Ertan YALÇIN, Hakan USLU, Ertunç DAYI

ORAL CERRAHİ UYGULANAN HASTALARDA İPEK, POLYESTER [POLY (ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID VE POLY(GLYCOLIDE-COLACTIDE) SÜTÜR MATERYALLERİNİN MİKROBİYOLOJİK AÇIDAN KARŞILAŞTIRILMASI

Amaç: Bu çalışmanın amacı oral cerrahi uygulanmışhastalarda kullanılan farklı sütür materyallerindemeydana gelen mikrobiyolojik kolonizasyonlarınkarşılaştırılmasıdır.Bireyler ve Yöntem: Sütür materyalleri dentoalveolar cerrahi yapılan toplam 60 hastaya uygulandı.Hastalar randomize olarak herbiri 15 hastadan oluşan4 gruba bölündü. Gömülü alt yirmi yaş dişi operasyonuyapılan bu hastalara sütür materyalleri intraoral olarakuygulandı. Postoperatif 7. gün sütürler alındı. Alınansütürler steril salin solüsyonu ihtiva eden tüplerdeyıkandıktan sonra mikrobiyolojik izolasyon vediferensiasyon teknikleri gerçekleştirildi.Bulgular: Mikrobiyolojik inceleme sonucu olarak;emilemeyen sütürlerde; 13 aerob ve 7 anaerob bakteritürüne ek olarak 1 maya ve 1 küf mantarı türü,emilebilen sütürlerde ise; 8 aerob ve 9 anaerob bakteritürüne ek olarak 1 maya ve 2 küf mantarı türü izoleedildi.Sonuç: Elde edilen verilerin ışığında çalışmamızdakullanılan Sentesorb® sütür materyalinin oral cerrahidetercih edilebileceğini düşünmekteyiz. Ancak bu seçimsütür materyallerinin diğer özellikleri de göz önüne alınarak yapılmalıdır. Sütürlere kolonize olabilen patojenmikroorganizmalar yara yerinde bulunan bu sütürleripotansiyel patojen mikroorganizma rezervuarları halinegetirdikleri için sütürler mümkün olan en kısa süredealınmalıdır.

Anahtar Kelimeler:

sütür materyalleri, mikrobiyolojik türler, oral cerrahi

MICROBIOLOGIC COMPARISON OF SILK, POLYESTER [POLY(ETHYLENETEREPHTHALATE)], POLYGLYCOLIC ACID, AND POLY(GLYCOLIDE-CO-LACTIDE) SUTURE MATERIALS IN ORAL SURGERY

Aim: The aim of this study is to compare the microbiological colonization on different intraoral suturematerials used in patients, undergone oral surgery.Material and Methods: Suture materials wereapplied to 60 patients during dentoalveolar surgicalinterventions. Patients were randomly divided into 4groups of 15. Four different types of suture materialswere introduced into the patients after surgicalremoval of their impacted lower third molars. In thepostoperative seventh day, suture materials wereremoved. After these sutures were washed in sterilesaline solution containing tubes, we performed variousmicrobiological isolation and differentiation techniques.Results: In microbiological examination, 13 aerobicspecies, 7 anaerobic species, 1 yeast species, and 1mold species were isolated from the non-absorbablesuture materials. Eight aerobic strains, 9 anaerobicstrains, and additionally, 1 yeast and 2 mold strainswere isolated from the absorbable suture materials.Conclusion: In light of the data obtained, we believethat polyglycolic acid based suture materials might bepreferred in oral surgery. However, this choice shouldbe made by considering the other features of thesuture materials. And also, since the colonization ofpathogenic microorganisms could turn the sutures intoa potential oral pathogen reservoir, sutures should beremoved as soon as possible.

Keywords:

Suture materials, microbiological strains, oral surgery,

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