MONOGLYC™ APICAL MATTRESS SUTURE TECHNIQUE

A new suture and suturing technique that will help you to remove tension & mobility of the buccal flap

DID YOU KNOW ?


It takes 4 to 6 weeks to obtain significant reattachment of the periosteum.
The suture must stay in place for a least 4 weeks.


Periosteum reattachment requires a lot of time

When a flap is raised, it becomes mobile interrupting the blood supply causing bone loss. Mobility also creates tension which will be eliminated when reattachment occurs. Most suture materials are removed after 1 to 2 weeks. This is not enough time for the body to achieve suitable reattachment of the periosteum. If the periosteum is not stable, the flap will remain mobile and there will be tissue tension.

The Apical Mattress - Technique Benefits

  • Helps remove tension & mobility of the buccal flap
  1.     Decreases soft tissue ischemia
  2.     Promotes faster healing & increased soft tissue thickness
  3.     Greatly decreases the risk of dehiscence
  • Faster revascularization of the cortical bone
  • Faster revascularization of the grafted bone
  • Prevention of the native bone resorption
  • Prevention of the bone graft resorption

Monoglyc™: a suture that remains strong, stays plaque free and resorbs

Using a monofilament instead of a braided suture will avoid plaque formation and inflammation.

Which kind of monofilament should be used ?


Monofilament can be absorbable or nonabsorbable.
 
Nonabsorbable: After 4 weeks, the monofilament will be embedded into the flap and not so easy to remove.
Absorbable: Monoglyc™, as an absorbable monofilament suture, is an excellent choice!


THE Solution:  Monoglyc™ + Apical Matress suture

Monoglyc™ | Absorbable Dyed Monofilament Suture

The smooth monofilament surface structures of the Monoglyc™ polymer result in excellent handling and tissue passage properties. Tissue trauma from suturing is virtually non existant with Monoglyc™, and the monofilament structure prevents bacterial wicking. Monoglyc™ smooth surface provides excellent handling properties, combined with the sharp and high quality needle allow for atraumatic passage through tissue.


Features & Benefits

  • Stretchy
  • Stable knots
  • High tear resistance
  • Reliable knot security
  • Maintain 50% tensile strength for 14-28 days
  • Enough time to achieve periosteum reattachment
  • Very supple
  • Atraumatic tissue passage
  • Optimal tissue compatibility
  • No need to be removed
  • No plaque build up
  • Absorbable in approximately 4 weeks (5/0)
  • Decreased risk of dehiscence

 

Revision: Characteristics of Suture Material

Absorbable:
Increasing loss of mass or volume of the suture material

Breaking strengh:
Limit of breaking strength at which the suture material breaks

Capillarity:
Volume of fluid absorbed along the suture line

Elasticity:
Ability of the material to return to its original shape after deformation

Fluid absorption:
Ability of the material to absorb fluid after immersion

Knot tearing strengh:
Ability of the material to absorb fluid after immersion

Knot strengh:
Ability of the material to absorb fluid after immersion

Memory effect:
Special ability of the suture material to maintain or return to its original form

Flexibility:
Easy handling of the suture material; possibility of adjusting the knot tension; secure fit of the knot

Tear strengh:
Ability of the material or tissue to withstand deformation or breakage

 

Absorbtion time

Time in which the thread material loses 50% of its tensile strength

Tear strenght

Time in which the thread material loses 50% of its tensile strength

Short-Term Tissue Support MONOGLYC®

Indications:

Subcutaneous sutures
Narrow intestinal anastomoses
Urological anastomoses

Materials:

Polyglcolic acid & Caprolactone

Struture/Color:

Monofilament; violet/uncoloured

Coating

None

USP

6-0 to 1

Tear Resistance

3 days = 60%
7 days = 30%

Mass absoption

91 - 110 days

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