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Monoglyc PGCL Suture is a highly pliable monofilament suture, that also absorbs predictably. With the smooth monofilament surface structures, it handles and ties easily, and is virtually inert in tissue. Basically, PGCL sutures behave like PTFE sutures, but do not need to be removed!
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.
|Questions and Answers|
PGCL sutures will not resorb prematurely which ensures that your incision line and tissue flap remains closed long enough for proper healing and closure. PGCL sutures behave like non-resorbable PTFE without the need to remove the sutures.
- PGCL is dissolved by the body’s own processes. - No foreign material remains in the body - No removal is necessary - Absorbable in approximately 4 weeks. Fully absorbed in 90 days. - Smooth Surface - Little tissue damage - No bacterial accumulation and no plaque buildup - No capillarity (volume of fluid absorbed along the suture line)
The Monoglyc™ PGCL sutures are available in packages of 24 units. We currently sell the 4-0 and 5-0 sizes.
We currently sell the 4.0, and 5.0 sizes in the 45cm length version with 3/8, 18mm reverse-cutting needle (C-6/FS-2 Needle Type).
The PGCL suture is a monofilament suture that prevents bacterial wicking, as opposed to a braided suture that allows for a perfect surface for bacteria to grow.
The Monoglyc™ suture glides smoothly through the tissue because of the single strand monofilament construction aided by the super sharp needles.
It takes 90 to 110 days for the Monoglyc™ PGCL sutures to completely absorb and no longer be noticeable.
For those who are used to PTFE sutures, sometimes if the suture is left in for a prolonged period, it tends to get buried, making it difficult to retrieve. On the other hand, PGCL Sutures will last quite some time because it is 100% resorbable and has added PCL polymer. You do not have to worry about having to remove the suture!
The PGCL suture is fully-resorbed in about 90 days. This means that in 90 days the PGCL suture material is 100% absorbed by the body so that there is no trace of the suture material. However, while the suture takes 90 days to fully resorb, it maintains its strength for approximately 4 weeks. The 4-week time frame is for the strength of the suture material to be sufficient to keep the flap closed without tension before it disintegrates further. So for 4 weeks it provides strength to keep flap and incision line stable.
Apical Mattress Lecture Preview
Preview of Dr. Choukroun's lecture on the apical mattress suture technique. Watch the entire lecture by logging into our FREE Online CE.
Video Apical Mattress Suture Technique Using Monoglyc
Video showing the Apical Mattress Suture Technique Using Monoglyc by Dr. Joseph Choukroun
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