The needle is reinserted continuously so that the suture runs perpendicular to the incision line below and obliquely above. The knot was tied over the untightened end of the suture.
Is sewn securely by passing the needle from one edge to the other and then from the latter edge to the first. It proceeds by two levels, one superficial to bring the edges together and flatten them, and one deep to support and adduction of the wound surfaces at a depth. The insertion is shallower than it was for the first flap when the needle is pulled back from the second to the first.
The maximal tissue approximation and wound site adaptability provided by this suture significantly reduces the quantity of dead tissue and space along the injury line.
It is an ideal choice for extraction sites, maintaining both the blood clot and materials packed into the socket, such as gel foam, collagen plugs, and graft material.
Provide support to the wound and reduce tension on the wound edges, allowing better epidermal approximation of the wound. They are also used to eliminate dead space, or they are used as anchor sutures to fix the overlying tissue to the underlying structures.
Needle passed from hemisects of tooth to outer surface of buccal flap, perambulates the teeth and passed from palatial flap in distal. Suture is brought back to hemisects where suture starts, passed from internal surface of buccal flap, and knotted.
Involves holding the handpiece in a pen grasp but reversed, with the thumb and index finger pointing towards the dentist. This position can be useful in specific situations.
Dentists may use this position when accessing hard-to-reach areas, guiding the handpiece with the thumb close to the nose for improved maneuverability.