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口腔种植学中不同缝合材料上的细菌定植:一项随机临床试验。

Bacterial Colonization on Different Suture Materials Used in Oral Implantology: A Randomized Clinical Trial.

作者信息

Nadafpour Nima, Montazeri Mostafa, Moradi Mehrdad, Ahmadzadeh Sina, Etemadi Ardavan

机构信息

Department of Periodontics, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

Department of Periodontics, Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Front Dent. 2021 Jul 23;18:25. doi: 10.18502/fid.v18i25.6935. eCollection 2021.

DOI:10.18502/fid.v18i25.6935
PMID:35965706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9355897/
Abstract

This study aimed to compare the colonization of (), (), () and () isolated from the oral cavity on different suture materials used in oral implantology. Patients scheduled for implant surgery were included in this study. After flap approximation, the surgical site was sutured using silk, nylon, polyglactin 910 (Vicryl) and triclosan-coated polyglactin 910 (Vicryl Plus) sutures in a randomized order. Seven days after surgery, the sutures were removed and incubated in bile esculin agar (for ), MacConkey agar (for ), mitis salivarius agar (for ), and mannitol salt agar (for ) at 37°C for 24 h. The colonies were then counted. Data were analyzed using the Kruskal-Wallis and Mann-Whitney U tests. Vicryl sutures showed the highest accumulation of , followed by Vicryl Plus, nylon, and silk. There was no significant difference between nylon and silk (P=0.5) or between Vicryl and Vicryl Plus (P=0.4). Vicryl Plus sutures showed the highest accumulation of followed by Vicryl, silk and nylon (P<0.01). Vicryl sutures showed the highest accumulation of , followed by Vicryl Plus, silk, and nylon. Vicryl Plus sutures showed the highest accumulation of , followed by Vicryl, nylon, and silk. Nylon sutures showed the least microbial accumulation. Vicryl and triclosan-coated Vicryl Plus sutures had no advantage over the commonly used silk sutures in decreasing the number of bacteria.

摘要

本研究旨在比较口腔种植术中使用的不同缝合材料上口腔分离出的()、()、()和()的定植情况。计划进行种植手术的患者纳入本研究。翻瓣后,手术部位使用丝线、尼龙线、聚乙醇酸910(薇乔)和含三氯生的聚乙醇酸910(加替薇乔)缝线按随机顺序缝合。术后7天,拆除缝线并在37℃下于胆汁七叶苷琼脂(用于)、麦康凯琼脂(用于)、唾液乳杆菌琼脂(用于)和甘露醇盐琼脂(用于)中培养24小时。然后对菌落进行计数。使用Kruskal-Wallis检验和Mann-Whitney U检验分析数据。薇乔缝线显示()的积聚量最高,其次是加替薇乔、尼龙线和丝线。尼龙线和丝线之间(P = 0.5)或薇乔和加替薇乔之间(P = 0.4)无显著差异。加替薇乔缝线显示()的积聚量最高,其次是薇乔、丝线和尼龙线(P < 0.01)。薇乔缝线显示()的积聚量最高,其次是加替薇乔、丝线和尼龙线。加替薇乔缝线显示()的积聚量最高,其次是薇乔、尼龙线和丝线。尼龙缝线的微生物积聚量最少。薇乔和含三氯生的加替薇乔缝线在减少细菌数量方面并不优于常用的丝线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3022/9355897/ab4fb925d029/FID-18-25-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3022/9355897/16c7b670efb3/FID-18-25-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3022/9355897/1c978a4fdaa0/FID-18-25-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3022/9355897/ab4fb925d029/FID-18-25-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3022/9355897/16c7b670efb3/FID-18-25-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3022/9355897/1c978a4fdaa0/FID-18-25-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3022/9355897/ab4fb925d029/FID-18-25-g003.jpg

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