Oral surgery, tooth extractions, or other procedures in the mouth often involve stitches. Unlike stitches used on external wounds, those used inside the mouth are typically dissolvable. But how do they work, and what should you expect? This guide explains the process and answers common questions.
What Kind of Stitches Dissolve in the Mouth?
Dissolving stitches, also known as absorbable sutures, are made from materials that the body naturally breaks down over time. Common materials include:
- Polyglactin 910 (Vicryl): This synthetic suture is a popular choice for internal wounds, including those in the mouth. It's strong and reliable, dissolving completely within a few weeks.
- Polydioxanone (PDS): Another synthetic option, PDS sutures are known for their longer absorption time, sometimes taking several months to fully dissolve. This is sometimes preferable for areas needing longer support.
- Catgut (Chromic Gut): While less common now due to the availability of synthetic options, catgut is a natural suture material derived from animal collagen. It's absorbed more quickly than synthetics.
The type of suture material used will depend on the specific procedure and the surgeon's judgment. They will select a material based on the strength required for healing and the desired absorption rate.
How Long Does It Take for Dissolving Stitches to Dissolve in the Mouth?
The timeframe for dissolving stitches varies based on the material used and the individual's healing process. Generally, you can expect:
- Vicryl: These stitches typically dissolve within 2-3 weeks.
- PDS: These can take 4-6 weeks, or even longer, to fully dissolve.
- Catgut: These often dissolve within 1-2 weeks.
It's crucial to remember that "dissolve" doesn't mean they vanish instantly. The process is gradual, with the suture material slowly weakening and being absorbed by the body's tissues. You likely won't even notice it happening.
What Happens After the Stitches Dissolve?
As the stitches dissolve, the wound will continue to heal. The tissue will gradually close, and the area should become less tender and swollen. There might be a slight lingering sensation, but generally, the healing process is seamless.
What if a Dissolving Stitch Doesn't Dissolve?
While rare, sometimes a dissolving stitch might not completely absorb. This is usually due to the suture material's properties or the body's healing response. If you notice any persistent discomfort or see a significant part of the suture remaining long after it should have dissolved, consult your dentist or oral surgeon. They might need to remove the remaining part.
Will I Feel the Stitches Dissolving?
No, you will generally not feel the stitches dissolving. The process is gradual and painless. The sensation of the dissolving stitches should be minimal to nonexistent.
What Should I Do to Help the Healing Process?
Following your dentist or surgeon's post-operative instructions is key. This usually involves:
- Maintaining good oral hygiene: Gentle brushing and rinsing are essential to keep the area clean and prevent infection.
- Avoiding irritating foods: Steer clear of hot, spicy, or acidic foods that can irritate the wound.
- Taking prescribed medication: Pain relievers or antibiotics may be prescribed to manage pain and reduce the risk of infection.
- Following a soft food diet: This helps prevent accidental dislodging of the healing area.
By following these guidelines, you can promote optimal healing and minimize complications. Remember, each individual heals at their own pace.
Do Dissolving Stitches Cause Any Side Effects?
Generally, dissolving stitches cause minimal side effects. However, some mild discomfort, swelling, or slight bleeding might be experienced immediately after the procedure. Infection is a rare but possible complication. If you notice any signs of infection (increased pain, swelling, redness, pus), contact your dentist or oral surgeon immediately.
This information is for general knowledge and does not substitute professional medical advice. Always follow your dentist or oral surgeon’s instructions for post-operative care.
