Knowledge, Attitude and Practise Regarding Use of Chromic Catgut Suture Among Dental Practioners

1 2 Jannathul FeridozP ,P Dr.DhanrajP 1 P stuP dent of saveetha dental college 2 P DepartmentP Of Prosthodontics,Saveetha Dental College

Abstract: Conclusion: Back ground:Catgut suture is a type of Unawareness of the dental practioners surgical suture that is naturally degraded regarding chromic catgut suture in by the body's own proteolytic enzymes. dentistry may be due to lack of knowledge This eventual disintegration makes it good and practise .This can be improved by for use in rapidly healing tissues and in continuing dental education programs and internal structures that cannot be highlight the absorbable suture in dentistry reaccessed for suture removal.Catgut suture has high knot-pull tensile strength Introduction: and good knot security due to special Surgical gut suture is an absorbable, sterile excellent handling features. It is used for surgical suture composed of purified all surgical connective tissue (mostly collagen) procedures including general closure, derived from either the serosal layer of ophthalmic, orthopedics, gynecology and beef (bovine) or the submucosal fibrous gastrointestinal surgery. layer of sheep (ovine) intestines. Surgical Aim&Objective- To asses the knowledge, gut sutures are available in plain or attitude and practice regarding chromic chromic.Plain catgut resorbs quickly in the catgut suture among dental students oral cavity, rarely lasting longer than 3 to 5 Methodology:A random sample of 100 days. Gut that has been treated by tanning dental practitioners was selected and solutions (chromic acid) and is, therefore, included for this study. The survey termed ‘chromic gut,’ lasts longer—up to questions focused on knowledge,attitude 7 to 10 days.(1) and practice of chromic catgut suture It resorbs due to 2 mechanisms. Sutures of among dental practitioners . The interview biological origin (eg, surgical gut, plain was performed by the author. Variations in and chromic gut) are gradually digested by opinions and knowledge ,attitude and enzymes in the tissue, whereas resorbable practice were analysed and presented . sutures fabricated from synthetic materials Result:This survey observed knowledge such as polygycolic acid are hydrolyzed ,awareness and practise regarding use of via the Kreb's cycle.Surgical gut suture chromic catgut suture among 100 dental material is made from animal protein (ie, practioners 87.6% of the dental gut), thus it can potentially induce an practioners are aware of chromic catgut antigenic reaction.When used intraorally, suture and 13.6% of the dental this material loses most of its tensile practioners are not aware of chromic strength in 24 to 48 hours; coating the catgut suture. In this survey.The dental material with a chromic compound extends practioners are more aware that catgut resorption to 7 to 10 days, and extends suture is resorbable and promote healing significant tensile strength to 5 days.5(2) and 13.6% of the dental practioners are Chromic gut is processed to provide unaware about the types and uses of greater resistance to absorption,sizes chromic catgut suture in dentistry. ranges from 5-0 to 2,Absorption within 90-

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IJISET - International Journal of Innovative Science, Engineering & Technology, Vol. 4 Issue 4, April 2017 ISSN (Online) 2348 – 7968 | Impact Factor (2016) – 5.264 www.ijiset.com 120 da,High collagen purity,Accurate knowledge,attitude and practise of chromic polishing ensures smooth tissue catgut suture among dental practitioners . passage,Packed in IPA to retain memory & The interview was performed by the increase pliability, author. Variations in opinions and Uniform chrome content provides required according knowledge ,attitude and practise wound support and absorption,(3) were analysed and discussed. Uniform twist spread along the suture length and controlled drying provide high Result: tensile strength ,tissue biocompatibility This questionnaire is based on the and ease of handling, with a focus on Knowledge ,attitude and practise regarding minimal knot slippage.chromic catgut use of chromic catgut suture among dental suture is indicated for use in general soft practioners tissue approximation and/or ligation, including use in ophthalmic procedures, Knowledge: but not for use in cardiovascular and This study showed that the 73.8% of the neurological tissues.chromic catgut suture dental practioners has knowledge about also involves the creation of a wound, and chromic catgut suture.85%of the dental proper closure of this wound is usually practioners also known about uses of necessary to promote healing(4) catgut suture and its uses in dentistry Methods and materials: .26.7% of the dental practioners doesn't A random sample of 100 people among the know about chromic catgut suture and its dental practitioners was selected and uses .Fig(1)shows knowledge about surveyed using a questionnaire. The chromic catgut suture(5) questionnaire study focused on

Practise : the dental practioners used catgut suture This study showed that the 80.3% of the in dentistry .19.6%of the dental practioners dental practioners has practise about doesn't used chromic catgut suture.95%Dental Chromic catgut suture in dentistry. practioners also known about common Fig(2)shows practise about chromic catgut uses of chromic catgut suture and 88% of suture.(5)

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IJISET - International Journal of Innovative Science, Engineering & Technology, Vol. 4 Issue 4, April 2017 ISSN (Online) 2348 – 7968 | Impact Factor (2016) – 5.264 www.ijiset.com

Attitude: suture and 88% of the dental practioners This study showed that the 49%% of the used catgut suture in dentistry .19.6%of dental practioners has difficulty in chromic the dental practioners doesn't used catgut suture 51% of the dental practioners Chromic catgut suture in dentistry. does not has any difficulty towards catgut Fig(3)shows practise about chromic catgut suture .28%Dental practioners also known suture.(5) about common uses of chromic catgut

Discussion: for wound healing over longer periods of

time. Unlike natural catgut chromicU gut U

ChromicU gutU is similar to natural catgut has a more standardized rate of absorption sutures except the suture has been treated and there are few factors that can influence with a chromic salt solution that helps to this variable. There is still a minimal reduce the rate of degradation or reaction of the surrounding tissue to

absorption of the product by the body and the chromicU catgut sutures,U making it a maintain a more uniform tensile strength good option for many different types of 336

IJISET - International Journal of Innovative Science, Engineering & Technology, Vol. 4 Issue 4, April 2017 ISSN (Online) 2348 – 7968 | Impact Factor (2016) – 5.264 www.ijiset.com surgical procedures. More than 87% of dehiscence. However, the long term effects dental students are aware about chromic of this material are less clear.In this study catgut suture. 87% of the dental practioners are aware of Chromic catgut suture is the absorbable the short term pain reduction of chromic suture and 82% of dental catgut suture (9-10) students are aware. These findings are consistent with the other studies reporting Catgut suture is absorbable suture.(1-5) Conclusion: EnglerRJ,Weber studied about chromic Unawareness of the dental practioners catgut suture it shows delayed regarding chromic catgut suture in hypersensitivity reactions to this material dentistry may be due to lack of knowledge are difficult to diagnose post-operatively- and practise .This can be improved by In this study, 87%of dental practitioners continuing dental education programs and are aware that delayed hypersensitivity highlight the absorbable suture in reactions to this material are difficult to dentistry. diagnose post-operatively(6) Other studies reveals that uses of catgut Reference: suture in dentistry such as absorbable,ease 1.) Olah 1999 Olah KS. Episiotomy repair to use .90%of dental students were aware - suture material and short term of uses of chromic catgut suture in morbidity. J Obstet dentistry. Gynaecol. 1990;10:503–5. Rogers studies shows that 46% aware that 2.)Roberts 1983. Roberts ADG, McKay catgut suture is made up of bovine and Hart D. Polyglycolic acid and catgut ovine .In this study 78% of dental students sutures, with and without oral proteolytic are aware that catgut suture is made up of enzymes, in the healing of bovine and ovine.(7) episiotomies. Br J Obstet Gynaecol. 1983;90:650–3. 3.)Rogers 1973. Rogers RE. Evaluation of Grier and Ron.L study in 1992 shows that post-episiorrhaphy pain: polyglycolic acid 65%absorbable suture has been vs catgut sutures. Milit successfully used for deep sutures in Med. 1974;139:102–4. hepatic, renal and splenic wounds as well 4.) Enkin 1995 . Enkin M, Keirse M, as ligation of ovarian and uterine stumps. Renfrew M, Neilson J, editors. A Guide to Absorbable material is commonly used as Effective Care in Pregnancy and a continuous subdermal stitch. Plain catgut Childbirth. 2nd Edition Oxford University would be contraindicated, however, due to Press; Oxford: 1995. p. 269. its in tense tissue reaction underlying the 5.)Glazener 1995 . Glazener CMA, skin.93%of this study shows that catgut Abdalla MI, Stroud P, Naji SA, Templeton suture are use for hepatic ,renal and AA, Russell IT. Postnatal maternal splenic wounds.(8) morbidity: extent, causes, prevention and treatment. Br J Obstet

In the analysis of the0T Mahomed0T34TU 1989 U0T34T 0T Gynaecol. 1995;102:282–7. there was no significant difference 6.)Graham 1997 . Graham between the two groups in short term pain. ID. Episiotomy Challenging Obstetric The meta-analysis of the data provides Interventions. Blackwell Science Ltd; significant evidence that absorbable suture Oxford: 1997. material (Dexon and Vicryl) is associated 7.) Grier, Ron L. (1992) "Surgical Sutures with less short term pain, reduction in the - Part II: Indications for Di erent Suture use of analgesia and less suture Materials and Comparable Costs," Iowa 337

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State University Veterinarian: Vol. 34: Iss. 9.)E46T nkin 1995 46T . 0T Enkin0T15T M, Keirse M,

2, Article 6. Renfrew M, Neilson J, editors. 0T15T A0T42T Guide to

8.)46T Craig 1975 46T . 0T Craig0T15T PH, Williams JA, Effective Care in Pregnancy and

Davis KW, Magoun AD. A Biologic Childbirth. 0T42T 2nd0T15T Edition Oxford University Comparison of Polyglactin 910 and Press; Oxford: 1995. p. 269.

Polyglycolic Acid Synthetic Absorbable 10.)15T 15T46T Grant 1986 46T . 0T Grant0T15T A. Repair of

Sutures. 0T15T Surgery,0T42T Gynecology & episiotomies and perineal tears. 0T15T Br0T42T J

Obstetrics. 0T42T 1975;0T15T 14115T43T :115T43T –10. 0T15T 0T Obstet Gynaecol. 0T42T 1986;0T15T 9315T43T :41715T43T –9

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