SUTURE ACADEMY: Suturing made simple
This rapid-fire course is meant to get your suturing skills up to speed as fast as possible so you can immediately implement. Suturing is a critical skill in surgery. You must master it.
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Day 1 - Welcome to SUTURE ACADEMY!
This course is fast action and fast progress. The goal is to give you the right guidelines, principles and framework for safety measures, picking the right material and the right mechanics.
Day 1 - The Suture hold
With time, I adapted certain holds and ways to move the instruments while I suture.
Day 1 - The Wrist twist & the Wrap around
When you have too much suture material, it'll block your surgical site and you'll loose control disregarding the laws of suturing.
Day 1 - Horizontal Mattress
I call it "nothing to do with ice cream cone" technique, because the membrane has different shapes.
Day 1 - X-Suture
The X-suture applies compressive occlusal forces and holds the collagen on top of the graft.
Day 1 - Horizontal-X
The Horizontal-X is combination between the horizontal mattress and the X-suture.
Day 1 - Socket X-suture
This suture provides occlusal pressure to support the plug over an extraction socket and also to pull the flap edges towards one another and towards the center of the group.
Day 1 - Suture LAW #1
I created these laws to teach you that it's all about the safety, material choice and mechanics. By the end of the course, you'll know them all perfectly.
Day 1 - Suture LAW #2
The second law is all about respect. Respect to your flaps and respect to the soft tissue.
Day 1 - Suture LAW #2
Don't be a control freak but you need to control your needle, suture thread and instruments.
Day 2 - The Needle holder twist (Bicycle)
The elegance of suturing comes from the bicycle movement you will learn about in this video
Day 2 - Holding your instruments
This course has intentional repetition. Listening to certain concepts twice from different angles is critical to the learning process.
Day 2 - Regular continuous suture
Day 2 - Single interlocking continuous
A continuous suture is simply not stable enough. What you'll find out is that a single interlocking is also not ideal.
Day 2 - Double interlocking continuous
In a future video I share a concept comparing the continuous suture to a 3-part story.
Day 2 - Twisting the loop
Here's what I discovered only after 15 years of practice.
Day 2 - Interrupted sutures
Here's a summary on the interrupted sutures you need to know. This is 80% of what I do.
Day 3 - Single sling
The idea of this suture is to sling in a distal direction and then come back.
Day 3 - Continuous sling
The principle is the same as the single sling only extending multiple teeth and there is a "trick" in the papilla.
Day 3 - Papilla Vertical mattress
Not every papilla can be sutured like that. You need enough bulk or "meat" to engage.
Day 3 - The Prayer technique
The "prayer technique" is meant to be used when you have multiple teeth extractions side-by-side and the tissue is flabby.
Day 3 - SUTURING LAW #4 - Gut strategy
I promise you that once you handle these challenges you will enjoy the benefits gut sutures have to offer.
Day 3 - SUTURING LAW #5
I wanted to train you to "go small" in regards to needle and thread size when you're dealing with "small" tissues like the papilla or flaps that don't have much keratinization.
Day 4 - Flap retraction suture
This suturing technique is really important for full arch cases. By suturing both palatal flaps together you are saving an assisting hand.
Day 4 - Full arch closure
In this video you will learn about a 2 layer suturing technique that rarely opens up.
Day 4 - Summary of LAWS 1,2,3
These are most important laws because they are about safety.
Day 4 - SUTURE LAW #6
In this video I discuss the criteria to choosing suture materials and what is really important.
Day 4 - Mentoring session on the continuous sling
In this video I mentor 2 dentists on the important concepts and clarify.
Day 4 - Continuous interlocking - LIVE DEMO on the zPAD
Watch the demo on the continuous with double interlocking. See how I hold the needle and thread and how I twist.
Day 5 - Simple, Figure 8 & Vertical Mattress
In this video you will see the suture passage in a cross section.
Day 5 - How to interlock - zPAD demo
Watch this video to see the interlocking and how to finalize the suture.
Day 5 - Tunneling - How to sling?
Slinging when a flap is reflected is one thing. Slinging in a tunneling approach is different.
Day 5 - LAWS OF SUTURING - 7,8,9
The laws of mechanics are discussed in this video.
Day 5 - Closure after a sinus lift
You need to be able to close it well and in this video I explain how.
Day 6 - Donor site closure
In this video, learn about some options. All work, by the way.
Day 6 - Flap retraction - LIVE Demo on the zPAD
In this video I demonstrate and....it gets messed up a little. I didn't want to edit anything out so we can all learn from it.
Day 6 - Suturing extraction sockets
80% of my interrupted sutures is the X. In this video, more instructions and discussion on the X.
Day 6 - Best kept secret - Periacryl
PERIACRYL: You need to have this in your practice for the following reasons:
Day 6 - The CASTRO Twist - LIVE Demo
In this video I talk and demonstrate the castro twist (or the bicycle) you learned about in previous videos.
Day 6 - Interlocking Twist - LIVE movement Demo
All you are doing with this exercise is twisting in one direction and then in the other direction.
Day 6 - Esthetic suturing strategies
This video is a MIND training. How to close a flap in the esthetic zone.
Day 7 - How to suture for guided bone regeneration?
Guided bone regeneration procedures create quite a bit of swelling and flaps can open up.
Day 7 - Flap retraction and sling
In this video, I teach you how to use the same principle and retract a flap, while slinging it around a tooth on the contralateral side.
Day 7 - Full arch closure STRATEGY - LIVE
Repetition is key in education.
Day 7 - Papilla Vertical Mattress
This video shows a mentoring session about the papilla closure as I taught it live to 2 other dentists.
Day 7 - Donor site closure - LIVE
Learn how to close a donor site in this session recorded live.
Day 7 - Suture removal tips
In this video, I share suture removal tips.
Day 7 - Eye-mind training: Clinical cases
This is a LIVE eye-mind training with 2 other doctors. I discuss cases and the suture strategy.
Day 7 - Elephant challenge
This is a fun challenge the incorporates everything you learned before.
Your final suturing EXAM
Good luck with your exam. Every participant will pass it!
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