A new suture and suturing technique that will help you
Remove tension & mobility of the buccal flap


Did you know?


It takes 4 to 6 weeks to obtain significant reattachment of the periosteum.
The suture must stay in place for a least 4 weeks.



Periosteum reattachment requires a lot of time

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. If the periosteum is not stable, the flap will remain mobile and there will be tissue tension.



The Apical Mattress 
Technique Benefits

Helps remove tension & mobility of the buccal flap
    - Decreases soft tissue ischemia
    - Promotes faster healing & increased soft tissue thickness
    - Greatly decreases the risk of dehiscence
Faster revascularization of the cortical bone
Faster revascularization of the grafted bone
Prevention of the native bone resorption
Prevention of the bone graft resorption


Monoglyc™: a suture that remains strong, stays plaque free and resorbs

Using a monofilament instead of a braided suture will avoid plaque formation and inflammation.



Which kind of monofilament should be used ?

Monofilament can be absorbable or nonabsorbable.
Nonabsorbable: After 4 weeks, the monofilament will be embedded into the flap and not so easy to remove.
Absorbable: Monoglyc™, as an absorbable monofilament suture, is an excellent choice!


THE Solution: 

Monoglyc™ + Apical Mattress Technique

Here is a preview of Dr. Choukroun's presentation. The full version (22 minutes) is available here.

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