Evaluation of the antibacterial and wound healing efficacy of Aloe vera-coated 3-0 silk sutures in comparison to uncoated 3-0 silk sutures following flap surgery - A randomized clinical trial

Background: The efficacy of surgical interventions relies on appropriate closure of the surgical site, which should also be devoid of bacteria. Plaque accumulation is a constant challenge that hampers the healing outcome. Sutures used to close the wound serve as reservoirs for microbes, increasing t...

Full description

Saved in:
Bibliographic Details
Main Authors: Dipika Mitra, Rhea Vivek Kashid, Gaurav Prabhakar Shetty, Shruti Prasanna Patil, Rohit Ajay Shah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:https://journals.lww.com/10.4103/jisp.jisp_363_23
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850061071529803776
author Dipika Mitra
Rhea Vivek Kashid
Gaurav Prabhakar Shetty
Shruti Prasanna Patil
Rohit Ajay Shah
author_facet Dipika Mitra
Rhea Vivek Kashid
Gaurav Prabhakar Shetty
Shruti Prasanna Patil
Rohit Ajay Shah
author_sort Dipika Mitra
collection DOAJ
description Background: The efficacy of surgical interventions relies on appropriate closure of the surgical site, which should also be devoid of bacteria. Plaque accumulation is a constant challenge that hampers the healing outcome. Sutures used to close the wound serve as reservoirs for microbes, increasing the risk of surgical site infections (SSIs). To avoid this, sutures can be coated with antimicrobial agents such as Aloe vera, which could be delivered to the healing site. To the best of our knowledge, there is no reported literature on using Aloe vera-coated sutures for the closure of wounds following flap surgery. Materials and Methods: It was a split-mouth, randomized clinical trial, in which 24 sites requiring conventional flap surgery were selected, of which 12 were assigned to Group A (uncoated sutures) and 12 to Group B (Aloe vera-coated sutures). On the 8th day, sutures were sent for microbiological analysis to count the colony-forming units (CFUs). The Early Healing Score (EHS) and Visual Analog Scale (VAS) Scores were recorded. Results: The intergroup comparison of VAS scores, EHSs, and CFUs between Group 1 and Group 2 was done using the Whitney U-test. It showed statistically significant differences between the two groups for the EHS and CFUs, but not for VAS scores. Thus, Group 2 shows better results as compared to Group 1. Conclusion: Based on the results, it was interpreted that the use of microbicidal sutures coated with Aloe vera demonstrates microbicidal properties and aids in preventing SSIs.
format Article
id doaj-art-4abc15fd95b0466fb057332cde885ad4
institution DOAJ
issn 0972-124X
0975-1580
language English
publishDate 2024-11-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Indian Society of Periodontology
spelling doaj-art-4abc15fd95b0466fb057332cde885ad42025-08-20T02:50:22ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X0975-15802024-11-0128335435910.4103/jisp.jisp_363_23Evaluation of the antibacterial and wound healing efficacy of Aloe vera-coated 3-0 silk sutures in comparison to uncoated 3-0 silk sutures following flap surgery - A randomized clinical trialDipika MitraRhea Vivek KashidGaurav Prabhakar ShettyShruti Prasanna PatilRohit Ajay ShahBackground: The efficacy of surgical interventions relies on appropriate closure of the surgical site, which should also be devoid of bacteria. Plaque accumulation is a constant challenge that hampers the healing outcome. Sutures used to close the wound serve as reservoirs for microbes, increasing the risk of surgical site infections (SSIs). To avoid this, sutures can be coated with antimicrobial agents such as Aloe vera, which could be delivered to the healing site. To the best of our knowledge, there is no reported literature on using Aloe vera-coated sutures for the closure of wounds following flap surgery. Materials and Methods: It was a split-mouth, randomized clinical trial, in which 24 sites requiring conventional flap surgery were selected, of which 12 were assigned to Group A (uncoated sutures) and 12 to Group B (Aloe vera-coated sutures). On the 8th day, sutures were sent for microbiological analysis to count the colony-forming units (CFUs). The Early Healing Score (EHS) and Visual Analog Scale (VAS) Scores were recorded. Results: The intergroup comparison of VAS scores, EHSs, and CFUs between Group 1 and Group 2 was done using the Whitney U-test. It showed statistically significant differences between the two groups for the EHS and CFUs, but not for VAS scores. Thus, Group 2 shows better results as compared to Group 1. Conclusion: Based on the results, it was interpreted that the use of microbicidal sutures coated with Aloe vera demonstrates microbicidal properties and aids in preventing SSIs.https://journals.lww.com/10.4103/jisp.jisp_363_23aloe veraantimicrobial suturessurgical site infection
spellingShingle Dipika Mitra
Rhea Vivek Kashid
Gaurav Prabhakar Shetty
Shruti Prasanna Patil
Rohit Ajay Shah
Evaluation of the antibacterial and wound healing efficacy of Aloe vera-coated 3-0 silk sutures in comparison to uncoated 3-0 silk sutures following flap surgery - A randomized clinical trial
Journal of Indian Society of Periodontology
aloe vera
antimicrobial sutures
surgical site infection
title Evaluation of the antibacterial and wound healing efficacy of Aloe vera-coated 3-0 silk sutures in comparison to uncoated 3-0 silk sutures following flap surgery - A randomized clinical trial
title_full Evaluation of the antibacterial and wound healing efficacy of Aloe vera-coated 3-0 silk sutures in comparison to uncoated 3-0 silk sutures following flap surgery - A randomized clinical trial
title_fullStr Evaluation of the antibacterial and wound healing efficacy of Aloe vera-coated 3-0 silk sutures in comparison to uncoated 3-0 silk sutures following flap surgery - A randomized clinical trial
title_full_unstemmed Evaluation of the antibacterial and wound healing efficacy of Aloe vera-coated 3-0 silk sutures in comparison to uncoated 3-0 silk sutures following flap surgery - A randomized clinical trial
title_short Evaluation of the antibacterial and wound healing efficacy of Aloe vera-coated 3-0 silk sutures in comparison to uncoated 3-0 silk sutures following flap surgery - A randomized clinical trial
title_sort evaluation of the antibacterial and wound healing efficacy of aloe vera coated 3 0 silk sutures in comparison to uncoated 3 0 silk sutures following flap surgery a randomized clinical trial
topic aloe vera
antimicrobial sutures
surgical site infection
url https://journals.lww.com/10.4103/jisp.jisp_363_23
work_keys_str_mv AT dipikamitra evaluationoftheantibacterialandwoundhealingefficacyofaloeveracoated30silksuturesincomparisontouncoated30silksuturesfollowingflapsurgeryarandomizedclinicaltrial
AT rheavivekkashid evaluationoftheantibacterialandwoundhealingefficacyofaloeveracoated30silksuturesincomparisontouncoated30silksuturesfollowingflapsurgeryarandomizedclinicaltrial
AT gauravprabhakarshetty evaluationoftheantibacterialandwoundhealingefficacyofaloeveracoated30silksuturesincomparisontouncoated30silksuturesfollowingflapsurgeryarandomizedclinicaltrial
AT shrutiprasannapatil evaluationoftheantibacterialandwoundhealingefficacyofaloeveracoated30silksuturesincomparisontouncoated30silksuturesfollowingflapsurgeryarandomizedclinicaltrial
AT rohitajayshah evaluationoftheantibacterialandwoundhealingefficacyofaloeveracoated30silksuturesincomparisontouncoated30silksuturesfollowingflapsurgeryarandomizedclinicaltrial