Tensile strength of suture material for oral and periodontal surgery: A narrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i10.32393

Keywords:

Tensile strength; Sutures; Periodontics; Oral surgery.

Abstract

Objetive: To provide a narrative review of the current literature on tensile strength of different sutures materials employed in oral and periodontal surgery. Materials and methods: MESH terms have been used to search relevant literature electronically in the PubMed, Science Direct, Semantic Scholar, Scopus, Scielo, SpringerLink and Google Scholar databases.  This review has analyzed studies on monofilament, multifilament, absorbable, and non absorbable suture's materials. Conclusions: The best tensile strength properties may be  found in  polypropylene, polyglycolic acid, polydioxanone suture's material due to their properties.  This data should be considered so that the operator chooses  the suture material taking into account their tensile strength behavior for  periodontal or oral  surgeries where sutures need to be retained for longer periods . However, further studies are needed to understand tensile strength in different procedures and the variability of clinical situations.

References

Abellán, D., Nart, J., Pascual, A., Cohen, R. E., & Sanz-Moliner, J. D. (2016). Physical and Mechanical Evaluation of Five Suture Materials on Three Knot Configurations: An in Vitro Study. Polymers, 8(4), 147. https://doi.org/10.3390/polym8040147

Abullais, S. S., Alqahtani, N. A., Alkhulban, R. M., Alamer, S. H., Khan, A. A., & Pimple, S. (2020). In-vitro evaluation of commonly used beverages on tensile strength of different suture materials used in dental surgeries. Medicine, 99(48), e19831. https://doi.org/10.1097/MD.0000000000019831

Alamer, N.H., Alkhulban, R.M., Abullais, S.S., Ibrahim, W.S., Bhat, M.Y., & Khan, M.F. (2019). In-vitro Comparison of Tensile Strength of CommonlyUsed Suture Materials for Oral and PeriodontalSurgeries by simulating Oral Environment. Annals of Medical and Health Sciences Research, 9.

Alsarhan, M., Alnofaie, H., Ateeq, R., & Almahdy, A. (2018). The Effect of Chlorhexidine and Listerine® Mouthwashes on the Tensile Strength of Selected Absorbable Sutures: An In Vitro Study. BioMed research international, 2018, 8531706. https://doi.org/10.1155/2018/8531706

Antoniac, I., Antoniac, A., Gheorghita, D., & Gradinaru, S. (2021). In Vitro Study on Biodegradation of Absorbable Suture Materials Used for Surgical Applications. In Materiale Plastice (Vol. 58, Issue 2, pp. 130–139). https://doi.org/10.37358/mp.21.2.5484

Arce, J., Palacios, A., Alvítez-Temoche, D., Mendoza-Azpur, G., Romero-Tapia, P., & Mayta-Tovalino, F. (2019). Tensile Strength of Novel Nonabsorbable PTFE (Teflon®) versus Other Suture Materials: An In Vitro Study. In International Journal of Dentistry (Vol. 2019, pp. 1–5). https://doi.org/10.1155/2019/7419708

Burkhardt, R., & Lang, N. P. (2005). Coverage of localized gingival recessions: comparison of micro- and macrosurgical techniques. Journal of clinical periodontology, 32(3), 287–293. https://doi.org/10.1111/j.1600-051X.2005.00660.x

Byrne, M., & Aly, A. (2019). The Surgical Suture. Aesthetic surgery journal, 39(Suppl_2), S67–S72. https://doi.org/10.1093/asj/sjz036

Chu CC. (1997) Wound Closure Biomaterials and Devices.CRC Press

Dragovic, M., Pejovic, M., Stepic, J., Colic, S., Dozic, B., Dragovic, S., Lazarevic, M., Nikolic, N., Milasin, J., & Milicic, B. (2020). Comparison of four different suture materials in respect to oral wound healing, microbial colonization, tissue reaction and clinical features—randomized clinical study. In Clinical Oral Investigations (Vol. 24, Issue 4, pp. 1527–1541). https://doi.org/10.1007/s00784-019-03034-4

Faris, A., Khalid, L., Hashim, M., Yaghi, S., Magde, T., Bouresly, W., Hamdoon, Z., Uthman, A. T., Marei, H., & Al-Rawi, N. (2022). Characteristics of Suture Materials Used in Oral Surgery: Systematic Review. International Dental Journal, 72(3), 278–287.

He W and Benson R (2017) Polymeric biomaterials. In Applied plastics engineering handbook (pp. 145-164). William Andrew Publishing. https://doi.org/10.1016/B978-0-323-39040-8.00008-0

Hiatt, W. H., Stallard, R. E., Butler, E. D., & Badgett, B. (1968). Repair following mucoperiosteal flap surgery with full gingival retention. Journal of periodontology, 39(1), 11–16. https://doi.org/10.1902/jop.1968.39.1.11

Khiste, S. V., Ranganath, V., & Nichani, A. S. (2013). Evaluation of tensile strength of surgical synthetic absorbable suture materials: an in vitro study. In Journal of Periodontal & Implant Science (Vol. 43, Issue 3, p. 130). https://doi.org/10.5051/jpis.2013.43.3.130

Kim, J. C., Lee, Y. K., Lim, B. S., Rhee, S. H., & Yang, H. C. (2007). Comparison of tensile and knot security properties of surgical sutures. Journal of materials science. Materials in medicine, 18(12), 2363–2369. https://doi.org/10.1007/s10856-007-3114-6

Kuzu, T. E. (2022). Comparison Tensile Strength of Different Suture Materials. Cumhuriyet Dental Journal, 24(4), 355-360.

Manfredini, M., Ferrario, S., Beretta, P., Farronato, D., & Poli, P. P. (2022). Evaluation of Breaking Force of Different Suture Materials Used in Dentistry: An In Vitro Mechanical Comparison. Materials (Basel, Switzerland), 15(3), 1082. https://doi.org/10.3390/ma15031082

Minozzi, F., Bollero, P., Unfer, V., Dolci, A., & Galli, M. (2009). The sutures in dentistry. European review for medical and pharmacological sciences, 13(3), 217–226.

Saravanakumar, R., Mathew, M. P., Karthikeyan, I., & Sakthi Devi, S. (2018). Evaluation of Tensile Strength of Surgical Absorbable and Non-Absorbable Suture Materials-An In vitro Study. In SBV Journal of Basic, Clinical and Applied Health Science (Vol. 1, Issue A4, pp. 111–116). https://doi.org/10.5005/jp-journals-10082-01134

Taysi, A. E., Ercal, P., & Sismanoglu, S. (2021). Comparison between tensile characteristics of various suture materials with two suture techniques: an in vitro study. Clinical oral investigations, 25(11), 6393–6401. https://doi.org/10.1007/s00784-021-03943-3

Varma, S. R., Jaber, M., Fanas, S. A., Desai, V., Al Razouk, A. M., & Nasser, S. (2020). Effect of Hyaluronic Acid in Modifying Tensile Strength of Nonabsorbable Suture Materials: An In Vitro Study. Journal of International Society of Preventive & Community Dentistry, 10(1), 16–20. https://doi.org/10.4103/jispcd.JISPCD_343_19

Vasanthan, A., Satheesh, K., Hoopes, W., Lucaci, P., Williams, K., & Rapley, J. (2009). Comparing suture strengths for clinical applications: a novel in vitro study. Journal of periodontology, 80(4), 618–624. https://doi.org/10.1902/jop.2009.080490

Von Fraunhofer, J. A., Storey, R. S., Stone, I. K., & Masterson, B. J. (1985). Tensile strength of suture materials. Journal of biomedical materials research, 19(5), 595–600. https://doi.org/10.1002/jbm.820190511

Zuhr O, Hürzeler M.(2013) Cirugía plástica y estética, periodontal e implantológica: un enfoque microquirúrgico. 857 p.

Published

22/07/2022

How to Cite

CEDILLO, C. P. C.; QUITO, E. E. B. .; ZHIGUI, J. A. J. . Tensile strength of suture material for oral and periodontal surgery: A narrative review. Research, Society and Development, [S. l.], v. 11, n. 10, p. e45111032393, 2022. DOI: 10.33448/rsd-v11i10.32393. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32393. Acesso em: 19 apr. 2024.

Issue

Section

Review Article