The distance of insertion points from wound margins in interrupted and vertical mattress sutures influences the tensile load capacity: An in vitro experimental study

IF 4.8 1区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Oral Implants Research Pub Date : 2024-04-22 DOI:10.1111/clr.14273

Seungho Jeong, Won-Ho Lee, Kyu-Jin Hong, Franz Josef Strauss, Jung-Seok Lee

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Abstract

Aim

To determine the tensile load capacity (TLC) and the tearing characteristics for interrupted and vertical mattress sutures with different insertion points from the wound margin, and the effect of the bite size when using vertical mattress sutures.

Materials and Methods

A total of 120 gingiva and lining mucosa samples obtained from pig jaws were divided into groups according to the suturing technique (interrupted and vertical mattress sutures), distance of the insertion points from the wound margin (margin, 1, 3, and 5 mm) and bite size (1, 3, and 5 mm). The TLC of the suture and the tearing characteristics were evaluated using a tensile tester device.

Results

The TLC was significantly higher for vertical mattress sutures than for interrupted sutures regardless of the distance of the insertion points from the wound margin (intergroup p < .001). This distance significantly influenced the TLC for vertical mattress sutures (p < .05) but not for interrupted sutures (p > .05). Testing the tearing characteristics revealed that no tissue tearing occurred in groups when the insertion points were more than 3 mm from the wound margin.

Conclusion

The TLC is higher for vertical mattress sutures than for interrupted sutures, and it increases when the insertion points are farther from the wound margin.

Abstract Image

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间断缝合线和垂直褥式缝合线的插入点与伤口边缘的距离会影响拉伸负荷能力：体外实验研究

材料和方法取自猪下颌的牙龈和衬垫粘膜样本共 120 份，根据缝合技术（间断缝合和垂直褥式缝合）、插入点距伤口边缘的距离（边缘、1、3 和 5 mm）以及咬合大小（1、3 和 5 mm）将其分为几组。结果无论插入点与伤口边缘的距离如何，垂直褥式缝合线的 TLC 都明显高于间断缝合线（组间 p <.001）。这一距离对垂直褥式缝合的 TLC 有明显影响（p <.05），但对间断缝合没有影响（p >.05）。结论垂直褥式缝合线的 TLC 比间断缝合线高，而且当插入点距离伤口边缘较远时，TLC 会增加。

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来源期刊

Clinical Oral Implants Research 医学-工程：生物医学

CiteScore

7.70

自引率

11.60%

发文量

149

审稿时长

3 months

期刊介绍： Clinical Oral Implants Research conveys scientific progress in the field of implant dentistry and its related areas to clinicians, teachers and researchers concerned with the application of this information for the benefit of patients in need of oral implants. The journal addresses itself to clinicians, general practitioners, periodontists, oral and maxillofacial surgeons and prosthodontists, as well as to teachers, academicians and scholars involved in the education of professionals and in the scientific promotion of the field of implant dentistry.