Does Suture Removal Time Affect Root Coverage Outcome?

Methods: A meta-analysis of randomized clinical trials that assessed single tooth class I or II recession defects treated surgically with a coronally advanced flap. Early (less than 10 days post-op) and late (more than 10 days post-op) suture removal were compared in terms of differences in complete root coverage outcome.

Results: Data from seventeen studies comprising of 325 single recession defects revealed a superior proportion of sites exhibiting complete root coverage when sutures where removed more than 10 days post-operatively.  No significant difference in outcomes between absorbable and non-absorbable sutures when they were removed more than 10 days after surgery.
Conclusions: Early suture removal (less than 10 days post-op) can hinder complete root coverage outcomes in singe tooth recession defects treated with a coronally advanced flap.
Dr. Gebrael’s comments:  Modern 5-0 polypropylene sutures have excellent tensile characteristics and are comfortable enough for us to delay suture removal until at least one month post-op.  This allows a mature attachment to form and increases the odds for complete root coverage.
For more information please refer to: J Periodontol. 2016 Feb;87(2):148-55
The Effect of Suturing Protocols on Coronally Advanced Flap Root-Coverage Outcomes: A Meta-Analysis
Tatakis DN, Chambrone L

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