IMPORTANT: Cut these Sutures Long! PGCL sutures must be cut long : minimum 8mm. This is due to the fact that as it resorbs the stubby ends can cause irritation to adjacent tissue. So it is recommended to leave about 8 mm at end of cuts.
Monoglyc PGCL Suture is a is a sterile synthetic absorbable monofilament surgical suture produced from a copolymer of glycolic acid and ε-caprolactone. It is indicated for procedures that require high initial tensile strength diminishing over 2 weeks postoperatively, including subcuticular closure and soft tissue approximations and ligations.
MONOCRYL Suture is a highly pliable monofilament suture that handles and ties easily, is virtually inert in tissue, and absorbs predictably. High initial tensile strength diminishes over 2 weeks postoperatively.
Tensile Strength and Absorption
The gradual loss of tensile strength and absorption of Monoglyc PGCL Suture occurs by the means of hydrolysis. On absorption, there is first a reduction in tensile strength followed by a loss of mass. Implantation studies showed that approximately 70 % of the original tensile strength is available after seven days and approximately 40% after fourteen days. Absorption is fully complete in approximately 90 days.
Why is this Suture Ideal for the Apical Mattress Technique
The Apical Mattress Technique is a new suturing technique that will help you remove tension & mobility of the buccal flap.
Periosteum reattachment requires a lot of time: Solution = Apical Mattress + PGCL Suture
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, which can take 4 to 6 weeks. If the periosteum is not stable, the flap will remain mobile and there will be tissue tension. The the Apical Mattress Technique helps remove tension & mobility of the buccal flap, and thereby: Decreases soft tissue ischemia, Promotes faster healing & increased soft tissue thickness, and Greatly decreases the risk of dehiscence. Since the Monoglyc PGCL suture is a suture that remains strong, stays, plaque free and resorbs in approximately 90 days, it is the ideal suture for the apical mattress technique. Learn more by taking our online lecture.
This a great overview of the Monoglyc PGCL sutures, demonstrating the unique features and benefits of this suture.
Dr. Choukroun reviews the Apical Mattress Technique, a new suturing technique that will help you remove tension & mobility of the buccal flap. Additionally, he demonstrates the use of the Monoglyc PGCL Suture for the mattress technique.