18th İstanbul Oral and Dental Health Devices and Equipment Fair IDEX 2023 will be organized in İstanbul with great excitement with the participation of more than 450 local and international firms. The sector will gather in IDEX İstanbul at İstanbul Fair Centre between 25-28 May 2023. The fair which thousands of products and services will be exhibited will be visited by numerous individuals including dentists, dental technicians, academicians, students, suppliers and distributors participating from more than 100 countries.

Boz Medical as the leading firms in Turkey in surgical suture and catgut manufacturing will be in the IDEX 2023 fair. Boz will promote dental sutures, hemostatic agents and surgical meshes throughout the festival and offer special discount and additional advantages after fair for all the visitors who will visit the Boz Medical stands during the fair.

Boz Medical will be in 18th İstanbul Oral and Dental Health Devices and Equipment Fair IDEX 2023 organized in İstanbul Fair Centre and would be happy to welcome our dear visitors in Hall 4 and stand D14.

More than 66 thousand people visited AEEDC Dubai Exhibition annually organized in Dubai in the United Arab Emirates (UAE) where dental equipment, materials and dentistry laboratory products are exhibited in 2022 and 3600 firms from different countries opened stands. The exhibition hosted total of 36 firms which 18 national participants from Turkey and hundreds of visitors.

We were at 3 C07 stand as Boz Medical in the exhibition organized between 1-3 February. We promoted our products specially manufactured for the dentistry field to firms in the European, African and Middle Eastern market in the 3-day exhibition. The visitors who visited our stand also had the chance to take a closer look to our products and test them. We offers our solutions and recommendations to different people and needs as Boz Medical during the exhibition.

Dubai AEEDC 2022 exhibition which is an important meeting point for the dental sector was productive for our firm. We gathered with existing and potential customers and we were extremely happy to exchange ideas about our business relationships and products. We would like to thank all our visitors who visited us at AEEDC Dubai 2022 International Dentistry Exhibition. We will continue to welcome our guests at our stands to meet in new exhibitions in the future.

We will be on our stand in International Dental Show that is leading global trade fair of dentist society. We will meet with our valuable customers in IDS 2019 fair.

International Dental Show is organised biannually and latest fair was completed in Cologne in 2017. Focus point of International Dental Show is digital manufacturing and diagnosis methods, smart network solutions for application and laboratory, and smart services for dentists and dental technicians. Additionally, the purpose of this fair is to improve global patient care and oral health. IDS fair is regarded as the largest global dental fair with attendance of 1500 firms and more than 155,000 oral and dental health professional visitors from 157 countries.

IDS 2019 38th International Dental Show

IDS 2019 offers wide range of elements to be experienced by all institutions and individuals working on oral and dental health. Visitors will be able to access various dental instruments ranging between daily application to laboratory work. This organisation will last for 5 days including exhibitions, seminars, forums, award ceremonies and shows.

Boz Medical will be in IDS 2019 – 38th International Dental Show with all the excitement to be with shareholders of dental world. As Boz Medical, we will be ready for our valuable business partners in Hall 2.2, Stand B-070 in IDS 2019 38th International Dental Show organised in Koelnmesse Fair Centre in Cologne, Germany between 12-16 March 2019. In our stand, we will introduce our dental sutures and haemostats developed to meet all demands and needs of oral and dental health sector. Also, we will provide the opportunity to test our products to visitors of our stand. If you want to learn more about our products and view how our products are used in operations closely, we would be happy you see you in this organisation that combines sector leaders.

You can click the button below to book your place and select the most suitable date and hour for your appointment.

APPOINTMENT NOW

In Greatist 2018 fair, one of the largest oral and dental health fair organised in Turkey, Boz Medical has met with all participants of the sector. Boz Medical was in Greatist 2018 fair with expert marketing team to answer all demands and questions of fair visitors. During intense fair period, visitors had the chance to test all dental suture products of Boz Medical.

High number of visitors and excitement of visitors towards dental suture products once more showed that Boz Medical is a leader in this sector and emphasises R&D work by conducting unique work.

During the fair, Boz Medical Marketing Director Reha Özçelik met our visitors and paid special attention to each of our visitors. Reha Özçelik made the following statement after the fair:

“We would like to thank everyone who visited our stand in Greatist 2018 and who were interested in our firm and products. As Boz Medical Marketing team, we are happy to consolidate and improve our cooperation with existing and new customers. We would like to notify all our customers that we will keep our dynamic and innovative path in surgical suture products.”

We are thankful to our valuable customers and visitors who visited our stand and shared fair excitement with us in Greatist 2018 fair as Boz Medical Family. Please do not hesitate to contact us for all your questions and other details. Our team will happy to help you and inform you…

In oral and maxillofacial surgery, incision and implant design can require suturing while placement of implant based on original anatomic position or operation properties. Last step of surgical operations that require incision/laceration is suturing.

Suture techniques are critical in surgery. At this point, it is vital to select appropriate material for traumatic surgical operations. When materials and methods to close the wound are inappropriate, normal healing process can become longer. Additionally, one of the few indicators that patients who completed oral surgery treatment to determine skills of the doctors is the look of sutured wound.

Generally, preference and habits of surgical doctor are effective in suture selection. Effective use of suture is only possible when the surgeon knows properties of needles and sutures and surgeons applies these in certain areas. (1)

Dental Suture

Suturing is an application to provide tissue integrity that decayed after surgical operation and controls resulting bleeding (2). Sutures are materials that are comprehensively and commonly used in all fields of surgery. (3)

Suture Materials

Needle Holder

This tool holds the needle while suturing. Handle part can be locked. These needle holders are available with thick and thin ends. Needle holder tip is shorter and stronger than hemostat. Part that holds the suture is staggered-tooth and enables stability. (4)

Needle

These are high-quality steel developed to pass the suture from tissue with minimal damage. Suture needles are available in wide range from small to large. Tips can be in round form like sewing needle or in triangle form. (Figure 1)

Figure 1 – Needle Tip Types (4)

Needle shapes: These needles could be straight or curved. Curved type: These can be in 1/2, 1,4, 3/8, 5/8 or J shaped circle form. (Figure 2) (2, 4)

Figure 2 – Curved Needle Shapes (2)

Sutures

Selecting appropriate sutures may depend on biological structure of the wound and anatomic localisation. This selection is as important as technique and experience of the surgeon. Properties of ideal suture can be listed as follows:

1. Perfect tension strength
2. Easy to use
3. Good know safety
4. Minimum tissue reaction
5. Compliance with tissue oedema or contraction
6. Prevent infection

Things to Be Considered When Selecting Sutures

Tension Strength

This value is obtained by dividing weight that will cause suture to rip to cross-sectional area of the suture. This value is proportional with suture diameter. This value is standardised and numbered based on American Pharmacopeia. Numbering is as #/0. As number increases, diameter and tension strength decreases. (2) To enable wound closure in periodontal plastic surgery, minimum tension force should be applied on suture material.

Knot Strength

This is the force necessary to untangle the knot. This is related with slipperiness of the suture. (2)

Capillarity

This is related with physical configuration. Sutures have monofilament and multifilament structure. Twisted and braided structure of multifilament sutures enables ease-of-use however, micro cavities between filaments makes it easy for liquids to move along suture. This property is called capillarity. High capillarity means high infection risk. (2)

Elasticity

This is the property of the suture to get back to old form and length after tension. This way, suture stretches during tissue oedema and returns to old form after oedema disappears. (2)

Tissue Reaction

This is inflammation of wound tissue around suture. Since all suture materials are foreign, these sutures cause mild or severe reaction. Tissue reaction is peaked between day 2 and 7. This time and intensity of the reaction is related with suture type and amount. Multifilament cause higher tissue reaction than monofilaments and natural sutures cause higher tissue reaction than synthetic options. More than normal material within wound tissue will also increase infection risk. (2)

Suture Types for Absorption

Absorbable Sutures

These are operation sutures generally used to close dermis to decrease tension at the edges of epidermal wounds. High tension strength, absorption time, low tissue reaction, and good knot safety are important properties. There are synthetic and natural types: While natural sutures only have plain catgut and chromic catgut, synthetic absorbable ones include polyglycolic acid (PGA), polyglycolide lactic acid (PGLA), polydioxanone (PDO), and polyglycolide caprolactone (PGCL). (Table 1) (2, 5)

Table 1 – Absorbable Sutures (5)

Non-Absorbable Sutures

These sutures are durable against proteolysis and hydrolysis. These sutures can have tension strength on 60th day. Non-absorbable suture types: silk, nylon polyamide (PA), polypropylene (PP), polyester polytetrafluoroethylene (PTFE), and stainless steel. (Table 2)

Table 2 – Non-absorbable Sutures (5)

Silk is commonly preferred by surgeons. These sutures are manufactured from natural proteins obtained from silkworm cocoon. Silk is multifilament (naturally braided) and these sutures are perfect for usage, suturing, and knotting. Since it is natural fibre, this suture doesn’t cause significant tissue inflammation. It has high capillarity. Elasticity and plasticity are low. To understand the product easily, there are necessary information on suture packages for surgeons. (Figure 3) (2, 5)

Figure 3 – Suture fabrication tag information (2)

Suture Principles

Needle holder should hold the needle at 1/3 back of the needle. Needle should be applied with a right angle (90º). This way, tissue ruptures are prevented. Tissue should pass from the tissue with its own curve to prevent rupture. Needle should be pricked at least 3 mm away from both sides of wound tissue and to same dept. If two sides of the wound has different thickness, needle should be pricked from thin side to thick side. While suturing, tissue should not be pulled and stretched. If tissues are sutures by stretching, stiches will open. If know is too tight, tissue may rupture and cause ischemia. Knots should be on incision line. Each knot should have 3-4 mm between them.

While suturing, corners or papilla are sutured first, and vertical and horizontal incisions are sutured later. If one of the wound sides is upright, knot is positioned on the stable side, tightened, and both sides of the wound are levelled. If tissues have different thickness, suturing should be deeper on the thinner side or needle should be pricked from further of incision in thin side, and two sides of the wound should be connected.

If there is no special case, sutures are removed in 5-7 days. When sutures are removed, suture is hold and pulled upwards with a dental tweezer or forceps and one side of the suture beneath knots are cut. Before removing sutures, it is recommended to rinse the mouth with anti-septic. (4) To decrease tension between flap edges, before suturing, flap tissue should be positioned into designed area in passive form. Tissue trauma such as tension, rupture, or distortion should always be avoided. Gentle and careful manipulations with micro surgical instruments are beneficial.

Since each suture causes extra damage around wound edges, possibly lowest number of sutures should be applied. 6/0 and 8/0 non-resorbed suture material should be selected. Resorbable material be selected for multi-layered closure. Sutures should not act as ligatures and minimum tension should be applied. (6)

Dental Suture Suturing Types

Simple Suture

This is the most common suture technique within mouth cavity. Suture passes from one side of the wound, exits from the other side, and knotted at the top. (Figure 4) (4)

Figure 4 – Simple Suture Technique (4)

Vertical Mattress Suture

Vertical mattress suture technique is applied in two stages especially on tissue on skin. (Figure 5) (4)

Figure 5 – Vertical Mattress Suture Technique (4)

Horizontal Mattress Suture

Horizontal mattress suture technique tightens both sides of the wound. This is beneficial to close soft tissues. This is the easiest way to fix two papilla with single knot. (Figure 6) (4)

Figure 6 – Horizontal Mattress Suture Technique (4)

8 Figure Suture

This is a modified version of horizontal mattress suture. While closing both side of the soft tissue, 8 sutures helps preserving the position of clot. (Figure 7) (4)

Figure 7 – 8 Suture Technique (4)

Continuous Suture

If there is long incision, continuous suture technique is preferred. In this technique, instead of applying a knot every time, long incision line can be sutured in a short time. This could have knotted style or simple technique. (Figure 8) Disadvantage of continuous suture is when there is a rupture, suture below can loosen. (4)

Figure 8 – Continuous Suture Technique (4)

Sling Suture

When surgical operations are applied on limited regions, for example, if lambo is lifted from one side, this suture technique is common. This is also applied when buccal and lingual flaps are desired to be placed on different positions. Needle passed from hemisects of tooth to outer surface of buccal flap, perambulates the teeth and passed from palatial flap in distal. Suture is brought back to hemisects where suture starts, passed from internal surface of buccal flap, and knotted. (Figure 9) (7)

Figure 9 – Sling Suture Technique (8)

First step of most surgical operations is incision. A surgeon holding the bistoury should know what to do, localisation of anatomic structures around operation field, and creating maximum effect with minimum trauma after the intervention. Following the incision, infection around operation field should be post-operatively prevented and suturation should be applied to close the wound to provide high-comfort to patient. Closure of wound is as important as incision. Therefore, in addition to experience and skills of the surgeon, material knowledge is required. In this article, information regarding common suture operation techniques and used materials which will be used are presented and explained for dentist.

To view articles, posts, and technical details regarding suture use in other surgical operation, you can use our website. Additionally, you can select and view dental suture products of Boz Medical. You can click here for your orders and support. Our sales representatives will be happy to answer all your questions and meet your demands.

Bibliography

(1) Alpaslan G. H. İNSİZYON SÜTÜR VE FLEP TEKNİKLERİ, Gazi Üniversitesi Diş Hekimliği Fakültesi • Ağız Diş ve Çene Hastalıkları Ana Bilim Dalı, 4. Sınıf Ders Notları, ANKARA

(2) Altınyazar H. C., Koca R. DERMATOLOJİK CERRAHİDE SIK KULLANILAN SÜTÜR MATERYALLERİ, Zonguldak Karaelmas Üniversitesi Tıp Fakültesi • Dermatoloji Anabilim Dalı, ZONGULDAK, 2004.

(3) Parirokh M, Asgary S, Eghbal M J, Stowe S , Kakoei S. A SCANNING ELECTRON MICROSCOPE STUDY OF PLAQUE ACCUMULATION ON SILK AND PVDF SUTURE MATERIALS IN ORAL MUCOSA, International Endodontic Journal, 2004; 37:776–781

(4) Türker M, Yücetaş Ş. AĞIZ DİŞ ÇENE HASTALIKLARI VE CERRAHİSİ, Üçüncü baskı, ANKARA, 2004.

(5) Akça T., Mersin Üniversitesi Tıp Fakültesi • Genel Cerrahi Anabilim Dalı, 4. Sınıf Ders notları, MERSİN.

(6) Velvart P, Peters C, Peters O A. SOFT TISSUE MANAGEMENT: SUTURING AND WOUND CLOSURE, Endodontic Topics 2005; 11:179–195

(7) Evrenesoğlu E., Ege Üniversitesi Diş Hekimliği Fakültesi • Periodontoloji Ana Bilim Dalı, 4. Sınıf Ders Notları, İZMİR.

(8) Jansson L, Sandstedt P, Laftman AC, Skoglund A. RELATIONSHIP BETWEEN APICAL AND MARGINAL HEALING IN PERIRADICULAR SURGERY Oral Surgery, Oral
Medicine, Oral Pathology, Oral Radiology, and Endodontology, 1997; 83 :596–601

Boz Medical, as leader firms in Turkey in surgical operation suture manufacturing, will be in GreatIST Dental Fair. This fair will be organised in İstanbul and during the fair, numerous conferences, symposiums, and product promotion events regarding dental treatment processes will be organised. GreatIST welcomes almost 4000 visitors each year and this year, this fair bridges sector professionals and visitors. Our firm will introduce dental suture products to fair visitors. During GreatIST Dental Fair you can test Boz Medical surgical sutures that are used in dental treatment processes.

Dentists Meet Boz Medical Dental Sutures

GreatIST Dental Fair will be organised between 26-28 September 2018 in Grand Cevahir Congress Centre and we will introduce dental suture options needed in dental treatment sector in our C25 stand. On our stand, we will be introducing surgical suture usage and application types, and surgical operation sutures specially developed for the needs of dentists. Additionally, during the fair, our visitors will have the chance to test our products.

If you want to learn more about our dental sutures and view how our products are used in surgical operations closely, we would be happy you see you in this organisation that combines sector leaders.

You can click here, register for free, and get your fair invitation.