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Pinhole Surgical Technique

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A Noninvasive Solution

Do you suffer from gum recession but are afraid to seek treatment because of painful traditional grafting procedures? Leaving gum recession untreated can weaken, damage, and even cause tooth loss. With the new Pinhole Surgery Technique, gums can be repaired without cutting or stitching required resulting in faster and less painful recovery.

The Pinhole Surgical Technique (PST)

The Chao PinholeⓇ Surgical Technique is a noninvasive, suture-free gum recession treatment invented by John Chao, D.D.S. A syringe needle is used to make a tiny incision above the affected area, and then other specialized surgical tools are used to gently move the gums down over the receded area of the tooth. There is no grafting needed from the palate of the mouth, instead collagen strips are used to hold the gums in place. Collagen strips are inserted through the initial incision and are moved into position behind the gums covering the receded area, in this way the gums are stabilized throughout the healing process.

Depending on how many teeth need treatment, the procedure can last up to an hour or more. Usually patients can return to their normal schedule in the same day.


Depending on the amount of tissue and bone loss around the tooth, the resulting procedure may not cover as much root surface as expected. Patients should be free of inflammation or other periodontal disease at the time of surgery. It’s important for the patient to follow postoperative procedures, such as:

  • Avoiding crunchy, stringy foods until we give the o.k.
  • Avoid vigorous brushing of gums and teeth
  • Avoid other activities than can be traumatic to the healing process


  • Faster recovery time
  • No invasive surgical tools
  • No need for donor tissue
  • Long-lasting  results

One of the major advantages for this procedure is the ability to treat multiple teeth in one session, traditional graft techniques call for multiple sessions and painful grafts to treat different areas of the mouth. With PST the whole mouth can be taken care of in one session, with minimal pain and decreased risk of trismus(lockjaw). PST is usually covered under periodontal coverage in your insurance plan.

The PST is a permanent procedure. So, if you keep your mouth healthy and avoid aggressive brushing, the results can be enjoyed for years to come.

Dr. Cappetta is PinholeⓇ certified, so feel free to make an appointment today.