Oral surgery, extractions, and other procedures often involve stitches to help the tissues heal properly. While traditional stitches require removal by a dentist or oral surgeon, dissolvable stitches offer a more convenient and often less painful experience. But how do these remarkable stitches actually work? This comprehensive guide explores the science behind dissolvable stitches used in the mouth, addressing common questions and concerns.
What are dissolvable stitches made of?
Dissolvable stitches, also known as absorbable sutures, are made from materials that the body naturally breaks down over time. The most common materials are:
- Polyglactin 910 (Vicryl): A synthetic polymer that's widely used for its strength and predictable absorption rate. It's often preferred for its low inflammatory response.
- Polydioxanone (PDS): Another synthetic polymer, PDS offers even slower absorption than Vicryl, making it suitable for situations requiring longer support.
- Gut sutures (from collagen): These are made from processed collagen from animal intestines. While naturally derived, they are less commonly used now due to the availability of strong, reliable synthetic options.
The specific type of suture material used depends on the surgical procedure, the location of the wound, and the surgeon's preference.
How long do dissolvable stitches take to dissolve in the mouth?
The absorption time varies depending on the material used and the individual's healing process. Generally:
- Vicryl sutures typically dissolve within 50-70 days.
- PDS sutures can take 120-180 days to fully dissolve.
It's important to note that "dissolve" doesn't mean they vanish overnight. The process is gradual, with the suture material slowly breaking down and being absorbed by the body's enzymes. You may notice some slight changes in the appearance of the stitch material over time, and possibly some slight discomfort as the body gradually reabsorbs it.
Do dissolvable stitches hurt when they dissolve?
The dissolution process itself is usually painless. The discomfort, if any, is often associated with the healing process of the underlying wound, not the dissolving stitches themselves. Some mild inflammation or a slightly strange sensation might be experienced as the body absorbs the material, but this is generally temporary and resolves quickly.
What are the advantages of dissolvable stitches in the mouth?
The use of dissolvable stitches offers several significant advantages:
- Reduced discomfort: Eliminates the need for a second appointment to remove the stitches, minimizing discomfort.
- Faster healing: Some believe that the absence of a foreign body (the stitches) can potentially encourage slightly faster healing, though this is debated.
- Convenience: A significant time saver, as it eliminates the need for a follow-up appointment.
- Lower risk of infection: Fewer incisions/manipulations during removal reduce the chance of post-operative infection.
Are there any disadvantages to dissolvable stitches?
While largely beneficial, dissolvable stitches also have potential downsides:
- Cost: They are often slightly more expensive than traditional, non-absorbable sutures.
- Not suitable for all procedures: Their strength and absorption rate might not be ideal for all surgical situations, especially those requiring longer-term support.
What should I expect after getting dissolvable stitches in my mouth?
Following oral surgery with dissolvable stitches, you should expect some swelling and discomfort, which is normal. Your dentist or oral surgeon will provide specific post-operative instructions, which you should follow carefully. These instructions may include:
- A soft food diet for the first few days.
- Using prescribed pain medication.
- Keeping the area clean and maintaining good oral hygiene.
- Avoiding strenuous activity.
Remember to contact your dentist or oral surgeon if you experience excessive pain, increased swelling, or signs of infection.
This detailed guide provides a thorough understanding of dissolvable stitches used in the mouth. Remember, this information is for educational purposes and should not replace professional medical advice. Always consult with a qualified dentist or oral surgeon for any concerns regarding your specific dental procedure.
