26/03/2026
Intraosseous suturing for apical tissue positioning in full-arch implant cases.
When alveoloplasty is extensive, the flap no longer sits naturally at the new crestal level. Compressive sutures alone cannot reliably close that gap. Dead space forms. Haematoma risk rises. Dehiscence follows.
Intraosseous suturing: By passing the suture through a small cortical channel in the buccal plate, we anchor the flap directly to bone — at exactly the apical position healing demands. No tension on the surface. No reliance on periosteal tissue that may tear.
Key advantages of this technique:
✅ Precise apical flap positioning regardless of tissue thickness
✅ Eliminates dead space after large bone reductions
✅ Bilateral anchorage ensures symmetric tissue adaptation
✅ Reduces haematoma and dehiscence risk significantly
✅ Creates a two-layer closure — bone anchors hold even if surface sutures loosen early
✅ Clean peri-implant emergence profile for early provisionalization
