The suture techniques and materials used in periodontal. Jun 06, 2019 there are many suturing materials now available in the dental market. Section ii attempts to unravel the mystery of placing and tying sutures. Moore assistant professor department of periodontology school of dentistry university of louisville louisville, kentucky usa. Suture materials and suture techniques perio periodontal. Jul 23, 2016 this paper describes a novel suturing approach that achieves harmonious and atraumatic soft tissue displacement in periodontal plastic surgery and soft tissue management around implants. Suturing postsurgically is a common technique in the field of dental medicine, particularly after surgical incisions and dental extractions, as the sutures act to secure tissue edges to promote healing. Periodontic surgery an overview sciencedirect topics. The primary objec tives of suturing are to stabilize and to secure tissues. Meyle suture materials and suture techniques fig 1 atraumatic suture materials. Most procedures are carried out with local anesthesia, which contains epinephrine adrenalin that ensures the anesthesia lasts for the procedure and.
A general dentist can perform many common everyday periodontal procedures if they attain a comfort level about the subject matter. Suturing techniques in periodontal surgery british dental journal this paper describes and illustrates the use of the blanket or continuous hem loop suture for periodontal flap surgery. The needle is next inserted through the outer surface of the buccal flap and the underlying surface of the lingual flap. Illustrated manual of oral and maxillofacial surgery geeti vajdi mitra 3. The key instruments and materials used for intraoral suturing are presented. In periodontal plastic surgery procedures a 50 thread diameter is most often used to secure softtissue grafts and. The needle is inserted 2 to 4 mm from the flap margin and passed through both flap segments. Suturing techniques in oral surgery pdf free download free. Periodontal surgery is an essential part of modern periodontal therapy. It is suggested that this may be a particularly suitable suture for certain.
Absorbable sutures popular in periodontal and implant surgeries, less postoperative. Suturing techniques in periodontal plastic surgery free download as pdf file. Suturing techniques in periodontal plastic surgery. This handson course will cover basic periodontal surgery, crown lengthening, and suturing techniques. Suture materials types, materials used and techniques in. The objective of this randomized controlled trial was to compare the effects of different suturing techniques simple loop suture vs. Two suturing techniques can be used for the interrupted suture. Wound management and suturing manual corey s mass 6. Suturing techniques for periodontal plastic surgery wiley online. Suturing techniques for periodontal plastic surgery regan l. Prodcued by the department of periodontology at manubhai patel dental. Suturing techniques in oral surgery sandro siervo 4. Suturing techniques in periodontal plastic surgery surgical.
A 40 thread also is used to secure implant surgical flaps when interrupted sutures, horizontal or vertical mattress sutures depending on where the tissue is positioned, and most continuous suture techniques are utilized. Adequate wound care and a perfect suture approximation are extremely important for achieving good results following periodontal esthetic surgeries and regenerative procedures 23. This article provides a brief outline of the suture materials used in periodontal surgery and their. Meyle suture materials and suture techniques figs 10a and 10b approximation of the wound edges after tooth extraction by overlying, crossedover mattress stitch. Frequency of use of suturing and repair techniques preferred by dermatologic surgeons. In periodontal surgery, the most common method of wound closure uses sutures. Selection of the appropriate incision technique is one of the main preconditions for a complicationfree healing process involving minimum esthetic impairment. A periodontal specialistperiodontist trained in periodontal surgical techniques typically performs these procedures or general dentists who have taken advanced training in periodontal surgery. Suturing has been done for centuries and presently there are many suture materials available for this purpose. Suturing techniques in periodontal surgery british.
Review of continuous sutures in dermatologic surgery. Suturing techniques for periodontal plastic surgery reganl. Influence of different suturing techniques on periodontal. A novel suturing approach for tissue displacement within. Suturing techniques in periodontal surgery british dental journal. The suturing materials and techniques used to reconstruct the planes can thus have a direct and determinate influence on the phases of healing, making an in depth and detailed knowledge of the physical, chemical and technological properties of suturing materials an absolute necessity. Periodontal pocket reduction surgery limited to the gingival tissues only and not involving the underlying osseous structures, without the use of flap surgery, can be classified as gingival curettage and gingivectomy. This paper describes and illustrates the use of the blanket or continuous hem loop suture for periodontal flap surgery. Suturing techniques for periodontal plastic surgery moore. Proper management of soft tissues in periodontal, implant, and reconstructive surgery has become increasingly important for esthetic treatment outcomes. Preference of suture specifications in a selected periodontal. The suture techniques and materials used in periodontal surgery.
You will be able to practice full and splitthickness flap preparation, resective osseous surgery and suturing techniquesall of which can be applied to a variety of situations. For sure this is a topic that is interesting and important for everybody who is practicing this kind of surgery. This applies not only to periodontal surgery but also to oral surgery and implant surgery. If you intend to include periodontal surgical procedures in your practice or simply wish a deeper knowledge of the process, this course is for you.
However, learning the various suturing techniques can be a trying experience. Suturing techniques in periodontal surgery british dental. Basic periodontal surgery for general practitioners aiid. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Incisions and tissue management in periodontal surgery.
Dear friends, in the following seminar we will talk about suturing and suture techniques in periodontal and implant surgery. Needles with threeeighths of a circle curvature and a relatively large radius, combined with thread sizes of 60 or 70, are typically used in periodontal surgery. Mar 05, 2020 adams b, levy r, rademaker ae, goldberg lh, alam m. Scott froum uses what is known as superglue for soft tissue for dental surgery in his practice. However, suturing can have its disadvantages, too, which is why dr. For various surgical procedures such as periodontal. The primary objectives of suturing are to stabilize and to secure tissues in their desired locations. Nov 05, 2009 periodontal surgery with endogain and bone ceramic straumann dr.
This procedure is continued until the final suture is tied off at the terminal end 146. A single interrupted suture is used to make the initial tie. Suturing techniques in oral surgery pdf free download ebook description proper management of soft tissues in periodontal, implant, and reconstructive surgery has become increasingly important for esthetic treatment outcomes. Dear friends, in the following seminar, we will talk about suturing and suture techniques in periodontal and implant surgery. In order to achieve correct postoperative positioning of the soft tissues, clinicians must have a comprehensive understanding of wound healing and suturing. Issn 090667 suturing techniques for periodontal plastic surgery regan moore margaret l. Periodontal surgery performed in the management of periodontitis typically involves flap reflection to gain visual access to the root surfaces and alveolar bone figure 104. The needle is then passed through the remaining loop of the suture, and the suture is pulled tightly, thus locking it. However, the selection of suture material for periodontal or implant surgery is often based on personal choices rather than scientific data and has not been extensively investigated. Suturing techniques for periodontal plastic surgery.
Perio 2000 article on suturing techniques in periodontal surgery. C o p y rig en u i suture materials and suture techniques. Suturing always is a trauma, so in the first 24 hours, the mechanical trauma will be the main trauma. Alternative to suturing reduces surgical time for dental. Pdf suturing techniques for periodontal plastic surgery. At a horizontal distance of 3 to 5 mm from the first insertion site, the needle is passed back in the opposite direction, forming a parallel suture. General principles 1 grasp the needle 23 front, and behind the needle driver. Surgical specialties, both medical and dental, have many unique methods and materials for wound closure. Also paramount to clinical success is a thorough understanding of the various techniques of surgery, suturing, and the materials currently available to ensure the desired clinical results. The technique relies on a combination of horizontal and vertical mattress that are anchored at the splinted incisal contact points. Suturing techniques in oral surgery british dental journal. In dental surgery, the simple loop figure 5 is used most commonly to coapt tensionfree, mobile surgical flaps. Interrupted simple suture simple continuousrunning suture continuous lockingblanket suture vertical mattress suture horizontal mattress suture sling suture for single tooth cross crisscross suture periosteal suturing technique.