Suturing for Optimal Soft-Tissue Management

Abstract

Establishing nontension primary wound closure of various soft tissue flaps is paramount for optimal postsurgical wound healing. Surgical procedures that require clinical flap manipulation, such as those used with traditional periodontal therapy, periodontal plastic cosmetic surgery, hard and soft tissue regeneration, and the excision of pathologic tissue, also require excellence in execution. 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. This article will discuss the rationale of specific suturing techniques and suture materials to help the clinician obtain optimal wound closure.

Maksi̇llofasi̇yal Cerrahi̇de Kullanilan Di̇ki̇ş Materyalleri̇: Derleme

“…BoyanmıĢ materyaller ameliyat esnasında daha kolay görülürler ve hata yapma ihtimalini azaltabilirler. 14 …”

“…Doku tipi, yaranın durumu, iyileĢme yeteneği ve post-operatif rahatlık dikiĢ materyali seçiminde etkili olan faktörlerdir. 14,15 DikiĢlerin gerilebilme miktarı, dokuların gerginlik derecesiyle uyumlu olmalıdır. En az doku reaksiyonunun oluĢması için boyutları küçük olan dikiĢ materyalleri tercih edilmelidir.…”

Knowledge and perception among dental students about resorbable sutures in dentalpractice

“…Most oral surgical interventions require primary wound closure using a previously raised flap [23] . For this purpose, a variety of suture materials are available which may be classified upon their origin (organic and synthetic) or according to their durability in host tissues (absorbable and nonabsorbable) [5][6] . There are some essential features of suture materials which include (1) knot safety, (2) stretch capacity, (3) tissue reactivity, and (4) wound safety.…”

“…There are some essential features of suture materials which include (1) knot safety, (2) stretch capacity, (3) tissue reactivity, and (4) wound safety. Besides the adopted surgical and suturing technique, the choice of suture material may also influence the healing of the incised soft tissues [5][6][7]15] .…”

Effects of myrrh on the strength of suture materials: an <i>in vitro</i> study

“…A two-pronged approach of using the appropriate suturing technique and suture material plays a critical role in avoiding wound failures, and is key to proper postoperative tissue positioning and adaptation [1][2][3][4][5] . Sutures may degrade and lose their desirable material properties due to extended exposure in hostile environments, such as the stomach which is highly acidic 6) .…”