- Anesthesia is generally not necessary for suture removal
- Abandoning a suture submucosally can lead to foreign body reactions, infection and eventually implant loss.
- Suture removal should be taken seriously and as a critical treatment procedure
Suture removal for mucoperiosteal wounds, depending on the age of the patient and the extent of the wound takes place after 8 to 12 days. Even resorbable sutures may benefit after such healing time from removal of remnants.
The suture should be clearly identified, pulled towards the wound with a hemostat or cotton forceps, and one loop cut with scissors or a scalpel blade close to the mucosa. If interrupted sutures are in place, one should preferably remove first one out of two sutures to verify that the wound closure holds. Otherwise the rest of suture removal is postponed.
When suturing the wound after surgery, it is a good routine and standard of care to record the number of sutures placed - when removing, compare the number of sutures removed with the number indicated on the patient’s record.
After removal of sutures it may be good to swab the mucosa clean from any debris with moist gauze.