Citation Information :
Pandey V, Sequeira J. Comparison of Antibacterial Coated and Noncoated Suture Material in Closure of Extraction Socket: A Clinical and Microbiological Study. World J Dent 2024; 15 (2):121-126.
Aim: To evaluate and compare the clinical and antibacterial efficacy of plain vicryl suture material and triclosan-coated vicryl suture material in extraction sockets.
Materials and methods: A total of 12 patients (24 extraction sites) who were indicated for bilateral orthodontic extraction of first premolars were enrolled in the study. The extraction on the right side and left side of the first premolar teeth was carried out and sutured with triclosan-coated vicryl (3-0) suture with a round body needle on the right side and plain vicryl (3-0) suture with round body needle on the left side. While placing the suture, ease of handling of both suture materials was assessed. Postoperatively, on day 3, soft tissue healing and suture site infection were studied. On day 7, sutures were removed from extraction sites and sent for microbiological evaluation and healing, and suture site infections were assessed.
Results: The results obtained from the study suggest that there was a statistically significant difference between both suture materials in terms of soft tissue healing. But statistically, there was no significant difference between both suture materials in terms of intraoperative handling, suture site infection (SSI), and bacterial colonization. Between the right and left sides, there was a statistically significant difference, with mean ranks of 16.5 and 8.5 on day 3 (p-value = 0.005) and 17.25 and 7.75 on day 7. On the basis of the quantitative assessment, there was a substantial reduction in adherence of bacteria on the right side compared to the left side.
Conclusion: This study concluded that triclosan-coated vicryl suture has a promising potential in preventing the colonization of bacteria around the extraction area. Triclosan-coated vicryl suture reduces suture site infection and enhances soft tissue healing.
Clinical significance: The clinical significance of this study lies in its potential to inform dental practitioners about the efficacy of triclosan-coated vicryl suture material compared to plain vicryl suture material in extraction socket healing. If the study demonstrates that triclosan-coated vicryl suture material leads to better clinical outcomes and reduced bacterial colonization in extraction sockets, it could influence clinical practice by encouraging the use of this coated suture material for better patient outcomes, reduced risk of infection, and improved wound healing. Additionally, the comparison of the two materials in a split-mouth study design provides valuable insights into their relative effectiveness within the same patient, minimizing confounding variables and enhancing the reliability of the findings.
Pelz K, Tödtmann N, Otten JE. Comparison of antibacterial-coated and non-coated suture material in intraoral surgery by isolation of adherent bacteria. Ann Agric Environ Med 2015;22(3):551–555. DOI: 10.5604/12321966.1167733
Rose J, Tuma F. Sutures And Needles. StatPearls. Treasure Island (FL): StatPearls Publishing; 2023.
Mangram AJ, Horan TC, Pearson ML, et al. Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1999;27(2):97–132; quiz 133–4; discussion 96.
Munton CG, Phillips CI, Martin B, et al. Vicryl (Polyglactin 910): a new synthetic absorbable suture in ophthalmic surgery. A preliminary study. Br J Ophthalmol 1974;58(11):941–947. DOI: 10.1136/bjo.58.11.941
Al-Mubarak L, Al-Haddab M. Cutaneous wound closure materials: an overview and update. J Cutan Aesthet Surg 2013;6(4):178–188. DOI: 10.4103/0974-2077.123395
Rothenburger S, Spangler D, Bhende S, et al. In vitro antimicrobial evaluation of coated VICRYL* plus antibacterial suture (coated polyglactin 910 with triclosan) using zone of inhibition assays. Surg Infect (Larchmt) 2002;3 Suppl 1:S79–S87. DOI: 10.1089/sur.2002.3.s1-79
Storch M, Scalzo H, Van Lue S, et al. Physical and functional comparison of coated VICRYL* plus antibacterial suture (coated polyglactin 910 suture with triclosan) with coated VICRYL* suture (coated polyglactin 910 suture). Surg Infect (Larchmt) 2002;3 Suppl 1:S65–S77. DOI: 10.1089/sur.2002.3.s1-65
IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.
Chandrasekhar H, Sivakumar, Kumar MPS. Comparison of influence of vicryl and silk suture materials on wound healing after third molar surgery- a review. J Pharm Sci Res 2017;9:2426–2428.
Leaper D, Assadian O, Hubner NO, et al. Antimicrobial sutures and prevention of surgical site infection: assessment of the safety of the antiseptic triclosan. Int Wound J 2011;8(6):556–566. DOI: 10.1111/j.1742-481X.2011.00841.x
Byrne M, Aly A. The surgical needle. Aesthet Surg J 2019;39(Suppl_2):S73–S77. DOI: 10.1093/asj/sjz035
Ford HR, Jones P, Gaines B, et al. Intraoperative handling and wound healing: controlled clinical trial comparing coated VICRYL plus antibacterial suture (coated polyglactin 910 suture with triclosan) with coated VICRYL suture (coated polyglactin 910 suture). Surg Infect (Larchmt) 2005;6(3):313–321. DOI: 10.1089/sur.2005.6.313
Rajasekhar GKN. Polyglactin 910 vs. triclosan coated polyglactin 910 in oral surgery: a comparative in vivo study. Dentistry 2014;4(10). DOI: 10.4172/2161-1122.1000267
Hoshino S, Yoshida Y, Tanimura S, et al. A study of the efficacy of antibacterial sutures for surgical site infection: a retrospective controlled trial. Int Surg 2013;98(2):129–132. DOI: 10.9738/CC179
Layeequa L, Sequira J. Comparative Evaluation Of Silk Suture Material And Betadine-Impregnated Suture Material In Oral Cavity: A Microbiological Study. World J Dent 2021;12(1):22–27. DOI: 10.5005/Jp-Journals-10015-1790