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The objective of this randomized controlled trial was to compare the effects of different suturing techniques (simple loop suture vs. anchor suture) on the periodontal health of the adjacent second molars after impacted mandibular third molar extraction.
Our loop suture technique uses the same concept as load cycling.
The wound on the lateral side was closed either by dermotaxis or a loop suture technique.
The loop suture technique involves using corrugated drains and Ethilon (No. 1) suture.
The overall time to closure was greater than loop suture technique [13, 17].
Open image in new window Fig. 5 Showing corrugated drains Open image in new window Fig. 6 Showing loop suture technique Open image in new window Fig. 7 Showing complete approximation of the wound achieved with loop suture technique.
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Some reports in the literature indicate tensile breakage strengths of 115 N for vertical loop sutures, 75 N for horizontal loop sutures, and only 38 N for biodegradable arrows [9, 10, 11].
Fifteen meniscal lesions repaired with mulberry sutures with two seperate threads and 15 lesions repaired with horizontal loop sutures were evaluated after applying cyclic and increasing loading.
Open image in new window Fig. 6 According to Zantop's theory, the circumferential forces are distributed better by horizontal loop sutures, whereas our data show that mulberry sutures are better.
We used an unsutured meniscus as a control, and we analyzed the tensile behavior of the zone interposed between the first suture and healthy meniscus (the healthy meniscus suture interface, for both mulberry and for horizontal loop sutures) by determining the force needed to produced a significant lesion or meniscal rupture.
Compliance of the system was assessed by performing a tensile test with a loop of suture spanning the grips.
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