Gingival avulsion repair

(A) Pass suture through tip of flap on the facial portion of the gum and pass needle through the teeth to the palatal portion of the gum. If the teeth are too close together to permit passage of the needle floss the suture between the teeth and then take a bite through the palatal portion of the gums (inset).
(B) Pass the needle circumferentially around the tooth to the facial side of the gum so that it comes out through the flap and tie. If the teeth are too close to permit passage of the needle, floss the suture between the teeth to the facial portion of the gums, take a bite of tissue, and then tie (inset). For edentulous patients be sure that the suture knots and loops are not located in regions of contact with the bridge.