Description
This suturing method is designed for precise alignment of the interdental papillae and is often paired with periosteal sutures. It's especially beneficial for correct tissue alignment in guided tissue regeneration (GTR) and similar regenerative techniques. The suturing process is outlined as follows:
The needle begins at the external side of the buccal flap, slightly above the mucogingival junction, and is directed towards the bone to engage with the periosteum, which remains unreflected by the flap. As the needle follows its curve, it should exit at the papilla's center, 2 to 3 mm from the flap's margin. The needle then traverses the contact point, bringing the suture to the lingual side. On the lingual side, the needle penetrates the flap starting from the lingual papilla's center, similar to its entry on the buccal side, positioned 2-3 mm from the flap margin. After passing through the contact area again, the needle emerges on the buccal side to allow for knot tying and cutting of the suture, leaving a 2-3 mm end.
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Description
This suturing method is applied mainly to counteract the forces of muscle pull and soft tissue shrinkage, ensuring the wound remains stable during the healing process. It is typically employed in areas without teeth. The steps for this suturing technique are:
Start by inserting the needle through the buccal flap's outer surface, positioned 3-4 mm away from the edge of the flap. The needle is then moved to the lingual side, entering the inside of the lingual flap, 3 to 4 mm from its margin. Next, the needle makes a piercing about 5 mm away from the previous entry point, moving horizontally. The needle is then taken back to the buccal side, piercing the inner surface of the buccal flap. Finally, knots are tied, and any extra suture material is trimmed off.
#dental #dentistry #university #sulaimani #sulaymaniyah #sutures #suturing #techniques
Description
This suturing method is specifically designed to accurately align interdental papillae and is often employed alongside periosteal sutures. It proves to be highly effective for the proper alignment of tissue in guided tissue regeneration (GTR) and other types of regenerative surgeries. The steps for executing this suturing technique include:
Begin by inserting the needle on the buccal flap's outer side, just above the mucogingival junction, directing it towards the bone to connect with the periosteum. It's important to note that the periosteum remains unlifted with the flap. As the needle is guided along its curve, it should exit through the papilla's center, 2 to 3 mm away from the edge of the flap. The needle is then threaded through the area of contact, bringing the suture over to the lingual side. The process is mirrored on the lingual flap, with the needle entering at the center of the lingual papilla, similarly 2-3 mm from the flap's margin. Following this, the needle passes back through the contact zone to the buccal side, where the suturing is finalized with knots and the excess suture material is trimmed, leaving a small length of 2-3 mm.
#dental #dentistry #university #sulaimani #sulaymaniyah #sutures #suturing #techniques