Needles, suture materials and knots used in oral surgery procedures

Dimova, Cena and Rogoleva, Sonja and Kocovski, Darko and Hadzi-Vasileva, Marija (2018) Needles, suture materials and knots used in oral surgery procedures. In: “Digital vs Analogical in Dental Medicine” First International Student Congress- Students’ Workshop, 28-29 March 2018, Stip, Macedonia.

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Introduction: The paramount goal of soft tissue surgery is closure of wound flaps, in the absence of tension on the flaps, which will lead to optimal wound healing. Oral surgical procedures that require flap manipulation such as those used with traditional oral surgery procedures, dental implantation, periodontal therapy, hard and soft tissue regeneration, and the excision of pathologic tissue require excellence in execution and a thorough understanding of the various techniques of surgery, suturing and the materials currently available to ensure the desired clinical results. Aim: Dental surgery involves the creation of a wound and necessitates closure of this wound to allow healing and to achieve the surgical objective. The primary objective of wound closure is to position and secure surgical flaps through suturing to promote optimal healing. Needles The surgical needle comprises three parts: the needle point, the needle body and the swaged (press-fit) end. Suture needles are usually classified according to their curvature, radius and shape. The most commonly used suture needles in dentistry are the 3/8 and ½ circle needles Suture thread Tensile strength is an important quality when selecting which thread is appropriate for the intended use. Tissue biocompatibility, ease of tying and a thread type that permits minimal knot slippage also influence selection. Adequate strength of the suture material will prevent suture breakage, and proper suture knots for the material used will prevent untimely untying or knot slippage. Knots Surgical knot tying is an important component of the art of suturing. It is essential for knot security and to prevent untimely knot untying that the appropriate surgical knot be used for the specific suture material being secured. Conclusion Many varieties of suture material and needles are available to the oral surgeon. The choice of sutures and needles is determined by the location of the lesion, the thickness of the mucosa in that location, and the amount of tension exerted on the wound. Regardless of the specific suture and needle chosen, the basic techniques of needle holding, needle driving, and knot placement remain the same.

Item Type: Conference or Workshop Item (Lecture)
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Cena Dimova
Date Deposited: 25 Apr 2018 07:50
Last Modified: 25 Apr 2018 07:50

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