Oral surgery, particularly wisdom tooth extractions or other procedures involving the gums and mouth, often requires stitches. Unlike stitches used externally on the skin, those used inside the mouth are designed to dissolve over time. This process is far more convenient than having to schedule a follow-up appointment for stitch removal. But how does it work? Let's delve into the science and specifics behind dissolvable stitches in the mouth.
What Are Dissolvable Stitches Made Of?
Dissolving stitches, also known as absorbable sutures, are typically made from materials that the body can naturally break down. Common materials include:
- Polyglactin 910 (Vicryl): This synthetic polymer is a popular choice for internal stitches, including those in the mouth. It's relatively strong and dissolves through hydrolysis, a process where water molecules break down the suture material.
- Polydioxanone (PDS): Another synthetic polymer, PDS is known for its slow absorption rate, providing longer support to the healing tissue. It also dissolves through hydrolysis.
- Catgut: While less common now due to the availability of synthetic options, catgut sutures are made from collagen derived from animal intestines. These are absorbed by the body through enzymatic digestion.
How Long Does it Take for Dissolving Stitches to Dissolve?
The time it takes for dissolving stitches to dissolve completely varies depending on the material used and the location in the mouth. Generally, they will start to lose strength and gradually disappear over a period of:
- Vicryl: Typically dissolves within 7 to 10 days, though complete absorption can take longer.
- PDS: Can take several weeks, even up to a month or more, to fully dissolve.
It's crucial to note: While the stitches dissolve, the healing process in your mouth continues for several weeks after the stitches are gone. You'll still need to follow your dentist or oral surgeon's aftercare instructions carefully.
What Happens to the Dissolved Stitches?
Once dissolved, the suture material is broken down into harmless byproducts which are absorbed by the body and eliminated through your natural metabolic processes. It does not leave any harmful residue.
Will I Feel the Stitches Dissolving?
Generally, you won't feel the dissolving process itself. As the sutures break down, they become progressively weaker, eventually losing their structural integrity and disappearing. You might notice some slight changes in the area as healing progresses, but the dissolving itself shouldn't be painful.
What if the Stitches Don't Dissolve?
In rare cases, a small portion of the suture material might not fully dissolve. This usually isn't a cause for concern and will generally resolve on its own. However, if you experience any significant discomfort, swelling, infection, or notice a visible portion of the suture that persists for an extended period, you should contact your dentist or oral surgeon immediately. They may need to remove any remaining fragments.
What Can I Expect After Oral Surgery with Dissolving Stitches?
Following oral surgery, your dentist or surgeon will provide specific post-operative instructions. These will likely include:
- Maintaining good oral hygiene: Gentle rinsing with salt water can help keep the area clean and promote healing.
- Avoiding certain foods: You'll need to avoid hard, crunchy, or spicy foods that could irritate the surgical site.
- Managing pain and swelling: Over-the-counter pain medication may be recommended to control discomfort and reduce inflammation.
By following your dentist's instructions carefully, you can ensure optimal healing and minimize complications after oral surgery involving dissolvable stitches. Remember, always consult with your healthcare provider for any concerns about your specific situation.
