Oral surgery, whether it's a wisdom tooth extraction or a more complex procedure, often involves stitches. But unlike stitches used on other parts of the body, those used inside the mouth frequently utilize dissolvable materials. This eliminates the need for a follow-up appointment to remove them, a significant advantage for patient comfort and convenience. But how exactly do these amazing stitches work?
What are Dissolvable Stitches Made Of?
Dissolvable stitches, also known as absorbable sutures, are crafted from materials designed to be gradually broken down and absorbed by the body. The most common materials include:
- Polyglactin 910 (Vicryl): This synthetic material is widely used and provides a relatively long absorption time, typically lasting several weeks.
- Polydioxanone (PDS): Another synthetic option, PDS offers even slower absorption than Vicryl, potentially taking several months to fully dissolve.
- Polyglycolic acid (PGA): This synthetic polymer is absorbed more quickly than Vicryl or PDS.
The choice of material depends on the specific surgical needs and the healing rate expected in the area. Oral surgeons carefully select the suture type based on factors like the tissue strength and the desired absorption rate.
How the Absorption Process Works
These sutures don't simply vanish overnight. Their breakdown is a gradual process involving hydrolysis. This means the body's natural fluids gradually break down the polymer chains of the suture material. As the suture material is broken down, it's absorbed by the body and eliminated naturally.
This process is different from how non-absorbable sutures (like silk or nylon) behave. Those require surgical removal because they are not biocompatible in the same way and would cause inflammation if left in place.
What Happens After the Stitches Dissolve?
As the stitches dissolve, the wound continues to heal. The surrounding tissues naturally knit together, forming a strong seal. It’s important to note that while the stitches dissolve, the healing process might take longer. The timeline for complete healing varies depending on the size and complexity of the wound and the patient's overall health.
Do Dissolvable Stitches Hurt When They Dissolve?
Many patients wonder if the dissolving process itself causes any discomfort. Generally, the answer is no. The absorption process is usually painless and unnoticeable. You may experience some slight pressure or tightness as the area heals.
How Long Do Dissolvable Stitches Take to Dissolve?
The time it takes for dissolvable stitches to completely dissolve varies depending on the type of suture material used and the individual's healing rate. Generally, expect a timeframe ranging from a few weeks to several months.
What Should I Do If I Have Dissolvable Stitches in My Mouth?
Post-surgical care is essential for proper healing. Your oral surgeon will provide specific instructions, but generally, this includes:
- Gentle Cleaning: Maintain excellent oral hygiene by rinsing your mouth gently with saltwater.
- Soft Food Diet: Stick to soft foods for several days to avoid putting stress on the healing wound.
- Avoiding Irritants: Avoid smoking, alcohol, and strenuous activities that could disrupt the healing process.
What If My Dissolvable Stitches Don't Dissolve?
While rare, some individuals may experience delayed or incomplete absorption of dissolvable stitches. If you have concerns or notice anything unusual, contact your oral surgeon immediately.
By understanding how dissolvable stitches function, you can approach your oral surgery with more confidence, knowing that a significant element of post-operative care has been streamlined. Remember that following your surgeon's instructions diligently is key for optimal healing.
