Open Gum After 1 week!

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Posted on By Rafael Molina In Bone Grafting

Good morning everyone in Dental XP, I need help from the most experienced, this patient opened the wound 2 times, and I made implants with bone graft with A-PRF, A-PRF Liquid, I-PRF, Bone and membranes of pericardium, the technique of Tissue Brush, apical sutures was used, and it came to me that way, the only thing that I tried after a week was to suture again with nylon thread, what could happen? I never happened to why I ask for your help.

Thank you very much in advance

Greetings to all.

Open wound
Close with nylon 5.0

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4 Comments

I have seen this before with high muscle attachments especially in the mandible, genioglossus and mentalis strain on flaps. Would irrigate and place PRF fibrin and attempt new closing sutures with PTFE and maintain on antibiotics. Good luck and keep us posted. Dr. Salama


Reply

Thanks Dr. Maurice Salama!! I will put the result!! Regards


Reply

Horizontal mattress sutures 6-7mm above margins of flap before suturing the margins themselves also help at preventing muscle pull from opening the flap.


Reply

Thanks i will do too, if i need when i check the patient again!! regards!!


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