When the mucosal flap is back in position, the suture is passed through two sides of the socket in separate passes of the needle. (A) The needle is held by the needle holder and passed through the papilla, usually that of mobile elevated tissue first. (B) The needle holder is then released from the needle; it regrasps the needle on the underside of tissue and is turned through the flap with care taken to never grasp the needle’s tip. (C) The needle is then passed through the opposite side of soft tissue papilla in similar fashion.