Periodontal flaps provide access for root instrumentation, osseous reduction and periodontal regeneration. Optimal flap stabilization promotes the early formation and organization of a blood clot and consequently ensures that the delicate fibrin clot adheres to the hard, non-shedding wound-bed surface. Hence, stabilization and adaptation of the soft tissues covering the wound area with appropriate suturing appears to be a key prerequisite for achieving optimal surgical outcomes. The main problem, however, in the oral cavity is the prolonged immersion of suture in the saliva-containing microorganisms. Once suture material becomes contaminated, biologic agents, chemical agents, or other mechanisms of wound decontamination become ineffective owing to biofilm formation and the subsequent protection it affords to biofilm populations. Sutures can be a source of surgical wound contamination owing to bacterial adherence to them and the suture acting as a means of transmitting bacteria to oral tissues. Silk Sutures are multifilament sutures and requiring more knots and have more tendency than monofilament to absorb the oral liquids fluids and consequently microorganisms into the connective tissue. This results in continuous wicking of microorganisms along the suture at the surgical site which results in a prolonged inflammatory response and surgical site infections.