Title: Microbial Adherence on 2 Different Suture Materials in Patients Undergoing Periodontal Flap Surgery - A Pilot Study

Authors: Chhavi Sharma, Rajiv NP, Sushma R Galgali

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i6.99

Abstract

Background: One of the most common complication after any surgical procedure is surgical site infection which can be due to plaque accumulation on suture material. Therefore, antibacterial suture can be used to inhibit plaque accumulation. Thus, the aim of the present study was to assess and compare the microbial colonization on two different suture materials in patients undergoing periodontal flap surgery.

Material and Methods: 10 patients undergoing flap surgery were divided into 2 groups based on type of suture material used in flap approximation: Group 1 (test group, n=5): consisted of patients where flap approximation was carried out by polyglactin 910 suture coated with chlorhexidine and Group 2 (control group, n=5) where suturing was done with non-coated polyglactin 910 suture. On the 7th day after flap surgery, sutures were removed and sent to laboratory for culturing.

Results: Higher aerobic bacterial load was observed on sutures retrieved from Group 1 while higher anaerobic bacterial load was observed on sutures  retrieved from Group 2. However, the differences between the groups were insignificant.

Conclusion: Chlorhexidine coated polyglactin 910 suture has potential in preventing colonization of micro-organisms as compared to polyglactin 910 (non-coated) suture, thereby reducing the risk of bacteremia.

Keywords: Microbial adherence, Chlorhexidine coated polyglactin 910 suture, periodontal flap surgery.

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Corresponding Author

Chhavi Sharma