Successful wound closure in oral surgery depends on precise technique, tension control, and proper suture selection. Vitality™ Sutures are designed for smooth handling, reliable knot security, and predictable absorption—ideal for a wide range of oral and periodontal procedures.
Explore the full line here: Vitality™ Suture Collection.
1. Grasp the Needle Correctly
Hold the needle with the needle holder at roughly one-third from the swaged end. This gives better control and reduces needle deformation.
2. Enter Perpendicular to Tissue
Penetrate at 90° to the tissue surface. Oblique entry increases the risk of tissue tearing and imprecise margins.
3. Follow the Needle’s Curvature
Advance your hand in the natural arc of the needle—don’t twist or force it—minimizing tissue trauma.
4. Keep Symmetry in Depth and Distance
Place bites at equal depth and equal distance from the incision on both sides to balance tension and support primary intention healing.
5. Mobile to Fixed
When suturing a flap, pass from the mobilized side to the fixed side to improve adaptation and stability.
6. Manage Uneven Thickness
If one side is thinner, enter the thin side first, then pass through the thicker side to avoid tearing delicate tissue.
7. Manage Uneven Heights
If one side is lower, start on the lower side and proceed to the higher side for even edge approximation.
8. Match Bite Size to Needle Size
With small needles, avoid overly large bites; deep bites make it difficult to locate and retrieve the tip safely.
9. Ensure Passive Closure
Release the flap sufficiently so closure is passive. If you must stretch tissue to approximate, expect ischemia, necrosis, and potential dehiscence.
10. Maintain Spacing
Keep ~3–4 mm between sutures to provide stability while preserving perfusion.
Recommended Vitality™ Sutures (Direct Links)
Chromic Gut (short-term absorbable, ~10–14 days support)
PGA Antibacterial (absorbable, longer tensile support)
Polypropylene (non-absorbable, extended support & low tissue reactivity)
Browse all options in the Vitality™ Suture Collection.
