Oral surgery, dental procedures, or even accidental injuries inside the mouth often necessitate stitches. Unlike stitches used externally on the skin, those placed inside the mouth utilize absorbable sutures. But how exactly do these stitches dissolve? This article delves into the science behind dissolving stitches, addressing common questions and concerns.
What are Dissolving Stitches Made Of?
Dissolving stitches, also known as absorbable sutures, are made from materials that the body naturally breaks down. The most common materials include:
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Gut: This natural suture material is derived from collagen extracted from animal intestines. It's relatively strong and is absorbed over time through enzymatic hydrolysis.
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Polyglactin 910 (Vicryl): A synthetic polymer, Vicryl is a popular choice for its strength and predictable absorption rate. It's broken down by hydrolysis, a process where water molecules break down the polymer chains.
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Polydioxanone (PDS): Another synthetic option, PDS offers even slower absorption than Vicryl, making it suitable for situations requiring longer support. It's also broken down by hydrolysis.
The specific type of suture material used will depend on the location, the type of tissue being repaired, and the surgeon's preference.
How Long Does it Take for Mouth Stitches to Dissolve?
The time it takes for oral sutures to dissolve varies significantly depending on the material used and individual healing responses. Generally:
- Gut sutures: Tend to dissolve within 5-10 days.
- Vicryl sutures: Usually dissolve within 7-14 days.
- PDS sutures: Can take anywhere from 2-3 weeks up to several months to completely disappear.
It's important to note that while the suture material is breaking down, the underlying tissue is also healing. The process of complete absorption is gradual, and you might not notice the stitches disappearing overnight.
What Happens to the Dissolved Stitches?
As the absorbable sutures dissolve, they are broken down into smaller molecules that are then absorbed into the bloodstream and eventually metabolized by the body. This is a natural process and does not typically cause any adverse effects.
Will I Feel the Stitches Dissolving?
Most people don't experience any significant discomfort as their mouth stitches dissolve. You may notice a slight change in texture in the area, or perhaps a slightly different feeling as the sutures break down. However, this is typically minimal and doesn't require any special treatment.
What Should I Do if I Have Problems?
While most people have no issues, it’s crucial to contact your dentist or oral surgeon immediately if you experience any of the following:
- Significant pain or swelling: This could indicate an infection or other complication.
- Excessive bleeding: Any unexpected bleeding should be addressed promptly.
- Sutures that appear to be failing or not dissolving as expected: This might require removal.
Can I Speed Up the Dissolving Process?
No. Attempting to manually remove or tamper with the stitches can lead to infection, excessive bleeding, or a compromised healing process. It's essential to let the sutures dissolve naturally at their own pace. Following your dentist or oral surgeon’s aftercare instructions is crucial.
What Happens if the Stitches Don't Dissolve Completely?
In rare instances, a small portion of the suture material may remain. This typically isn't cause for concern, as the body usually incorporates these small fragments into the surrounding tissue. However, if you are concerned about any remaining suture material, consult your dentist or oral surgeon. They may choose to remove any visible remnants.
This information is for general knowledge and doesn't constitute medical advice. Always follow your dentist or oral surgeon's instructions regarding aftercare and follow-up appointments. Remember to consult a medical professional for any health concerns or treatment options.
