Comparison of Candida albicans adherence on silk and polyglactin sutures after tooth extraction
DOI:
https://doi.org/10.5281/zenodo.22757035Keywords:
Candida albicans, sutures, dental floss, tooth extractionAbstract
Introduction: Candida albicans is part of the normal oral microbiota but may act as an opportunistic pathogen and cause oral candidiasis when microbial balance or local immunity is altered, a setting favored by surgical wounds and suture material after tooth extraction. The aim was to compare C. albicans adherence on silk and polyglactin sutures after tooth extraction in patients at Hospital General de Villa Elisa, Paraguay, during 2024.
Materials and methods: Observational, analytical, non-experimental quantitative study. Fifty-eight patients underwent extraction with suture (30 silk 3.0; 28 polyglactin 3.0). At 7 days, sutures from 30 patients (15 per group) were removed for Sabouraud culture.
Results: Of 30 analyzed, 30% male and 70% female; 37% aged 18–30 years and 63% aged 31–67. C. albicans growth: 11/15 silk (74%) versus 15 polyglactin 3/15 (20%).
Conclusions: Greater adherence on silk than on polyglactin, supporting preference for monofilament or lower plaque-retentive materials in extractions.
References
Talapko J, Juzbašić M, Matijević T, Pustijanac E, Bekić S, Kotris I, et al. *Candida albicans*-The Virulence Factors and Clinical Manifestations of Infection. J Fungi (Basel). 2021;7(2):79. https://doi.org/10.3390/jof7020079
Li H, Miao MX, Jia CL, Cao YB, Yan TH, Jiang YY, et al. Interactions between *Candida albicans* and the resident microbiota. Front Microbiol. 2022;13:930495. https://doi.org/10.3389/fmicb.2022.930495
Bertolini M, Dongari-Bagtzoglou A. The Relationship of *Candida albicans* with the Oral Bacterial Microbiome in Health and Disease. Adv Exp Med Biol. 2019;1197:69-78. https://doi.org/10.1007/978-3-030-28524-1_6
Henry-Stanley MJ, Hess DJ, Barnes AM, Dunny GM, Wells CL. Bacterial contamination of surgical suture resembles a biofilm. Surg Infect (Larchmt). 2010;11(5):433-9. https://doi.org/10.1089/sur.2010.006
Edmiston CE, Seabrook GR, Goheen MP, Krepel CJ, Johnson CP, Lewis BD, et al. Bacterial adherence to surgical sutures: can antibacterial-coated sutures reduce the risk of microbial contamination? J Am Coll Surg. 2006;203(4):481-9. https://doi.org/10.1016/j.jamcollsurg.2006.06.026
Edmiston CE Jr, Krepel CJ, Marks RM, Rossi PJ, Sanger J, Goldblatt M, et al. Microbiology of explanted suture segments from infected and noninfected surgical patients. J Clin Microbiol. 2013;51(2):417-21. https://doi.org/10.1128/JCM.02442-12
Prabha S, Sowndarya J, Ram PJVS, Rubini D, Hari BNV, Aruni W, et al. Chitosan-Coated Surgical Sutures Prevent Adherence and Biofilms of Mixed Microbial Communities. Curr Microbiol. 2021;78(2):502-12. https://doi.org/10.1007/s00284-020-02306-7
Asher R, Chacartchi T, Tandlich M, Shapira L, Polak D. Microbial accumulation on different suture materials following oral surgery: a randomized controlled study. Clin Oral Investig. 2019;23(2):559-65. https://doi.org/10.1007/s00784-018-2476-0
Nadafpour N, Montazeri M, Moradi M, Ahmadzadeh S, Etemadi A. Bacterial Colonization on Different Suture Materials Used in Oral Implantology: A Randomized Clinical Trial. Front Dent. 2021;18:25. https://doi.org/10.18502/fid.v18i25.6935
Kandathil AM, Aslam SA, Abidha R, Cherian MP, Soman S, Sudarsanan M. Evaluation of Microbial Adherence on Antibacterial Suture Materials during Intraoral Wound Healing: A Prospective Comparative Study. J Contemp Dent Pract. 2023;24(8):515-20. https://doi.org/10.5005/jp-journals-10024-3553
Uysal AE, Sencimen M, Ozkan A, Hosbul T, Samur Erguven S, Parlak F. Clinical and microbiological comparison of knotless/barbed and silk sutures for impacted third-molar surgery. Minerva Dent Oral Sci. 2023;72(4):161-7. https://doi.org/10.23736/S2724-6329.23.04764-2
Oladega AA, James O, Adeyemo WL. Cyanoacrylate tissue adhesive or silk suture for closure of surgical wound following removal of an impacted mandibular third molar: a randomized controlled study. J Craniomaxillofac Surg. 2019;47(1):93-8. https://doi.org/10.1016/j.jcms.2018.10.018
Balakrishna R, Poojary D, R A, Sali S, Moharana AK, Ts D. Single blind, randomized study comparing clinical equivalence of Trusilk® and Mersilk® silk sutures for mucosal closure following surgical removal of mesioangular impacted mandibular third molar. F1000Res. 2022;11:689. https://doi.org/10.12688/f1000research.122678.1
Erbasar GNH, Kaplan V, Cigerim L, Konarili FN, Sahin M. Effect of combined boric acid and chlorhexidine mouthwashes on postoperative complications and periodontal healing after impacted third molar surgery: a double blind randomized study. Clin Oral Investig. 2023;27(7):3817-26. https://doi.org/10.1007/s00784-023-04999-z
Hasheminia D, Moaddabi A, Moradi S, Soltani P, Moannaei M, Issazadeh M. The efficacy of 1% Betadine mouthwash on the incidence of dry socket after mandibular third molar surgery. J Clin Exp Dent. 2018;10(5):e445-9. https://doi.org/10.4317/jced.54444
Ozmeric N, Mollaoglu N, Elgun S, Devrim E. Impact of chlorhexidine mouth rinse use on postextraction infection via nitric oxide pathway. Inflamm Res. 2010;59(6):437-41. https://doi.org/10.1007/s00011-009-0115-6
Nascimento-Júnior EM, Costa FW, Martins-Filho PR. Certainty of evidence on the effects of cryotherapy, surgical wound closure, and chlorhexidine on clinical and patient-centered outcomes after third molar surgery: evidence mapping of systematic reviews and meta-analyses. Med Oral Patol Oral Cir Bucal. 2025;30(2):e199-210. https://doi.org/10.4317/medoral.26788
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Eleny Soledad Cubilla Ferreira, Jesús Manuel Bernal Zapattini, Sheila Parini (Autor/a)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Articles are distributed under the Creative Commons Attribution 4.0 International — CC BY 4.0 licence. Authors retain copyright and grant the journal the right of first publication. Any reuse must acknowledge authorship, cite the original source and indicate whether changes were made.
