There is no single “best” suture for all gingival surgeries in orthodontics. The ideal choice depends on the specific procedure, tissue condition, surgeon preference, and desired healing outcome. Monofilament polyamide sutures are often selected for their cleanliness and minimal tissue response, while silk sutures remain a dependable option for their handling and knot reliability. When paired with dependable stainless-steel needles, both options support safe and effective gingival wound closure.