Suture

Question 1

What is the primary incision also known as?

Answer 1

inverse bevel/extra crevicular/extra sulcular incision.

Question 2

What is the purpose of the primary incison?

Answer 2

separate healthy collagen fibers of the gingival flap from the diseases epithelium

Question 3

Secondary incision is also known as?

Answer 3

Sulcular incision - apically directed into sulcus.

Question 4

What does the sulcular incision do?

Answer 4

separate gingival crest from the tooth

Question 5

What are the two key gingival fibers that reinforce the marginal gingiva?

Answer 5

Dentogingival and Alveolar

Question 6

For what incision is the Orban knife used?

Answer 6

Tertiary - tissue release interproximally

Question 7

What incision/knife is used to sever the alveogingival fibers?

Answer 7

Orban

Question 8

Orban knives are indicated with what?

Answer 8

1. interproximally tissue release
2. sever alveologingival fibers
3. remove dz soft tissue collar abutting the tooth

Question 9

Describe the kirkland knife:

Answer 9

1. kidney shaped 2. entire periphery is cutting edge 3. used to remove gingival overgrowth and suprabony pockets 4. maybe used in crown lengthening

Question 10

What are 2 considerations when applying kirkland knife?

Answer 10

incision is contained in the gingiva, blade is coronally directed.

Question 11

The Hirschfield retractor, periosteal elevator, and prichard retractor are used to elevate what type of flap due to what design?

Answer 11

Elevate mucoperiosteal flap due to blunt ends

Question 12

What is a good indication of the prichard curette?

Answer 12

remove granulation tissue from intrabony defects

Question 13

Describe the sugarman interproximal file: (4)

Answer 13

1. narrow tip
2. files on both sides
3. inserted apical to contact to remove residual interproximal granulation tissue and flatten osseous crestal deformities
4. Uses “push and pull” motion

Question 14

Describe the Ochsenbein chisel: (5)

Answer 14

1. straight chisel
2. cuts on laterals and tip
3. semicircle indentations on both sides of shank that allow instrument to engage around tooth and into interdental line angle
4. used to remove widow’s peaks at line angles
5. uses pushing motion

Question 15

Describe Rhodes back action chisel: (4)

Answer 15

1. curved
2. cutting edge only at tip
3. can be used to remove bony peaks at line angles
4. uses pulling motion

Question 16

Describe the Castroviejo Needle holders:

Answer 16

used for precise and delecate technique, better grasp of thinner sutures

Question 17

Name 3 types of nonresorbable sutures?

Answer 17

black silk, ePTFE, nylon

Question 18

Name 2 natural resorbable sutures:

Answer 18

plain gut, chromic gut

Question 19

Name the synthetic resorbable suture:

Answer 19

vicryl

Question 20

What is the pattern for a simple interrupted loop suture?

Answer 20

Facial Papilla: outside – in; Lingual papilla: inside – out

Question 21

Name 4 indication for simple interrupted loop?

Answer 21

1. Close vertical releasing and interproximal areas
2. Replaced and coronally positioned flap closure
3. Most common due to easy
4. good for primary closure

Question 22

What is the pattern for figure 8 sutures?

Answer 22

Facial papilla: Outside – in; Lingual papilla: outside – in

Question 23

Indications for figure 8 sutures?

Answer 23

1. closure of vertical and interproximal areas

2. can be used when there is a gap bt flap margins (difficulty approximating buccal and lingual papillas)

Question 24

Pattern for single interrupted sling?

Answer 24

1. MF papilla: pierce outside – in
2. suture DOES NOT engage lingual papilla
3. suture slings around tooth and passes over DF papilla
4. DF papilla: suture pierces outside - in
5. suture is circled back to MF and tied

Question 25

Indications for single interupted sling?

Answer 25

separate facial or lingual flap positioning in isolated areas.

Question 26

Examples of sling use?

Answer 26

1. only when facial is elevated
2. repositioning of facial flap and apically positioning lingual flap
3. securing soft tissue grafts
4. securing GTR membrane

Question 27

Pattern of cont. uninterrupted sling?

Answer 27

Same technique of single interrupted.