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DEPARTMENT OF ORAL &MAXILLOFACIAL SURGERY

INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalaca...
CONTENTS



1.IDEAL REQUIREMENTS OF A SUTURE MATERIAL



2.SIGNIFICANCE OF SIZES



3.PRINCIPLES OF SUTURING
4.CLASSIF...
DEFINITION



Ideal requirements for a suture material:

 


1.Adequate strength

 


2.low tissue reaction

 


3.low...
SIGNIFICANCE OF SIZES


Sutures are numbered from sizes 1-0 to 9-0



Greater the number of sizes,the thinner the materi...
PRINCIPLES OF SUTURING


The needle should be grasped at approximately 1/3rd the
distance from the eye& 2/3rds from the p...


Tissues must never be closed under tension,undermining
the tissues must be done prior to suturing in such cases.

 


...
CLASSIFICATION OF SUTURE MATERIALS


SUTURES

ABSORBABLE

SYNTHETIC

MONOF
ILAMENT

NON-ABSORBABLE

SYNTHETIC

NATURAL

M...
Knot tying:
 The surgeon may use either instrument tie/hand tie.instrument tie is
more convenient in closed areas like mo...


[2] surgeons knot-formed by 2 throws of the suture around the needle
holder on the first tie& one throw in the opposite...


[3] grannys knot-this involves a tie in one direction followed by a single
tie in the same direction as first& a 3rd ti...
SUTURING TECHNIQUES


INTERUPPTED SUTURES



CONTINOUS SUTURES
HORIZONTAL



MATTRESS SUTURES
VERTICAL



FIGURE OF EI...
INTERRUPTED SUTURES

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CONTINOUS SUTURURING

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VERTICAL MATTRESS SUTURES

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HORIZONTAL MATTRESS SUTURES

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FIGURE –OF-EIGHT-SUTURE

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SUB-CUTICULAR SUTURES

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SUTURE REMOVAL

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DRAINS


Definition

Indications
open
 Types
Closed
 Management




active

Removal

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pas...
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Complications of drains

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ALTERNATIVES TO SUTURING MATERIALS


Surgical staples



Tissue adhesives



Adhesive tapes

www.indiandentalacademy.co...
REFERENCES
 


1.ORAL AND MAXILLOFACIAL SURGERY-LASKIN-VOL(1)

 
2. Mechanical Properties of Polyglycolic Acid
Sutures in...
6. McCarthy JG: Introduction to plastic surgery. In McCarthy JG (ed): 
Plastic Surgery.
     Philadelphia, W.B. Saunders, ...
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Department of oral /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

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Transcript of "Department of oral /certified fixed orthodontic courses by Indian dental academy "

  1. 1. DEPARTMENT OF ORAL &MAXILLOFACIAL SURGERY INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. CONTENTS   1.IDEAL REQUIREMENTS OF A SUTURE MATERIAL  2.SIGNIFICANCE OF SIZES  3.PRINCIPLES OF SUTURING 4.CLASSIFICATION OF SUTURE MATERIAL 5.KNOT TYING  6.SUTURING TECHNIQUES 7.SUTURE REMOVAL 8.DRAINS 9.ALTERNATIVES TO SUTURING MATERIALS www.indiandentalacademy.com
  3. 3. DEFINITION  Ideal requirements for a suture material:    1.Adequate strength    2.low tissue reaction    3.low capillarity    4.good handling & knotting properties   5.sterlization without deterioration in properties   www.indiandentalacademy.com
  4. 4. SIGNIFICANCE OF SIZES  Sutures are numbered from sizes 1-0 to 9-0  Greater the number of sizes,the thinner the material  Thick sutures are used for approximation of deeper layers, wounds in tension prone areas and for ligation of blood vessels.  Thin sutures are used for closing delicate tissues like conjunctiva& skin incisions of the face.  5-0&6-0 generally used for skin closure in head & neck.  3-0&4-0 are used intraorally www.indiandentalacademy.com
  5. 5. PRINCIPLES OF SUTURING  The needle should be grasped at approximately 1/3rd the distance from the eye& 2/3rds from the point.  The needle should enter the tissues perpendicular to the tissue surface. The needle should be passed through the tissues along its curve.   The suture should be passed at an equal depth&distance from the incision on both sides.  The needle should always pass from the movable tissue to the fixed tissue.  The needle should always pass through the thin tissue to the thick tissue. www.indiandentalacademy.com
  6. 6.  Tissues must never be closed under tension,undermining the tissues must be done prior to suturing in such cases.    The suture should be tied only to approximate the tissues,not to blanch.    The knot should never lie on the incision line.    Sutures should be placed at a greater depth than the distance from the incision so as to evert the wound margins.    Skin sutures are removed in 5 days& intraoral sutures in 7 days.   www.indiandentalacademy.com
  7. 7. CLASSIFICATION OF SUTURE MATERIALS  SUTURES ABSORBABLE SYNTHETIC MONOF ILAMENT NON-ABSORBABLE SYNTHETIC NATURAL MULTI FILAMENT MONOFILAMENT MONOFI LAMENT NATURAL MULTI FILAMENT MONO FILAME NT MULTI FILAMENT www.indiandentalacademy.com MULTIF LAMEN
  8. 8. Knot tying:  The surgeon may use either instrument tie/hand tie.instrument tie is more convenient in closed areas like mouth.  [1] square knot-formed by wrapping suture around needle holder once in opposite directions between the ties.atleast 3 ties are recommended.  www.indiandentalacademy.com
  9. 9.  [2] surgeons knot-formed by 2 throws of the suture around the needle holder on the first tie& one throw in the opposite direction in the second tie.  www.indiandentalacademy.com
  10. 10.  [3] grannys knot-this involves a tie in one direction followed by a single tie in the same direction as first& a 3rd tie in the opposite direction to square the knot& hold it permanently www.indiandentalacademy.com
  11. 11. SUTURING TECHNIQUES  INTERUPPTED SUTURES  CONTINOUS SUTURES HORIZONTAL  MATTRESS SUTURES VERTICAL  FIGURE OF EIGHT  SUBCUTICULAR SUTURES www.indiandentalacademy.com
  12. 12. INTERRUPTED SUTURES www.indiandentalacademy.com
  13. 13. CONTINOUS SUTURURING www.indiandentalacademy.com
  14. 14. VERTICAL MATTRESS SUTURES www.indiandentalacademy.com
  15. 15. HORIZONTAL MATTRESS SUTURES www.indiandentalacademy.com
  16. 16. FIGURE –OF-EIGHT-SUTURE www.indiandentalacademy.com
  17. 17. SUB-CUTICULAR SUTURES www.indiandentalacademy.com
  18. 18. SUTURE REMOVAL www.indiandentalacademy.com
  19. 19. DRAINS  Definition Indications open  Types Closed  Management   active Removal www.indiandentalacademy.com passive
  20. 20. www.indiandentalacademy.com
  21. 21. www.indiandentalacademy.com
  22. 22. www.indiandentalacademy.com
  23. 23. www.indiandentalacademy.com
  24. 24. www.indiandentalacademy.com
  25. 25. www.indiandentalacademy.com
  26. 26. Complications of drains www.indiandentalacademy.com
  27. 27. www.indiandentalacademy.com
  28. 28. www.indiandentalacademy.com
  29. 29. www.indiandentalacademy.com
  30. 30. www.indiandentalacademy.com
  31. 31. www.indiandentalacademy.com
  32. 32. www.indiandentalacademy.com
  33. 33. ALTERNATIVES TO SUTURING MATERIALS  Surgical staples  Tissue adhesives  Adhesive tapes www.indiandentalacademy.com
  34. 34. REFERENCES    1.ORAL AND MAXILLOFACIAL SURGERY-LASKIN-VOL(1)   2. Mechanical Properties of Polyglycolic Acid Sutures in Oral Surgery  J. B. MOSER, E. P. LAUTENSCHLAGER, and B. J. HORBAL- J DENT RES 1974 ,53: 804    3.GUIDE TO SUTURE MATERIALS,TECHNIQUES & KNOTS -Zum Kugelfang- 4TH EDITION,SEP-2006   4.SUTURING –THE BASICS-PRACTICAL PLASTIC SURGERY FOR NONSURGEONS-1990    5. Edgerton M: The Art of Surgical Technique. Baltimore, Williams & Wilkins,  1988. www.indiandentalacademy.com
  35. 35. 6. McCarthy JG: Introduction to plastic surgery. In McCarthy JG (ed):  Plastic Surgery.      Philadelphia, W.B. Saunders, 1990, pp 48–54.    7.SURGICAL DRAINS ,CATHS,TUBES&CENTRAL LINES- A  comprehensive Study      Al-Momtan, Ahmed T.-2010  www.indiandentalacademy.com
  36. 36. www.indiandentalacademy.com

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