Posted on 4/13/2018 by Scott Redlinger
|There may be instances when stitches or sutures may be necessary during oral surgery. They are needed when we have to control the bleeding or to put back in place a wayward gum flap. This is to accelerate the healing process and prevent infections from setting in on the open wound.
As to the thread being used, we have two options: one that dissolves (or absorbable stitches) and one that needs to be removed after a certain period.
Common Suture TechniquesThere are several types of stitches that our surgeons employ depending on the oral procedure. These consist of interrupted sutures, which are used for extraction of a single tooth or implants.
The second one is the Figure of Eight, which is used for extraction, gingival papilla procedures. This technique however is quite a challenge to remove if you are using non-absorbable material.
The third one is the external horizontal mattress, which is used for bone grafts or implants, or when there is a huge gap between the tissues. The fourth one is the external vertical mattress, which is mostly preferred by dentists because of the very strong closure.
And the last one is the continuous stitches, which is used for bone grafts, mandibular tori procedures. This is used when aesthetics are low the priority spectrum
There are different benefits and disadvantages for each technique. We will explain each to give you the best information possible so you can make the right decision.
Each technique also requires a different knot. The knot will also be determined by the type of thread material used for the stitches. For instance, the slip knot is commonly used for the silk thread.
While the knot is used when the material used is a synthetic non-absorbable material to ensure that the knot will not be untied accidentally.
If you need to ask more questions, come visit us and get a consultation so we can determine the right suture for you, or if you need it at all.