Chao Pinhole Technique®

The Chao Pinhole® Surgical Technique/ Pinhole Gum Rejuvenation® is a scalpel-free, suture-free procedure for treating gum recession.

This procedure is performed by making small holes with a needle in the gum tissue. Using specially designed instruments, the gum tissue is loosened and guided over the receded part of the tooth. Since there is no cutting or stitching, patients can expect minimal post-operative symptoms (pain, swelling and bleeding). Most patients also are pleasantly surprised by the instant cosmetic improvement.

Who is a candidate for Pinhole Surgery?

Anyone experiencing receding gums may be a candidate for pinhole surgery; however, your periodontist will determine if the procedure is right for you. Ideally, the patient should be healthy, periodontally stable from disease, decay, and failing restorations, have adequate attached gums, a non-smoker, and free of diabetes or an autoimmune disorder, as these conditions lessen and/or prevent healing times.

When should a patient be recommended for this procedure?

1) If gum recession is sensitive to cold temperatures and does not respond to desensitizing agents or fluorides

2) Recession that visually hampers your self-confidence (appearance)

3) If your periodontal disease is well-managed

4) If recession is caused by over-aggressive toothbrushing, you must have reformed your method of brushing to avoid re-receding the tissue

What are contraindications for Pinhole Surgery?

Contraindications for Pinhole Surgery include poor homecare, less than 2-3mm attached gums, compromised immune system, smoker, teeth grinding or malocclusion, rampant active decay or periodontal disease.

What are the oral hygiene instructions after the procedure?

Dr. Bergens recommends NO brushing for six weeks in the area of treatment. You should be seen the next week after the procedure for a follow-up to check healing time, then again, 3 weeks later, and then as needed.