Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 7 Issue 8

Effect of 0.12% Versus 0.2% Concentrations of Chlorhexidine Mouthwashes on the Mechanical Properties of Synthetic Absorbable Suture Material (Polyglactin 910): An In-Vitro Study

Diksha Prabhu Gaunker1, Sandeep Anant Lawande2* and James Samuel3

1Postgraduate Student, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India
2MDS, Professor, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India
3MDS, Professor and Head, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India

*Corresponding Author: Sandeep Anant Lawande, MDS, Professor, Department of Periodontics, Goa Dental College and Hospital, Bambolim, Goa, India.

Received: July 07, 2023; Published: July 28, 2023

Abstract

Background: Sutures play a pivotal role in promoting healing in any surgical procedure. Reports suggest that antiseptic solutions have a direct impact on the failure load of sutures.

Objective: To evaluate the tensile strength, percentage elongation, and stiffness of polyglactin 910 suture material in two concentrations of chlorhexidine (CHX) i.e. 0.12% and 0.2% during a two-week period and to provide a data for better selection of chlorhexidine concentration.

Methodology: A total of 70 suture samples with a uniform length of 18cms were evaluated. At baseline (unstimulated environment), 10 sutures were tested. At day 7 and day 14, 10 samples in each group were tested; group 1: artificial saliva (stimulated environment), group 2: 0.12% chlorhexidine, group 3: 0.2% chlorhexidine. The mechanical properties were calculated using a universal testing machine (5KN, speed of 10mm/minute).

Results: Polyglactin 910 suture material showed maximum tensile strength in artificial saliva at day 7 (p= 0.005) and day 14. When comparing the two concentrations, 0.12% CHX showed better tensile strength at day 7 (p= <0.001) and day 14 (p= <0.001) post- immersion. 0.12% CHX showed better percentage elongation (p=<0.001) at day 7 and better stiffness (p=0.001) at day 14 while 0.2% CHX showed least stiffness (p=1.00) and better percentage elongation (p=0.14) at day 14 post-immersion.

Conclusion: The study suggests that both the concentrations of CHX mouthwash can be used safely with polyglactin 910 suture materials. Additional in-vivo experiments are required in order to understand the molecular changes of sutures when exposed to different chemical compositions of mouthwashes.

Keywords:Suture; Mouthwash; Chlorhexidine; Polyglactin 910

References

  1. von Fraunhofer JA., et al. "Tensile strength of suture materials". Journal of Biomedical Material Research 19 (1985): 595-600.
  2. Pillai CKS., et al. “Review paper: absorbable polymeric surgical sutures: chemistry, production, properties, biodegradability, and performance”. Journal of Biomaterial Applications 25 (2010): 291-366.
  3. Gallini G., et al. “Sutures in oral surgery”. Attual Dent 4 (1988): 14-18.
  4. Vasanthan A., et al. “Comparing suture strengths for clinical applications: a novel in vitro study”. Journal of Periodontology 80 (2009): 618-624.
  5. Von Fraunhofer JA., et al. “Tensile properties of suture materials”. Biomaterials 9 (1988) :324-327.
  6. Chu CC. “Mechanical properties of suture materials: an important characterization”. Annals of Surgery 193 (1981): 365-371.
  7. Francetti L., et al. “Chlorhexidine spray versus chlorhexidine mouthwash in the control of dental plaque after periodontal surgery”. Journal of Clinical Periodontology 27 (2000): 425-430.
  8. Alsarhan M., et al. “The effect of chlorhexidine and listerine® mouthwashes on the tensile strength of selected absorbable sutures: an in vitro study”. Biomedical Research International (2018): 8531706.
  9. Jenkins WS., et al. “Suturing principles in dentoalveolar surgery”. Oral and Maxillofacial Surgery Clinics of North America 14 (2002): 213-229.
  10. Arcuri C., et al. “Suture in oral surgery. A comparative study”. Minerva Stomatologica 55 (2006): 17-31.
  11. Khiste SV., et al. “Evaluation of tensile strength of surgical synthetic absorbable suture materials: an in vitro study”. Journal of Periodontal and Implant Science 43 (2013): 130.
  12. Awasthi N., et al. “Impact of fluoridated mouthwashes on strength and durability of three different synthetic absorbable suturing materials: an in vitro study”. Journal of Contemporary Dental Practice 23 (2022): 431-436.
  13. McCaul LK., et al. “Rate of loss of irradiated polyglactin 910 (Vicryl Rapide) from the mouth: a prospective study”. British Journal of Oral and Maxillofacial Surgery 38 (2000) :328-330.
  14. Fomete B., et al. “A prospective clinical evaluation of the longevity of resorbable sutures in oral surgical procedures”. Nigerian Journal of Clinical Practice 16 (2013): 334-338.
  15. Kearney CM., et al. “Elasticity and breaking strength of synthetic suture materials incubated in various equine physiological and pathological solutions”. Equine Veterinary Journal 46 (2014): 494-498.
  16. Abullais SS., et al. “Effect of common mouthwashes on mechanical properties of suture materials used in dental surgeries: a laboratory experiment”. Polymers (Basel) 14 (2022): 2439.
  17. Naleway SE., et al. “Mechanical properties of suture materials in general and cutaneous surgery”. Journal of Biomedical Materials Research Part B Applied Biomaterials 103 (2015) :735-742.

Citation

Citation: Sandeep Anant Lawande., et al. “Effect of 0.12% Versus 0.2% Concentrations of Chlorhexidine Mouthwashes on the Mechanical Properties of Synthetic Absorbable Suture Material (Polyglactin 910): An In-Vitro Study".Acta Scientific Dental Sciences 7.8 (2023): 55-60.

Copyright

Copyright: © 2023 Sandeep Anant Lawande., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US