Suturing Techniques In Periodontal and Mucogingival Surgery
Absztrakt
In every surgical context, excellent closure and stabilization of re-approximated wound edges are ideal outcomes. Due to the constant presence of saliva, temperature variations, a high level of vascularization, and functions such as masticatory, phonetic, and respiratory, the sutures used in oral and maxillofacial surgery must be different from those used in other branches of medicine. A suitable suture material should not obstruct cellular proliferation or connective tissue organization. Suture material are classified according to their absorbility. Non absorable sutures are made of inert materials that causes minimal tissue reaction and have to removed after 7-10 days. The absorable sutures are absorbed by digestion or hydrolysis. Suturing techniques used in periodontal surgeries can be classified as interrupted and continuous sutures. Continuous sutures saves surgeon time and effort while operating in deep tight spaces, reduce the amount of suture material as compared to interrupted sutures, and an increased risk of postoperative complications in terms of wound dehiscence or fistula formation is absent. Mucogingival surgery is surgical or non surgical correction of the defect in morphology, position, soft tissue and underlying bone therefore the suturing techniques are very specific as they should be to stabilize the graft, to be able to use in esthetic zones without tearing the papilla and minimise scar formation. Suturing is a fundamental surgical skill that must be learned to offer our patients the best possible outcomes. Unfortunately, suturing instruction is frequently lacking in the dentistry area. We can learn from our medical colleagues who commonly employ silicone suturing molds before suturing real human tissue in medical school and residency. We can use silicone training models to develop our skills and practice the basic knots and suturing methods outlined earlier in the article as dentoalveolar surgeons.