1. BY.DR HINA ADNAN

2.  Surgery involves the creation of a wound, and proper closure of this wound is usually necessary to promote optimal healing. Suturing a wound positions and secures the surgical flaps to promote healing.

3.  Promotes healing  Prevents complications  Infection  Hemorrhage  Tissue necrosis  Preserves the normal contour and shape of the tissue.

4.  Suturing needle  Suturing material  Needle holder  Tissue forceps  Suture scissors

11.  Straight suture needles  Curved suture needles  Half circle suture needles

12.  Straight suture needles: > For skin closure  Curved suture needles > For intraoral suturing >For deep suturing Half circle suture needles >For intraoral suturing

13.  Non-Absorbable suture materials  Absorbable suture material  Types of suture material according to nature:  Natural  Synthetic

14.  0/00/000/0000/00000/000000  Types of suture material according to filament :  Monofilament  Multifilament

15. Non-AbsorbableAbsorbable Can’t be resorbed by the bodyCan be resorbed by the body body Used for suturing of: – Skin closure -Routine intraoral closure -Blood vessels ligation Used for suturing of: Deep tissues Facial layers Intra oral closure in cases of: Inability of the patient to return to remove the sutures. Mentally retarded patients Epileptic patients Sutures under surgical stunts.

16.  Non absorbable:  Silk  Cotton  Nylon

17.  Plain catgut  Chromic catgut  Collagen sutures  Polyglycolic acid sutures  Polyglactin -910 vicryl sutures.

18.  Interrupted sutures  Continuous sutures  Continuous with lock sutures  Horizontal mattress sutures  Vertical mattress sutures