Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 215–221
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MARI’S NOVEL BI-ANCHORAGE SUTURE TECHNIQUE FOR ROOT COVERAGE AND GRAFT STABILIZATION

Preethi Paddmanabhan*, Ranjith Mari, Vennila K, Jennifer Suhasini. S, Manju Krishnan, Infanta AJ

department of periodontics, Sree balaji dental college, BIHER institute, Chennai, India · Senior lecturer,department of periodontics, Sree balaji dental college, BIHER institute, Chennai, India · Professor, Vivekanandha dental college for women, tiruchengode, India, · Senior lecturer, Madha dental college and hospital, Chennai, India, · Department of Periodontology, sree balaji dental college,Tamil Nadu, India · SR dental clinic, Pattukottai, India

Received: 2026-04-08 · Published: 2025-07-20

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
MARI’S NOVEL BI-ANCHORAGE SUTURE TECHNIQUE FOR ROOT COVERAGE AND GRAFT STABILIZATION
Authors
Preethi Paddmanabhan, Ranjith Mari, Vennila K, Jennifer Suhasini. S, Manju Krishnan, Infanta AJ
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-07-20
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.6-215

Abstract

This paper demonstrates a novel suturing approach that achieves favorable and atraumatic soft tissue displacement in periodontal plastic surgery. Gingival recession, characterized by the apical displacement of the gingival margin, poses functional and aesthetic challenges, including root exposure, hypersensitivity, and diminished periodontal health. Successful treatment requires predictable root coverage, increased keratinized tissue width, and graft stabilization. Conventional techniques such as coronally advanced flaps and connective tissue grafts often face challenges related to graft stability and adaptation. To address these limitations, a novel bi- anchorage suture technique has been introduced, designed to enhance graft stabilization, minimize tension, and promote optimal healing outcomes. In periodontal plastic surgery, tunnelling flap techniques have developed as a scientific innovation with the focus on enhancing the vascular supply at the surgicalsite. A number ofsuturing techniques for flap stability have been reported in along with a variety of newer flap designs for recession coverage. The technique relies on a combination of tissue supported sling suture (TSS) and subpapillary sling suture (SSS)/ tooth supported sling suture. The present authors described the modification of subpapillary sling suture with crisscross pattern and they have found that the proposed suturing protocol achieves successful integration of graft, maximum root coverage, excellent esthetic results, and limited postoperative morbidity. This suturing technique is described in detail with schematic illustrations and clinical cases, and its advantages and potential limitations are discussed.
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