Periodontal Flap Surgery Continous Sling Suture

Continuous Sling SutureGum Flap Surgery

I i(j 60-19 The continuous, independent sling suture is used to adapt the buccal and lingual flaps without tying the buccal flap to the lingual flap. The teeth are used to suspend each flap against the bone. It is important to anchor the suture on the two teeth at the beginning and end ol the Map so that the suture will not pull the buccal llap to the lingual flap.

Sling SutureDistal Wedge Perio Flap
Fitj. 60-20 A to D, Distal wedge suture. This suture is also used to close flaps that are mesial or dislal to a lone-standing tooth.
Distal Wedge Periodontal Surgery

60 2 I The closed anchor suture.

another technique to suture distal wedges.

Fig.

60 2 I The closed anchor suture.

another technique to suture distal wedges.

in a similar lashion. Hie suture is again anchored around the last tooth before tying the final knot.

I his type of suture does not produce a pull on the lingual llap when the latter is sutured. Ihe two flaps are completely independent of each other owing to the anchoring around both the initial and the firal tooth. The flaps are tied to the teeth and not to each other because of the sling sutures.

I bis type ol suturing is especially appropriate for the maxillary arch because the palatal gingiva is attached and fibrous, whereas the facial tissue is thinner and mobile.

Anchor Suture. I he closing of a flap mesial or dislal to a tooth, as in the mesial or distal wedge procedures, is best accomplished by the anchor suture, this suture closes the facial and lingual flaps and adapts them tightly against the tooth. Ihe needle is placed at the line angle area ot the facial or lingual flap adjacent to the tooth, anchored around the tooth, passed beneath the opposite flap, and tied. I he anchor suture can be repealed for each area that requires it d ig. 60-20).

Closed Anchor Suture. Another technique to close a flap located in an edentulous area mesial or dislal to a tooth consists of tying a direct suture that closes the proximal flap, carrying one ol the threads around the tooth to anchor the tissue against the tooth, and then tying the two threads d ig. 60-21).

Periosteal Suture. This type of suture is used to hold in place apicatlv displaced partial thickness flaps. I here are two types of periosteal sutures: the holding suture and the closing suture. I'he holding suture is a horizontal mattress suture placed at the base of the displaced flap to secure it into the new position. Closing sutures are used to secure the flap edges to the periosteum. Both types ol periosteal sutures are shown in I ig. 60-22.

I'lh- I'criiHlontuI I i,if> ■ ( IIAlrl I K 60 773

Sling Sutures
Fig. 60-22 Periosteal sutures for an apically displaced Map. Holding sutures, shown at the bottom, are done lirst, followed by I he dosing sutures, shown at the coronal edge of the flap.

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  • Doreen
    Where to suture buccal flap?
    4 years ago

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