmbH, Nürnberg, Germany) used in oral implant surgery. Materials and Methods: The study comprised 101 edentulous patients (52 females, 49 males) who were provided with 350 Brånemark implants. They were randomized to receive either Vicryl Rapide suture (n = 61) or 3‐0 Supramid suture (n = 40). The patients were evaluated after 10 days and at the time of abutment surgery. Any wound complications and implant losses were recorded. Results: The implant failure rate at abutment surgery was low (1.2%), and no difference was seen between the two suture groups. A higher incidence of complications (mainly wound dehiscence) was found in the absorbable suture group, especially when a continuous suture was used. Conclusions: The results of this study indicate that it is possible to use irradiated polyglactin 910 sutures in oral implant surgery without affecting the rate of early implant failure. However, it is recommended to add interrupted “security sutures” if a continuous suture technique is used in combination with fast‐absorption suture material.</div>
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