Pinhole Surgical Technique FAQ

Traditionally, the most common method for correcting recessed gums was a gum grafting procedure, which involves suturing grafting material (historically taken from the roof of the patient’s mouth) over the area of recession. While this is an effective method for correcting recessed gums, many clinics have begun using a newer, innovative method to correct gum recession called the Pinhole Surgical Technique.

To learn more about gum recession and the Pinhole Surgical Technique carrollton tx, please refer to the following commonly asked questions.

What causes gum recession?

Gum recession can occur for a variety of reasons but is most commonly due to untreated periodontal disease. Patients with thinner gums are also more likely to experience inflammation caused by plaque, which in turn causes gums to recede. Other factors that can cause gums to recede include aggressive brushing and/or over-brushing. In these cases, gum recession may be halted by modifying oral hygiene habits and using a soft-bristle brush.

Misaligned teeth and tongue or lip piercings can also cause the gums to push back. Additionally, certain people are simply predisposed to gum recession.  In order to correct gum recession, it is important to identify the underlying cause, as doing so will inform what treatment option is necessary.

How do I know if I have gum recession?

Gum recession is often a very gradual process, but eventually when enough gum has worn away, the pink tissue that covers your teeth roots will become exposed. When this happens, you are at a significantly increased risk of developing an infection, decay, and eventually of losing a tooth or multiple teeth. Another common indication of gum recession is sudden sensitivity to certain foods or drinks.

If you have noticed that your teeth appear to be longer than they used to be or that your gums seem to be smaller, schedule an appointment for an evaluation. If it is determined that your gums are receding, the underlying cause can be identified, and an appropriate treatment plan can be developed. If treated in the early stages, gum recession can typically be reversed, and additional issues can be avoided.

How does Pinhole Surgical Technique correct recessed gums and how is it different from gum grafting?

The traditional approach to correcting recessed gums is through a gum grafting procedure, which has historically involved removal of graft tissue (typically from the roof of your mouth) which is then stitched over the areas of recession. Donor tissue or synthetic variants can also be used to reduce the invasive nature of the procedure. Pinhole Surgical Technique takes a very different approach and eliminates the need for the use of scalpels, sutures, or a graft. PST corrects recessed gums by making a small pinhole in the area of recession, through which a specialized instrument elevates the periosteum and pushes it into proper position. Once it is properly positioned, collagen strips are placed through the pinhole and pushed under the gingiva to cover the surfaces of the roots that had previously been exposed. These strips effectively support the tissue in its new position and facilitates the healing process.

How long does the procedure take?

Unlike gum grafting, which can take hours and require multiple treatments over an extended period of time, Pinhole Surgical Technique allows your dentist to work on multiple teeth in as little as 10-15 minutes. While this approach is faster overall, the total time of treatment will ultimately depend upon your unique circumstances and the severity of your gum recession.

What are the benefits of Pinhole Surgical Technique compared to gum grafting?

Benefits of Pinhole Surgical Technique compared to gum grafting include:

  • Faster recovery time
  • Treatment time significantly reduced
  • Significantly less discomfort during and following treatment
  • Can be performed without the use of scalpels
  • Suture free procedure
  • No gum graft required
  • Creates immediate results

How long is the recovery process?

Patients can generally return to the daily activities immediately following this procedure, however it is important to avoid brushing or flossing for the first 24 hours after the procedure to give the gums time to heal. It is also recommended that patients follow a soft food diet for the first 24 hours, after which they can begin to reintroduce harder foods. Mild discomfort may occur during the initial recovery period, but this can usually be managed with over-the-counter pain-relieving medication.

Is Pinhole Surgical Technique covered by insurance?

Dental insurance plans vary regarding what procedures are covered, and if so, the extent of coverage, but Pinhole Surgical Technique is often covered by dental insurance plans. To find out what your coverage is, contact your insurance provider or dentist.

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Dr. Patel

Periodontist

The training that Dr. Patel has received has given him a wide range of experience in treating advanced periodontal disease, complicated extractions of teeth, placement of dental implants, bone regenerative procedures, as well as in periodontal plastic surgery/cosmetic procedures.

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Dr. Pooria Fallah

Periodontist

Dr. Fallah received his DDS degree in 2009 and subsequently completed his residency program in Periodontics at New York University College of Dentistry in 2015. He became a Diplomate of the American Board of Periodontics in 2016 and has been practicing periodontics in private practice in Dallas since 2015.

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Dr. Husain

Periodontist

Dr. Husain is proficient in dental surgical procedures involving bone and soft tissue grafting, dental implant placement, minimally invasive LANAP and other laser procedures, and treating chronic periodontal diseases.

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Dr. Li

Periodontist

Dr. Li is a Board-Certified periodontist and a Diplomate of the American Board of Periodontology. A Diplomate is a periodontist who has made significant achievements beyond the mandatory educational requirements of the specialty, demonstrating a comprehensive mastery of all phases of periodontal disease and treatment and in the placement of dental implants.

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