Oral and Maxillofacial Surgery Department, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Oral and Maxillofacial Surgery Department, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Oral Maxillofac Surg. 2019 Oct;48(10):1367-1371. doi: 10.1016/j.ijom.2019.01.011. Epub 2019 Feb 6.
Antibacterial coating of surgical sutures is a suggested approach to prevent surgical site infections. The aim of this study was to compare the incidence of surgical site infection following the use of polyglactin 910 (Vicryl) and polyglactin 910 coated with triclosan (Vicryl Plus) sutures in dental implant surgery. This single-blind, randomized clinical trial evaluated patients who received three implants in the posterior mandible. Patients were randomly divided into two groups to receive either Vicryl Plus sutures (group 1) or Vicryl sutures (group 2). A total of 320 patients were included in the study (n=160 in each group). Twelve patients (7.5%) in group 1 and 11 patients (6.9%) in group 2 had a surgical site infection. Analysis of the data did not demonstrate any significant difference in the incidence of surgical site infection between the two groups (P=0.5). The incidence of surgical site infection in fresh socket implant placement was higher than that in delayed implant placement, irrespective of the type of suture used (P=0.001). Triclosan-coated Vicryl sutures did not decrease the incidence of surgical site infection in dental implant surgery.
抗菌缝线涂层是预防手术部位感染的一种方法。本研究旨在比较聚乳酸 910（薇乔）缝线和聚乳酸 910 涂层三氯生（薇乔 Plus）缝线在牙种植术中的手术部位感染发生率。这是一项单盲、随机临床试验，评估了接受下颌后牙三个种植体的患者。患者随机分为两组，分别接受薇乔 Plus 缝线（第 1 组）或薇乔缝线（第 2 组）。共有 320 名患者纳入研究（每组 160 名）。第 1 组中有 12 名患者（7.5%）和第 2 组中有 11 名患者（6.9%）发生手术部位感染。数据分析未显示两组手术部位感染发生率有显著差异（P=0.5）。无论使用何种缝线，新鲜牙槽窝种植体植入的手术部位感染发生率均高于延迟种植体植入（P=0.001）。三氯生涂层薇乔缝线并未降低牙种植术中手术部位感染的发生率。
