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Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
Suturing; principles, armamentarium and techniques
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Suturing; principles, armamentarium and techniques

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  • 1. In the Name of Allah, the Most Beneficent, the Most Merciful And your Lord has decreed that you worship none but Him. And that you be dutiful to your parents. If one of them or both of them attain old age in your life, say not to them a word of disrespect, nor shout at them but address them in terms of honour (23) (And lower unto them the wing of submission and humility through mercy, and say: "My Lord! Bestow on them Your Mercy as they did bring me up when I was small." (24) Surat Al-IsrāWounds, Wound Healing And Suturing ELHAWARY
  • 2. Suturing Principles, Armamentarium And Techniques Assistant professor OMFSWounds, Wound Healing And Suturing ELHAWARY
  • 3. Closure (Suturing)• Approximation of the soft tissue edges to cover the surgical field Wounds, Wound Healing And Suturing ELHAWARY
  • 4. Closure (Suturing)• Approximation of the soft tissue edges to cover the surgical field• Advantages of suturing: – Promotes healing – Prevents complications • Infection • Hemorrhage • Tissue necrosis – Preserve the normal contour and shape of tissues Wounds, Wound Healing And Suturing ELHAWARY
  • 5. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissorWounds, Wound Healing And Suturing ELHAWARY
  • 6. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissorWounds, Wound Healing And Suturing ELHAWARY
  • 7. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps Point • Suture scissorWounds, Wound Healing And Suturing ELHAWARY
  • 8. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps Body • Suture scissorWounds, Wound Healing And Suturing ELHAWARY
  • 9. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissor Swaged endWounds, Wound Healing And Suturing ELHAWARY
  • 10. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissorWounds, Wound Healing And Suturing ELHAWARY
  • 11. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissorWounds, Wound Healing And Suturing ELHAWARY
  • 12. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissor Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 13. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissorWounds, Wound Healing And Suturing ELHAWARY
  • 14. Suturing Instruments Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007 • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissorWounds, Wound Healing And Suturing ELHAWARY
  • 15. Wounds, Wound Healing And Suturing ELHAWARY
  • 16. Wounds, Wound Healing And Suturing ELHAWARY
  • 17. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissorWounds, Wound Healing And Suturing ELHAWARY
  • 18. Suturing Instruments • Suturing needle • Suturing material • Needle holder • Tissue forceps • Suture scissor Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 19. Opening The Suture MaterialWounds, Wound Healing And Suturing ELHAWARY
  • 20. Opening The Suture MaterialWounds, Wound Healing And Suturing ELHAWARY
  • 21. Opening The Suture MaterialWounds, Wound Healing And Suturing ELHAWARY
  • 22. Opening The Suture MaterialWounds, Wound Healing And Suturing ELHAWARY
  • 23. Opening The Suture MaterialWounds, Wound Healing And Suturing ELHAWARY
  • 24. Opening The Suture MaterialWounds, Wound Healing And Suturing ELHAWARY
  • 25. Opening The Suture MaterialWounds, Wound Healing And Suturing ELHAWARY
  • 26. Grasping the needle holderWounds, Wound Healing And Suturing ELHAWARY
  • 27. Grasping the needle holderWounds, Wound Healing And Suturing ELHAWARY
  • 28. Grasping the needle holderWounds, Wound Healing And Suturing ELHAWARY
  • 29. Grasping the needle holderWounds, Wound Healing And Suturing ELHAWARY
  • 30. Grasping the needleWounds, Wound Healing And Suturing ELHAWARY
  • 31. Grasping the needleWounds, Wound Healing And Suturing ELHAWARY
  • 32. Grasping the needleWounds, Wound Healing And Suturing ELHAWARY
  • 33. Grasping the needleWounds, Wound Healing And Suturing ELHAWARY
  • 34. Principles of suturingWounds, Wound Healing And Suturing ELHAWARY
  • 35. Principles of suturing• Use suture needle of suitable shape and size Wounds, Wound Healing And Suturing ELHAWARY
  • 36. Principles of suturing• Use suture needle of suitable shape and size• Use suture material that is of suitable type and size for the tissues being sutured Wounds, Wound Healing And Suturing ELHAWARY
  • 37. Principles of suturing• Use suture needle of suitable shape and size• Use suture material that is of suitable type and size for the tissues being sutured• Good bite (2:3 mm from the free edge of the soft tissue) Wounds, Wound Healing And Suturing ELHAWARY
  • 38. Principles of suturing• Use suture needle of suitable shape and size• Use suture material that is of suitable type and size for the tissues being sutured• Good bite (2:3 mm from the free edge of the soft tissue)• Sutures should not be placed under tension Wounds, Wound Healing And Suturing ELHAWARY
  • 39. Principles of suturing• Use suture needle of suitable shape and size• Use suture material that is of suitable type and size for the tissues being sutured• Good bite (2:3 mm from the free edge of the soft tissue)• Sutures should not be placed under tension• Knots should be tied 2-3 mm away from the incision line Wounds, Wound Healing And Suturing ELHAWARY
  • 40. Principles of suturing• Use suture needle of suitable shape and size• Use suture material that is of suitable type and size for the tissues being sutured• Good bite (2:3 mm from the free edge of the soft tissue)• Sutures should not be placed under tension• Knots should be tied 2-3 mm away from the incision line• Suture material is cut 4-5 mm away from the knot Wounds, Wound Healing And Suturing ELHAWARY
  • 41. Principles of suturing• Use suture needle of suitable shape and size• Use suture material that is of suitable type and size for the tissues being sutured• Good bite (2:3 mm from the free edge of the soft tissue)• Sutures should not be placed under tension• Knots should be tied 2-3 mm away from the incision line• Suture material is cut 4-5 mm away from the knot• Superficial sutures must be removed 5 days after surgery to prevent infection / foreign body reaction Wounds, Wound Healing And Suturing ELHAWARY
  • 42. Suture needles• Patterns of the suture needle according to accessibility: – Straight suture needles – Curved suture needles – Half circle suture needles http://www.burtons.uk.com/products.asp?recnumber=424 Wounds, Wound Healing And Suturing ELHAWARY
  • 43. Suture needles• Patterns of the suture needle according to accessibility: – Straight suture needles • For skin closure – Curved suture needles • For intraoral suturing • For deep suturing – Half circle suture needles • For intraoral suturing http://www.burtons.uk.com/products.asp?recnumber=424 • For deep suturing Wounds, Wound Healing And Suturing ELHAWARY
  • 44. Suture needles• Patterns of the suture needle according to cross section: – Round suture needles – Triangular suture needles • Cutting • Reverse cutting http://www.starmedix.com Wounds, Wound Healing And Suturing ELHAWARY
  • 45. Suture needles• Patterns of suture needles according to cross section: – Round suture needles • Round cross section • May be straight, curved or half circle • Suturing of fragile and delicate tissues e.g. oral mucosa and mucous membranes Round needle http://www.starmedix.com Wounds, Wound Healing And Suturing ELHAWARY
  • 46. Suture needles• Patterns of suture needles according to cross section: – Cutting / Reverse cutting (Atraumatic) suture needles • Triangular cross section • May be straight, curved or half circle • Suturing of dense tissues e.g. oral mucoperiosteum Reverse cutting needle Cutting needle http://www.starmedix.com http://www.starmedix.com Wounds, Wound Healing And Suturing ELHAWARY
  • 47. Suture materialsWounds, Wound Healing And Suturing ELHAWARY
  • 48. Suture materials • Types of suture material according to resorption: – Non-Absorbable suture materials – Absorbable suture materialWounds, Wound Healing And Suturing ELHAWARY
  • 49. Suture materials • Types of suture material according to resorption: – Non-Absorbable suture materials – Absorbable suture material • Types of suture material according to nature: – Natural – SyntheticWounds, Wound Healing And Suturing ELHAWARY
  • 50. Suture materials • Types of suture material according to resorption: – Non-Absorbable suture materials – Absorbable suture material • Types of suture material according to nature: – Natural – Synthetic • Types of suture material according to gauge: – 0/00/000/0000/00000/000000Wounds, Wound Healing And Suturing ELHAWARY
  • 51. Suture materials • Types of suture material according to resorption: – Non-Absorbable suture materials – Absorbable suture material • Types of suture material according to nature: – Natural – Synthetic • Types of suture material according to gauge: – 0/00/000/0000/00000/000000 • Types of suture material according to filament – Monofilament – MultifilamentWounds, Wound Healing And Suturing ELHAWARY
  • 52. Suture materialsWounds, Wound Healing And Suturing ELHAWARY
  • 53. Suture materials Non- Non-Absorbable AbsorbableWounds, Wound Healing And Suturing ELHAWARY
  • 54. Suture materials Non- Non-Absorbable Absorbable • Can’t be resorbed by the body • Used for suturing of: – Skin closure – Routine intraoral closure – Blood vessels ligationWounds, Wound Healing And Suturing ELHAWARY
  • 55. Suture materials Non- Non-Absorbable Absorbable • Can’t be resorbed by • Can be resorbed by the body body • Used for suturing of: • Used for suturing of: – Skin closure – Deep tissues – Routine intraoral closure – Fascial layers – Blood vessels ligation – Intraoral closure in cases of: • Inability of the patient to return to remove the sutures • Mentally retarded patients • Epileptic patients • Sutures under surgical stentsWounds, Wound Healing And Suturing ELHAWARY
  • 56. Suture materials • Non-Absorbable suture materials – Silk – Cotton – NylonWounds, Wound Healing And Suturing ELHAWARY
  • 57. Suture materials • Non-Absorbable suture materials – Silk • Black or white • Tough suture material • Intraoral suturing – Cotton – NylonWounds, Wound Healing And Suturing ELHAWARY
  • 58. Suture materials • Non-Absorbable suture materials – Silk – Cotton • Weak suture material • Intraoral suturing – NylonWounds, Wound Healing And Suturing ELHAWARY
  • 59. Suture materials • Non-Absorbable suture materials – Silk – Cotton – Nylon • Very hard suture material • Used for skin closure • Cause mucosal irritation if used intraorallyWounds, Wound Healing And Suturing ELHAWARY
  • 60. Suture materials• Absorbable suture materials – Plain catgut – Chromic catgut – Collagen sutures – Polyglycolic acids sutures (Dexon) – Polyglactin-910 (Vicryl) sutures Wounds, Wound Healing And Suturing ELHAWARY
  • 61. Suture materials• Absorbable suture materials – Plain catgut • Resorbed 5-10 days • Used for suturing of deep fascia and muscles • Occasionally tissue irritant – Chromic catgut – Collagen sutures – Polyglycolic acids sutures (Dexon) – Polyglactin-910 (Vicryl) sutures Wounds, Wound Healing And Suturing ELHAWARY
  • 62. Suture materials• Absorbable suture materials – Plain catgut – Chromic catgut • Resorbed completely after 10-15 days • Non irritant to the tissues • Sutures of ligaments, tendons and severed blood vessels – Collagen sutures – Polyglycolic acids sutures (Dexon) – Polyglactin-910 (Vicryl) sutures Wounds, Wound Healing And Suturing ELHAWARY
  • 63. Suture materials• Absorbable suture materials – Plain catgut – Chromic catgut – Collagen sutures • More uniform physical properties • Prepared from tendons of cattle – Polyglycolic acids sutures (Dexon) – Polyglactin-910 (Vicryl) sutures Wounds, Wound Healing And Suturing ELHAWARY
  • 64. Suture materials• Absorbable suture materials – Plain catgut – Chromic catgut – Collagen sutures – Polyglycolic acids sutures (Dexon) • Synthetic polymer • Resorbed by hydrolysis within 15-30 days – Polyglactin-910 (Vicryl) sutures Wounds, Wound Healing And Suturing ELHAWARY
  • 65. Suture materials• Absorbable suture materials – Plain catgut – Chromic catgut – Collagen sutures – Polyglycolic acids sutures (Dexon) – Polyglactin-910 (Vicryl) sutures • Synthetic inert copolymer • The strongest absorbable suture material • Resorbed 60 – 90 days Wounds, Wound Healing And Suturing ELHAWARY
  • 66. Factors affecting selection of suturing material• Area to be sutured – Deep layers Vs superficial layers – Intraoral surgeries Vs extraoral – Vascular anastomoses are performed with fine-bore non- absorbable materials• Strength of the sutures needed• Tissue reactivity toward suture material Wounds, Wound Healing And Suturing ELHAWARY
  • 67. The suture packagingWounds, Wound Healing And Suturing ELHAWARY
  • 68. The suture packagingWounds, Wound Healing And Suturing ELHAWARY
  • 69. The suture packaging MaterialWounds, Wound Healing And Suturing ELHAWARY
  • 70. The suture packaging Material SizeWounds, Wound Healing And Suturing ELHAWARY
  • 71. The suture packaging Material Size ColorWounds, Wound Healing And Suturing ELHAWARY
  • 72. The suture packaging Material Size Color SterileWounds, Wound Healing And Suturing ELHAWARY
  • 73. The suture packaging Material Size Color Single use SterileWounds, Wound Healing And Suturing ELHAWARY
  • 74. The suture packaging Material Size Color Single use Needle code Sterile with life size pictureWounds, Wound Healing And Suturing ELHAWARY
  • 75. The suture packaging Material Size Shape Color Single use Needle code Sterile with life size pictureWounds, Wound Healing And Suturing ELHAWARY
  • 76. The suture packaging Material Size Shape Color Needle length Single use Needle code Sterile with life size pictureWounds, Wound Healing And Suturing ELHAWARY
  • 77. The suture packaging Material Size Shape Color Needle length Cross-section Single use Needle code Sterile with life size pictureWounds, Wound Healing And Suturing ELHAWARY
  • 78. The suture packaging Material Material length Size Shape Color Needle length Cross-section Single use Needle code Sterile with life size pictureWounds, Wound Healing And Suturing ELHAWARY
  • 79. The suture packaging Material Material length Size Shape Color Needle length Cross-section Expiration date Single use Needle code Sterile with life size pictureWounds, Wound Healing And Suturing ELHAWARY
  • 80. Suturing techniquesWounds, Wound Healing And Suturing ELHAWARY
  • 81. Suturing techniques• Interrupted sutures• Continuous sutures• Continuous with lock suture• Horizontal mattress suture• Vertical mattress suture Wounds, Wound Healing And Suturing ELHAWARY
  • 82. Suturing Materials & Techniques INTERRUPTED SUTURESWounds, Wound Healing And Suturing ELHAWARY
  • 83. Manual of Minor Oral Surgery for the General Dentist By Karl R. Koerner 2006 by Blackwell Munksgaard,Wounds, Wound Healing And Suturing ELHAWARY
  • 84. Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 85. Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 86. Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 87. Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 88. Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 89. Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 90. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 91. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 92. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 93. Hesham El-Hawary www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 94. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 95. Oral Surgery by Fragiskos D. Fragiskos Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007 Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 96. Key suture Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 97. Key suture X Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 98. Key suture Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 99. Key suture Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 100. Key suture X Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 101. Rule of Halves X Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 102. Rule of Halves X X Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 103. Rule of Halves X X X Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 104. Suturing Materials & Techniques CONTINUOUS SUTURESWounds, Wound Healing And Suturing ELHAWARY
  • 105. Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007 Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 106. Suturing Materials & Techniques CONTINUOUS WITH LOCK SUTURESWounds, Wound Healing And Suturing ELHAWARY
  • 107. Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007 Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 108. Suturing Materials & Techniques HORIZONTAL MATTRESS SUTUREWounds, Wound Healing And Suturing ELHAWARY
  • 109. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 110. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 111. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 112. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 113. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 114. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 115. Eversion of the edges Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 116. Manual of Minor Oral Surgery for the General Dentist By Karl R. Koerner 2006 by Blackwell Munksgaard,Wounds, Wound Healing And Suturing ELHAWARY
  • 117. Oral Surgery by Fragiskos D. Fragiskos © Springer-Verlag Berlin Heidelberg 2007 Oral Surgery by Fragiskos D. Fragiskos © Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 118. Suturing Materials & Techniques VERTICAL MATTRESS SUTURESWounds, Wound Healing And Suturing ELHAWARY
  • 119. Oral Surgery by Fragiskos D. Fragiskos Springer-Verlag Berlin Heidelberg 2007Wounds, Wound Healing And Suturing ELHAWARY
  • 120. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 121. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.com 1 4 3 2Wounds, Wound Healing And Suturing ELHAWARY
  • 122. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.com 1Wounds, Wound Healing And Suturing ELHAWARY
  • 123. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.com 1 2Wounds, Wound Healing And Suturing ELHAWARY
  • 124. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.com 3Wounds, Wound Healing And Suturing ELHAWARY
  • 125. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.com 4Wounds, Wound Healing And Suturing ELHAWARY
  • 126. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.com 1 4 3 2Wounds, Wound Healing And Suturing ELHAWARY
  • 127. Dr. Hesham El-Hawary Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 128. Dr. Hesham El-HawaryFrom the inner aspect Ass. Prof OMFS www.elhawarydentalclinic.com 1 4 2 3Wounds, Wound Healing And Suturing ELHAWARY
  • 129. Dr. Hesham El-HawaryFrom the inner aspect Ass. Prof OMFS www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY
  • 130. Thank you Dr. Hesham El-Hawary El- Ass. Professor OMFS Facebook: Facebook: Hesham El-Hawary El- Twitter: @elhawary_hesham Email: hesham@elhawarydentalclinc.com Website: www.elhawarydentalclinic.comWounds, Wound Healing And Suturing ELHAWARY

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