Suturing techniques in oral surgery

Abstract

Surgical sutures provide wound margin adaptation and prevent internal tension until healing has progressed to the point where the wound can support mechanical loads even without the sutures in place. Sutures are passive wound closure elements. This article presents the ideal preparation of the surgical site prior to closure (e.g. by mobilizing a flap), demonstrating an atraumatic puncturing technique, vertical sutures, microsurgical precision knots, and correct adaptation strategies. Suturing techniques are described using the examples of augmentation, vestibuloplasty using free keratinized mucosal grafts, and primary augmentation (ridge preservation, socket prevention). The article also discusses the obvious benefits of extra delicate sutures, especially for teaching the exact handling of suture materials and, consequently, successful tissue management. However, the definition of microsurgical techniques goes beyond suture thickness, suturing instruments, and the optical magnification provided.