title: Role of flap tension in primary wound closure of mucoperiosteal flaps: a prospective cohort study.
abstract: OBJECTIVE
  To evaluate the role of suture tension in primary wound closure of mucoperiosteal flaps.
  
  
  METHODS
  Sixty patients, scheduled for a single implant installation, were recruited. Before suturing, the wound closing forces were measured with an electronic tension device. One week after the surgery, the wounds were inspected with regard to complete closure.
  
  
  RESULTS
  The applied tension varied between 0.01 and 0.4 N. In 72% a tension of 0.01-0.1 N was applied, resulting in few dehiscences (10%). Higher closing forces (>0.1 N) increased the percentage of wound dehiscences significantly (> or = 40%).
  
  
  CONCLUSIONS
  It appears necessary to control flap tension at the time of wound closure to achieve a primary closure.
authors.affiliation: The University of Hong Kong, Hong Kong. rino.burkhardt@bluewin.ch
authors.forename: R
authors.initials: R
authors.lastname: Burkhardt
authors.forename: N P
authors.initials: NP
authors.lastname: Lang
mesh_terms: D003758:Dental Implantation, Endosseous / Q000379:methods*; D019250:Dental Implants, Single-Tooth; D005260:Female; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000453:epidemiology; D013536:Suture Techniques; D016896:Treatment Outcome; D014945:Wound Healing