Rashid Mohammed Enamur, Alam Mohammad Khursheed, Akhter Khaleda, Abdelghani Abedalla, Babkair Hamzah Ali, Sghaireen Mohammed Ghazi
Department of Oral and Maxillofacial Diagnostic Sciences, College of Dentistry, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Saudi Arabia.
J Pharm Bioallied Sci. 2024 Feb;16(Suppl 1):S675-S677. doi: 10.4103/jpbs.jpbs_937_23. Epub 2024 Feb 29.
The process of post-extraction socket healing is critical for ensuring proper tissue repair and minimizing complications in dental practice. Suturing techniques play a pivotal role in this process, influencing wound closure, hemostasis, and overall healing.
This prospective clinical trial involved 80 participants who required single-tooth extractions. Patients were randomly assigned to four groups, each receiving a distinct suturing technique: simple interrupted sutures, horizontal mattress sutures, vertical mattress sutures, and continuous sutures. Standardized assessments, including clinical examination and cone-beam computed tomography (CBCT) scans, were performed at baseline, 1 week, and 4 weeks post-extraction. Wound dehiscence, soft tissue healing, and bone preservation were evaluated.
At 1-week post-extraction, the continuous suture group exhibited the lowest rate of wound dehiscence (5%) compared to other groups (simple interrupted, 15%; horizontal mattress, 10%; vertical mattress, 12%). Soft tissue healing scores at 4 weeks were significantly higher in the continuous suture group (8.7 ± 0.5) than in the other groups (simple interrupted, 7.2 ± 0.8; horizontal mattress, 7.8 ± 0.7; vertical mattress, 7.5 ± 0.6). CBCT analysis revealed superior bone preservation in the continuous suture group (98% remaining bone volume) compared to the other groups (simple interrupted, 92%; horizontal mattress, 95%; vertical mattress, 94%).
This study demonstrates that the continuous suturing technique offers advantages in post-extraction socket healing, including reduced wound dehiscence, improved soft tissue healing, and better bone preservation.
拔牙后牙槽窝的愈合过程对于确保牙科实践中组织的正常修复和减少并发症至关重要。缝合技术在这一过程中起着关键作用，影响伤口闭合、止血和整体愈合。
这项前瞻性临床试验纳入了80名需要拔除单颗牙齿的参与者。患者被随机分为四组，每组接受一种不同的缝合技术：单纯间断缝合、水平褥式缝合、垂直褥式缝合和连续缝合。在拔牙前、拔牙后1周和4周进行标准化评估，包括临床检查和锥形束计算机断层扫描（CBCT）。评估伤口裂开、软组织愈合和骨保存情况。
拔牙后1周，连续缝合组的伤口裂开率最低（5%），而其他组分别为：单纯间断缝合组15%、水平褥式缝合组10%、垂直褥式缝合组12%。连续缝合组在4周时的软组织愈合评分（8.7±0.5）显著高于其他组（单纯间断缝合组7.2±0.8、水平褥式缝合组7.8±0.7、垂直褥式缝合组7.5±0.6）。CBCT分析显示，连续缝合组的骨保存情况优于其他组（剩余骨体积为98%），其他组分别为：单纯间断缝合组92%、水平褥式缝合组95%、垂直褥式缝合组94%。
本研究表明，连续缝合技术在拔牙后牙槽窝愈合方面具有优势，包括减少伤口裂开、改善软组织愈合和更好地保存骨组织。
