PDF(Pubmed)
Abstract：
The extraction of impacted third molars is a common but potentially complication-prone oral surgical procedure. Wound healing plays a vital role in preventing complications. This scoping review aimed to assess the clinical and microbiological aspects of various suture materials and cyanoacrylates. Unlike existing studies, we included more articles and comprehensively compared suture materials. Articles published in languages other than English; duplicate studies; studies deemed irrelevant for the specific research questions, including those analyzing different supplementary treatments or not corresponding to the abstract\'s content; ex vivo or experimental animal studies; studies lacking approval from an ethics committee; and narrative reviews, systematic reviews, or systematic and meta-analysis reviews were excluded. Thus, only 17 studies, published between 2000 and 2023, were included in the search. Suture techniques varied among surgeons, with debates on primary and secondary closure methods. A comparison of different suture materials and their effects on wound healing, infection rates, and other factors was described. Cyanoacrylate has also been used as an alternative to traditional sutures. Microbiological analysis showed varying bacterial adhesion based on the suture material, with silk sutures retaining more microbes than PTFE sutures. Clinical assessments have revealed differing inflammatory responses that affect wound healing and complications. Cyanoacrylate has emerged as a promising alternative to traditional sutures, owing to its rapid polymerization and early healing. However, the choice of suture material in impacted third molar surgery remains controversial, considering microbiological factors and clinical outcomes. More extensive randomized clinical trials are required to better understand the effect of suture materials on surgical outcomes and potential improvements. This study could enhance the safety and effectiveness of this common oral surgical procedure.
摘要：
拔除受影响的第三磨牙是一种常见但可能容易发生并发症的口腔外科手术。伤口愈合在预防并发症中起着至关重要的作用。本范围审查旨在评估各种缝合材料和氰基丙烯酸酯的临床和微生物学方面。与现有研究不同，我们收录了更多的文章，并全面比较了缝合材料。用英语以外的语言发表的文章；重复研究；被认为与特定研究问题无关的研究，包括那些分析不同的补充治疗或不符合摘要的内容;离体或实验动物研究;缺乏伦理委员会批准的研究;和叙事审查，系统评价,或排除系统和荟萃分析综述.因此，只有17项研究，在2000年至2023年之间出版的，都包括在搜索中。外科医生的缝合技术各不相同，关于主要和次要封闭方法的辩论。不同缝合材料的比较及其对伤口愈合的影响，感染率,和其他因素进行了描述。氰基丙烯酸酯也已被用作传统缝合线的替代物。微生物分析显示基于缝合材料的不同细菌粘附，丝绸缝线比PTFE缝线保留更多的微生物。临床评估揭示了影响伤口愈合和并发症的不同炎症反应。氰基丙烯酸酯已成为传统缝线的有希望的替代品，由于其快速聚合和早期愈合。然而,阻生第三磨牙手术中缝合材料的选择仍然存在争议，考虑微生物学因素和临床结果。需要更广泛的随机临床试验来更好地了解缝合材料对手术结果和潜在改善的影响。这项研究可以提高这种常见口腔外科手术的安全性和有效性。
