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

Identifieur interne : 008C66 ( Main/Merge ); précédent : 008C65; suivant : 008C67

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

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

Source :

Clinical Implant Dentistry and Related Research [ 1523-0899 ] ; 2001-01.

RBID : ISTEX:2FD0E4560C60DAD369CD971B993AE2EF4F8C0F1D

English descriptors

KwdEn :
- Absorbable, Abutment, Abutment surgery, Branemark, Continuous suture, Continuous suture technique, Dehiscence, Edentulous, Edentulous patients, Higher incidence, Implant, Implant loss, Maxillofacial surgery, Molndal, Molndal hospital, Nonresorbable, Oral cavity, Oral implant surgery, Polyglactin, Postoperative, Present study, Rapide, Security sutures, Supramid, Supramid group, Surg, Surgical, Suture, Suture material, Vicryl, Vicryl rapide, Vicryl rapide group, Vicryl rapide suture, Vicryl rapide sutures, Wound dehiscence.
Teeft :
- Absorbable, Abutment, Abutment surgery, Branemark, Continuous suture, Continuous suture technique, Dehiscence, Edentulous, Edentulous patients, Higher incidence, Implant, Implant loss, Maxillofacial surgery, Molndal, Molndal hospital, Nonresorbable, Oral cavity, Oral implant surgery, Polyglactin, Postoperative, Present study, Rapide, Security sutures, Supramid, Supramid group, Surg, Surgical, Suture, Suture material, Vicryl, Vicryl rapide, Vicryl rapide group, Vicryl rapide suture, Vicryl rapide sutures, Wound dehiscence.

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.

Url:

https://api.istex.fr/document/2FD0E4560C60DAD369CD971B993AE2EF4F8C0F1D/fulltext/pdf

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

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<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Mölndal Hospital, Mölndal, Sweden †Department of Biomaterials/Handicap Research, Institute for Surgical Sciences, Faculty of Medicine, Göteborg University, Göteborg</wicri:regionArea>
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<term>Continuous suture</term>
<term>Continuous suture technique</term>
<term>Dehiscence</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Higher incidence</term>
<term>Implant</term>
<term>Implant loss</term>
<term>Maxillofacial surgery</term>
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<term>Molndal hospital</term>
<term>Nonresorbable</term>
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<term>Oral implant surgery</term>
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<term>Present study</term>
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<term>Surgical</term>
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<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Higher incidence</term>
<term>Implant</term>
<term>Implant loss</term>
<term>Maxillofacial surgery</term>
<term>Molndal</term>
<term>Molndal hospital</term>
<term>Nonresorbable</term>
<term>Oral cavity</term>
<term>Oral implant surgery</term>
<term>Polyglactin</term>
<term>Postoperative</term>
<term>Present study</term>
<term>Rapide</term>
<term>Security sutures</term>
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<term>Suture material</term>
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<term>Vicryl rapide</term>
<term>Vicryl rapide group</term>
<term>Vicryl rapide suture</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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Nonresorbable versus Resorbable Sutures in Oral Implant Surgery: A Prospective Clinical Study

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

Source :

English descriptors

Abstract

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