An Evaluation of the Tensile Strength of Polyglactin Sutures After Immersion in Different Herbal Mouthwashes: An In Vitro Study.

Background The process of suturing is essential to the healing of surgical wounds. Sutures on surgical wounds from fabric approximate ligament tissues, control haemorrhage, and assist the primary healing process in oral surgical procedures. The oral environment may cause the suture to lose its tensile strength, which causes tissue to open and spread infection. Different mouthwashes are recommended for effective oral hygiene maintenance postoperatively. Ideally, the use of mouthwashes should not alter the mechanical properties of suture materials. A suture material's tensile strength or ability to endure tension during knotting and long-term wound protection is measured. Aim The aim of the current study is to assess the tensile strength of polyglactin sutures following immersion in herbal mouthwashes. Methods Two commercially available synthetic braided polyglactin 910 absorbable sutures (Vicryl and Seamcryl) were chosen to assess their tensile strength following immersion in two kinds of herbal mouthwashes: nilavembu (Andrographis paniculata) silver nanoparticle mouthwash and clove-uni stevia mouthwash. The tensile strength of the sutures was evaluated using an ElectroPuls® E3000 (Instron, Norwood, MA, USA) universal testing machine. The data were transferred to IBM Statistical Package for Social Sciences (SPSS) software version 23.0 (IBM Corp., Armonk, NY, USA), wherein the tensile strength values of Vicryl and Seamcryl after immersion in two different mouthwashes compared with control were statistically analysed using a one-way analysis of variance (ANOVA) test. Results The tensile strength of Vicryl suture material was found to be higher in the clove-uni stevia mouthwash group than in the nilavembu silver nanoparticle mouthwash and control (p-value=0.000, which is statistically significant). The tensile strength of Seamcryl suture material was found to be higher in the clove-uni stevia mouthwash group than in the nilavembu silver nanoparticles mouthwash and control (p-value=0.001, which is statistically significant). Conclusion Nilavembu silver nanoparticle mouthwashes analysed in the present study decreased the tensile strength property of Vicryl suture material after immersion for 24 hours, whereas clove-uni stevia mouthwash was shown to increase the tensile strength of both Vicryl and Seamcryl suture materials. Therefore, the selection of suture material and the postoperative prescription of mouthwash should be considered for a better clinical outcome.

Clinical Evaluation of Lateral Pedicle Flap Stabilized with Cyanoacrylate Tissue Adhesive: A Randomized Controlled Clinical Trial.

Context: Gingival recession is the most common mucogingival defect and is susceptible to tooth hypersensitivity, root caries, and esthetic problems if left untreated. A lateral pedicle flap is used to cover denuded roots that have adequate donor tissue laterally and adequate vestibular depth. A carefully planned surgery needs proper immobilization of the flap at the recipient site and this can be achieved by proper wound closure technique with appropriate material such as sutures or tissue adhesives. Aim: The aim of the present study is to evaluate the clinical outcomes of lateral pedicle flap stabilized with cyanoacrylate tissue adhesive and resorbable sutures. Materials and Methods: Twenty-two patients with Miller's class I and class II gingival recession were randomly divided into two groups: lateral pedicle flap stabilized with cyanoacrylate tissue adhesive (test) and lateral pedicle flap stabilized with resorbable sutures (control). Plaque index, gingival index, probing pocket depth, clinical attachment level, recession depth and width, height and thickness of keratinized gingiva were evaluated at baseline and 1st and 3rd month postoperatively. The percentage of root coverage was evaluated at the end of 3rd month postoperatively. Statistical Analysis Used: Intergroup comparisons for the clinical attachment level, recession depth, recession width, thickness of keratinized gingiva, and height of keratinized gingiva were made by Mann-Whitney test by analyzing the difference of two time periods. Intragroup comparisons were made by the Kruskal-Wallis test. Mann-Whitney test was used to compare the difference between various time periods within the group for all the selected variables. Results: The mean plaque index and gingival index at the 1st and 3rd month were found to be statistically significant and did not present any significant influence over other clinical parameters evaluated. A partial root coverage was observed in both the groups (71.97% for the test group and 61.36% for the control group). Conclusions: Cyanoacrylate tissue adhesive is clinically effective in the stabilization of the lateral pedicle flap and can be used as an alternative to resorbable sutures.

Molecular docking analysis of furfural and isoginkgetin with heme oxygenase I and PPARγ.

It is of interest to document the molecular docking analysis based binding data of furfural and isoginkgetin with heme oxygenase I and PPARγ in the context of inflammation for further consideration in drug design and development.

Molecular docking analysis of stachydrine and sakuranetin with IL-6 and TNF-α in the context of inflammation.

Inflammation is a process triggered by pro-inflammatory cytokines and anti-inflammatory molecules. Therefore, it is of interest to document the anti-inflammatory activity of Stachydrine and Sakuranetin against the inflammatory target proteins IL-6 and TNF-α by using molecular docking analysis. Both compounds showed good binding features with the selected target proteins. Compared to Sakuranetin, the Stachydrine have low binding energy and good hydrogen bond interactions. Hence, data show that Stachydrine possessed high and specific inhibitory activity on tumor necrosis factor-α and interleukin-6.

Dietary fibre, mineral, vitamin, amino acid and fatty acid content of seagrasses from Tuticorin Bay, southeast coast of India.

The amount of dietary fibre, mineral and vitamin were determined in root, rhizome and leaf of four commonly-available seagrasses, Cymodocea serrulata, Syringodium isoetifolium, Halophila ovalis and Halodule pinifolia at a station off Hare Island, Tuticorin (8°45' N, 78°12' E) in the Gulf of Mannar Biosphere region during premonsoon (July-September), monsoon (October-December) and postmonsoon (January-March) seasons of 2010-2011 and 2011-2012 study period. The entire tissues from each seagrass were subjected to HPLC and GC analysis for determining amino acid and fatty acid profiles respectively. The rhizomes of H. ovalis possessed highest amount of dietary fibre during monsoon. C. serrulata showed maximum content of K in rhizome during monsoon. Highest amount of Ca and Mg was recorded in the rhizome and leaf of H. pinifolia in postmonsoon. S. isoetifolium exhibited peak value for Na in its rhizome during monsoon. Highest amounts of Vitamin A, C and E were registered in the rhizome/root of Cymodocea during postmonsoon. Vitamin B3 was maximum in the root of Syringodium in monsoon. Eighteen of the twenty amino acids detected in seagrasses were found to the maximum level in Halodule. Syriingodium showed the highest amount of six of the seven fatty acids recorded.