Oral Surgery · single question
Which suture material causes the MOST tissue inflammation due to its method of absorption?
Show answer and explanation
Correct answer: D. Chromic gut
- A. Nylon is a non-absorbable synthetic suture with very low tissue reactivity — it must be removed manually.
- B. Poliglecaprone 25 (Monocryl) is a synthetic absorbable monofilament — absorbed by hydrolysis with low tissue reactivity.
- C. Polyglactin 910 (Vicryl) is an absorbable synthetic suture that is hydrolyzed — it causes minimal tissue reaction.
- D. Chromic gut is a natural (collagen-based) absorbable suture that is degraded by ENZYMATIC (proteolytic) digestion, which causes a significant inflammatory reaction in the tissues. The immune cells attacking the foreign protein create more inflammation than synthetic sutures. ✓