Flap suturing in surgical crown procedure

Abstract

Introduction: Surgical crown lengthening is standard procedure for radicular rests usage and case series which include biologic width and ferrule effect being compromised. In the end of this procedure a flap suturing is essential, with other words being said suturing may be the one who is going to make a difference between failure or success. This paper will analyze the type of needle, type of suture and technique of suture and will contrast it to the present literature data. Purpose and Objectives: Materials and Methods: The present manuscript is presented as a retrospective study on the basis of 63 consecutive patients. Considering the flap approximation as the main purpose of flap suturing, different types of sutures, needles, and suture materials were utilized. Types of sutures used in periodontal surgery are mainly related to empirical background of the surgeon. Results: Simple sutures was mainly used, all of the 63 patients being treated by this mean. In a single case the 8 shape suture was used-due to bad access to the surgical wound. Mattress sutures were also mainly used because of its maneuverability and secureness of the flap stabilization. Vertical mattress sutures were used in 48 patients, and horizontal mattress sutures was used in 9 patients. Circumferential suture was used in 3 patients, mainly because the lack of the papilla approximation following another type of suture. Retromolar suture was used in 3 patients all of this cases presented the need of distal approximation due caries activity. Continuous suture was used for 23 patients. In all of this cases different type of sutures was used, mainly because flap suturing after surgical crown lengthening cannot be achieved by one suture alone. For 58 patients the suture material was polypropylene, for 5 silk, and in 9 cases vicril. polypropylene was the most suitable material because of its nature which will not allow plaque accumulation. In the most cases (58) the thickness of the material was 5-0. Conclusions: In surgical crown lengthening the most used suture material will be the polypropylene with the thickness of 5-0. The most frequent technique for flap suturing will be the simple interrupted suture, the suture wich will be used not that often will be figure 8 suture.