Suturing of oral mucosal wounds post-surgery: A necessity or an anachronism

Research objective: To evaluate the necessity and effectiveness of suturing in oral surgery procedures, particularly tooth extractions, by analyzing when sutures support healing and when a sutureless approach may be preferable. Methodology: A literature-based analysis of clinical outcomes associated with both sutured and sutureless wound closure methods in oral surgery, with consideration of procedural complexity, anatomical location, and patient-related factors. Main conclusions: Suturing can promote hemostasis and protect the surgical site, especially in complex cases or when there is a risk of dehiscence. However, in uncomplicated extractions, omitting sutures may result in faster healing and reduced postoperative discomfort. The decision should be made on a case-by-case basis. Application of the study: This review supports clinicians in making informed, individualized decisions regarding wound closure techniques in oral surgery, aiming to optimize healing and patient comfort. Originality/Novelty of the study: The paper challenges the traditional assumption that suturing is always beneficial, offering a nuanced perspective that considers both clinical indicators and patient experience to guide treatment decisions.