BY.DR HINA ADNAN. Surgery involves the creation of a wound, and proper closure of this wound is usually necessary to promote optimal healing. Suturing.

DENTAL SUTURESBY.DR HINA ADNAN

INTRODUCTION

Surgery involves the creation of a wound, and proper closure of this wound is usually necessary to promote optimal healing. Suturing a wound positions and secures the surgical flaps to promote healing.

Advantages of suturing:

Promotes healing Prevents complications Infection Hemorrhage Tissue necrosis Preserves the normal contour and shape

of the tissue.

Surgical instruments:

Suturing needle Suturing material Needle holder Tissue forceps Suture scissors

Suturing needle

Suturing material

Needle holders

Tissue forceps

Sutures scissors

Grasping needle holder

Types of sutures needles:

Straight suture needles Curved suture needles Half circle suture needles

Patterns of the suture needle according to accessibility

Straight suture needles: > For skin closure Curved suture needles > For intraoral suturing >For deep suturing Half circle suture needles >For intraoral suturing

Types of suture material according to resorption

Non-Absorbable suture materials Absorbable suture material 

Types of suture material according to nature:

 Natural Synthetic 

Types of suture material according to gauge

 0/00/000/0000/00000/000000 Types of suture material according to

filament :  Monofilament Multifilament

Suture material

 Non-Absorbable Absorbable

Can’t be resorbed by the body Can be resorbed by the body body

Used for suturing of: – Skin closure -Routine intraoral closure -Blood vessels ligation

Used for suturing of:Deep tissuesFacial layersIntra oral closure in cases of:Inability of the patient to return to remove the sutures.

Mentally retarded patients

Epileptic patients

Sutures under surgical stunts.

Suture materials

Non absorbable: Silk Cotton Nylon

Absorbable sutures

Plain catgut Chromic catgut Collagen sutures Polyglycolic acid sutures Polyglactin -910 vicryl sutures.

Suturing techniques•

 Interrupted sutures Continuous sutures Continuous with lock sutures Horizontal mattress sutures Vertical mattress sutures

 Interrupted sutures

Continuous sutures

Continuous with lock suture

Horizontal mattress suture

Vertical mattress sutures