Oral surgery often involves stitches, but unlike stitches used on external wounds, those inside the mouth dissolve on their own. This is a significant advantage, eliminating the need for a follow-up appointment to remove them. But how does this magical disappearing act happen? Let's explore the science behind dissolving stitches and address some common questions.
What Type of Stitches Dissolve in the Mouth?
The key is the material used. Dissolving stitches, also known as absorbable sutures, are made from materials the body naturally breaks down over time. Common materials include:
- Gut: Derived from animal tissue (usually sheep or cattle intestines), gut sutures were historically used but are less common now due to the risk of infection. They are relatively fast-absorbing.
- Polyglycolic acid (PGA) and Polylactic acid (PLA): These synthetic materials are the most common types used today. They are strong, reliable, and biocompatible, meaning they don't cause significant inflammation or adverse reactions. These are often referred to as Vicryl or Dexon. PLA is generally absorbed faster than PGA.
- Polydioxanone (PDO): Another synthetic polymer, PDO sutures are known for their longer absorption time compared to PGA and PLA.
How Long Does It Take for Dissolving Mouth Stitches to Dissolve?
The absorption time varies based on the suture material, the location of the wound, and individual healing factors. Generally, expect:
- PGA and PLA sutures: These usually dissolve within 7-14 days, sometimes a little longer.
- PDO sutures: These can take 2-4 weeks to fully dissolve.
It's crucial to remember that "dissolve" doesn't mean they vanish overnight. The process involves a gradual breakdown of the suture material, eventually leaving behind nothing but absorbed byproducts. You may notice small fragments disintegrating in your saliva during the healing process, but this is completely normal.
Will I Feel Anything as the Stitches Dissolve?
Most people don't experience any significant discomfort as the stitches dissolve. There might be a slightly strange sensation or some mild tugging, but this is usually minimal and short-lived. If you experience any significant pain or discomfort, it's advisable to contact your oral surgeon or dentist.
What if My Stitches Don't Seem to Be Dissolving?
While most absorbable sutures dissolve as expected, some factors can influence the process:
- Infection: An infection can delay or prevent the stitches from dissolving properly. Signs of infection include increased pain, swelling, redness, or pus. Seek immediate medical attention if you suspect an infection.
- Suture material type: As mentioned, different materials have different absorption rates.
- Individual healing: Everyone heals at a different pace.
If you're concerned about the rate at which your stitches are dissolving, contact your oral surgeon or dentist for assessment. They can assess the situation and advise on the best course of action.
Can I Speed Up the Dissolving Process?
There's no safe or effective way to significantly speed up the dissolving process. Maintaining good oral hygiene – gentle brushing and rinsing – will help promote healing and reduce the risk of infection, but this won't affect the absorption rate of the sutures.
What Happens if a Stitch Doesn't Completely Dissolve?
In rare instances, a small part of the suture might remain. Typically, this is not a cause for concern, as the body will eventually encapsulate it. However, if you notice a persistent, noticeable fragment, consult your dentist or oral surgeon.
Remember, this information is for general knowledge only and should not replace professional medical advice. Always follow your dentist or oral surgeon's instructions regarding post-operative care and contact them with any concerns.
