Koyuncu Şeyma, Gürses Gökhan
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Selçuk University, Konya, Türkiye.
J Korean Assoc Oral Maxillofac Surg. 2025 Feb 28;51(1):41-45. doi: 10.5125/jkaoms.2025.51.1.41.
Although many publications compare suture materials and , only some studies have compared suture techniques, and those studies only compare dehiscence rates, not wound healing. This study compares wound healing with interrupted and locked continuous sutures in edentulous ridges.
This study was designed as a prospective, split-mouth clinical study, with crestal surgical wounds divided into two halves up to the midline and sutured using interrupted and locked continuous techniques. Patients who required maxillar full-arch alveoloplasty were included in the study. Three expert observers evaluated the wounds via an Early Wound Healing Score (EHS) on days 3 and 7. These scores, suture time, suture removal difficulty, and suture removal pain were compared between groups.
Our study included 34 patients, among whom suture removal difficulty, pain, and day 3 EHS were not significantly different. Suture time and day 7 EHS significantly differed between interrupted and locked continuous suturing techniques. The locked continuous suture also required less suturing time and showed better healing scores on day 7.
Our findings suggest that the locked continuous suture technique can lead to significant time savings and better wound healing in the context of edentulous full arch procedures.
尽管许多出版物比较了缝合材料等，但只有一些研究比较了缝合技术，且这些研究仅比较了裂开率，而非伤口愈合情况。本研究比较了无牙颌牙槽嵴采用间断缝合和连续锁边缝合时的伤口愈合情况。
本研究设计为一项前瞻性、双侧对照临床研究，将牙槽嵴手术伤口沿中线分为两半，分别采用间断缝合和连续锁边缝合技术进行缝合。纳入需要进行上颌全牙弓牙槽骨成形术的患者。三名专业观察者在第3天和第7天通过早期伤口愈合评分（EHS）对伤口进行评估。比较两组之间的这些评分、缝合时间、拆线难度和拆线疼痛情况。
我们的研究纳入了34例患者，其中拆线难度、疼痛和第3天的EHS无显著差异。间断缝合和连续锁边缝合技术在缝合时间和第7天的EHS上有显著差异。连续锁边缝合所需缝合时间也更少，且在第7天显示出更好的愈合评分。
我们的研究结果表明，在无牙全牙弓手术中，连续锁边缝合技术可显著节省时间并实现更好的伤口愈合。
