Step by Step: External Vertical Mattress Suture

Step By Step External Vertical Mattress

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This video demonstrates the vertical mattress suture procedure that is taught in implant dentistry by Pikos Institute.

External Vertical Mattress Procedure Video

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Looking at the procedure step by step – external vertical mattress – Video Transcript

Start the suturing technique from outside in, the first bite is approximately 6mm in from the margin.

Second suturing in outside is also approximately 6mm in, if I tie it then it’s a simple interruptive, and if I re entered it at this point it would be an internal vertical mattress, but instead I’m coming out back where I started.

You then see me re-entering at three and then inside out at three and then inside out at three and Bam!

So, there is one suture across the incision line, then there is a second suture, and I tie it. You can see that this is the span next to the tooth, I will do an EVM here and I will do one here and one over here, and then I might do a horizontal mattress in-between and I would do a continuous interlocking and call it a day. External vertical mattress, I use it a lot.

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In short, this external vertical mattress procedure follows these steps.

   1. First bite outside in approximately 6mm from margin.
   2. Second bite inside out approximately 6mm from margin.
   3. Third bite outside in approximately 3mm from margin.
   4. Fourth bite inside out approximately 3mm from margin.
   5. At this point I will tie the suture in the space next to the tooth.
   6. Then I will do an EVM and possibly another nearby.
   7. Then I might do a horizontal mattress suture and an interlocking suture to finish.

So that is the vertical mattress suture technique hopefully that was a nice clear demonstration for you.

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