by Dr Manuel Bautista, Plenty Smiles, Bundoora, VIC
I came across this type of suture when I was in Switzerland in April. It’s used as part of the process with platelet-rich fibrin. This type of suture will keep the wound closed for four weeks, giving the fibrin clot time to attach and regenerate the area. I’ve found these sutures very useful for a number of dental surgeries.
What’s good about it
Glycolon sutures are great because they are absorbable but hold their tensile strength for up to four weeks. They have a monofilament structure so it holds less bacteria than other types of sutures. I use it in cases when doing a full mouth rehabilitation with implants, either All On Four or All On Six. There’s no need to remove the sutures so the follow-up appointment is very quick.
This is a new type of suture in Australia but they are quite popular in Europe. They are manufactured in Germany. This type of absorbable material is indicated for an apical matrix suture where you need to suture about 10 millimetres below the wound. The suture needs to be cut a little longer than normal and this is why patients feel it after a couple of weeks.
Initially, when placing the suture in the mouth, it’s flexible, easy to handle and easy to see thanks to its violet colour.
What’s not so good
The one downside with these sutures is that after a couple of weeks, they get quite stiff. It’s not uncommon for patients to complain that they can feel something poking in their mouth.