suture removal

Question 1

suture

Answer 1

• a suture is a strand or fibre used to unite parts of the body

Question 2

purpose of a suture

Answer 2

• sutures maintain healing tissues in position
• maintain the clot during the initial healing period
• help to reduce postoperative pain, protect the area from foreign debris

Question 3

2 types of sutures

Answer 3

absorbable
non absorbable

Question 4

3 types of absorbable sutures

Answer 4

• Plain Catgut

• Chromic Catgut

• Polyglactin 910/ Vicryl

Question 5

Polyglactin 910/ Vicryl

Answer 5

A synthetic absorbable material

Question 6

chronic catgut

Answer 6

absorbable suture that provides a much slower healing, allowing the internal tissues to heal first

Question 7

plain catgut

Answer 7

Provides the fastest healing for mucous membranes and subcutaneous tissues

Question 8

3 types of non absorbable sutures

Answer 8

• Silk- strong and easy to use
• Polyester Fiber- One of the strongest sutures
• Nylon- strong and elastic

Question 9

non absorbable sutures

Answer 9

• removed 5 to 7 days as indicated by the type of surgery
• surgical silk is black twisted or braided
most widely used in oral surgery

Question 10

interrupted suture

Answer 10

• the most commonly placed sutures for a single tooth socket.
• series of interrupted sutures
• each with its own independent knot

Question 11

continuous/uninterrupted suture

Answer 11

• a series of stitches tied at one or both ends
• examples of sutures that may be applied in a series are the sling or suspension and the blanket

Question 12

blanket/continuous lock suture

Answer 12

• each stitch is brought over a loop of the preceding one, thus forming a series of loops on one side of the incision and a series of stitches over the incision
• may be used to approximate the gingival margins after alveolectomy

Question 13

vertical/mattress suture

Answer 13

• it provides closure for both deep and superficial layers
• Its disadvantage is a relatively high propensity to dig into skin and cause prominent stitch mark scars.

Question 14

Circumferential suture

Answer 14

• the suture encircles the tooth
• for suspension and retention of a flap

Question 15

what three precautions should you take when removing sutures

Answer 15

• count sutures, record number removed
• record all observation of tissues, note any adverse reaction
• if sutures have a crust, swab with mineral oil to soften the crust

Question 16

interdental suture

Answer 16

flaps are in both lingual and facial sides

suture is passed through each interdental area