Self-stabilizing interdental traction sutures for palatal flap retraction during impacted maxillary canine exposure:...

We describe a simple technique in which traction sutures placed at the palatal flap margin are passed through interdental embrasures and stabilized against adjacent teeth in the contra-lateral arch. This technique was used for 10 patients with impacted maxillary canines. In our clinical use, the technique eliminated the continuous demand of manual retraction, slippage of retractors during the procedure, palatal flap tear due to uneven distribution of retraction forces. Self-stabilizing interdental traction sutures are a practical, reproducible, and minimally invasive adjunct for palatal flap retraction during surgical exposure of impacted canines in selected clinical situations. The technique is particularly advantageous in single-surgeon procedures, resource-limited settings, and cases requiring prolonged palatal exposure for adjunctive orthodontic procedures, including button or attachment placement.