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Q. What do you mean by Wound closure?
Generally the incisions designed for minimal exposure such as the H - shaped incision, do not require suturing, as the abutment and the transitional restoration occlude the opening. On rare occasions, when attached tissue has been re-positioned, fine labial sutures (6-0) may be used in order to close any incision lines.
Full - thickness flaps should be closed using appropriate sutures (usually 3-0). The pedicle flaps created by the S-shaped incisions require finer sutures (4-0 to 6-0) to create the papillary form, which will be supported by the transitional restoration. Sliding flaps from the palate require stronger sutures (usually 3-0) and may be secured by tying them to the abutments. Supplementary dressings (such as periodontal pack) may be used when tissues are denuded. However, this should be avoided.
Classic Repair (Linear repair) : The operation is done under cardio pulmonary bypass, through median sternotomy. If additional CABG is required, conduit harvesting is done.
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