APICAL MATTRESS SUTURE

 

 

FLAP RELEASE 

minute 6:44

Periosteal incision or

Soft Brushing 

 

HORIZONTAL APICAL MATTRESS

minute 7:06

 

 

MINUTES 11 - 17

 

23:30 MINUTES FORWARD 

 

 

raise a flap

mobile

blood supply is interrupted

when is periosteum reattached?

4 weeks for 70% of reattachment

6 weeks for significant contact between periosteum and bone

 

 

 

 

Prevent flap’s mobility and tension:

 

TENSION

flap release

1soft brushing

2periosteal incision

 

MOBILITY

buccal flap fixation MINUTE 11

1apical mattress suture

, on the buccal 1 to 1.5cm (10-15mm)

from the wound’s border, beyond the mucogingival junction

 

sutures must stay 4 weeks

to stay that long a monofilament must be used

 

monofilament non resorbable

(nylon, ptfe)

after 4 weeks embedded into the flaps, difficult to remove

 

 

SUTURE KNOTS

flat knot: cross your hands

role forward when short end is in front

role backward when short end is in the back