Pinhole Surgical Technique (PST), also known as the Lunchtime Gum Lift or Pinhole Gum Rejuvenation, is a minimally invasive procedure to reverse the recession of gums caused by gingivitis, without surgery or grafting. Dr. Mehta at Galloway Dental is an expert at PST and can reverse gum recession with less bleeding and pain.

What is Pinhole Surgical Technique

a female dentist getting ready to conduct pinhole surgical techniquePST combines elements from a variety of techniques, including coronally positioned flaps and guided bone regeneration. Coronally positioned flaps are a technique that involves creating a flap in the gums and extending it over the affected area. Guided bone regeneration is a process that involves using barriers to direct the growth of new bone and gums.

In PST, a small needle makes a hole in the existing gum tissue. The gum tissue is then loosened and moved to cover the exposed root. Then one scrapes the root to remove the irregularities. This will help to ensure that the gums will adhere to the tooth surface. 

The Pinhole Surgical Technique offers several advantages:

  • Less discomfort and pain
  • Since the blood supply to the gums is not cut, patients heal much faster than with grafting and coronal flap surgery
  • Quicker recovery time
  • No need for sutures, scalpels, or other invasive instruments
  • No need to take grafts from other parts of the mouth
  • Natural looking with long lasting results

Dr. John C. Chao, DDS., an Adjunct Assistant Professor at the Ostrow School of Dentistry USC, pioneered the PST. 

What to Expect After Pinhole Surgical Technique

Although the PST is noninvasive and involves less pain than conventional techniques, you should expect some discomfort after the procedure. Some of the side effects you may experience include:

  • Swelling in the gums
  • Minor pain typically managed by over the counter drugs
  • A feeling like cotton balls in the mouth
  • Fatigue
  • Some minor bleeding

As with any surgical procedure, there may be complications following the procedure. If you see any of the following, do not hesitate to speak with your dentist:

  • Food stuck in the gums
  • Excessive bleeding – You should expect some bleeding. However, if you are experiencing excessive, ongoing bleeding, alert your dentist immediately
  • Gums receding – Despite the procedure, it is possible that your gums will continue to recede

How to Determine if PST is Right for You

Galloway Dental will assess your dental health and overall health. You may not be suitable for PST, if you have issues such as diabetes and hemophilia. The patient should also not be immuno-compromised, and there should be adequate gum available to restore. Finally, the patient should not be a smoker. In these cases, you may consider other options. Other contraindications for PST include:

  • Gingiva measuring fewer than two to three millimeters
  • Teeth grinding
  • Rampant tooth decay

Once the Pinhole Surgical Technique is complete, it is paramount that you maintain good oral hygiene. To maintain good oral health, do the following:

Directly after the operation:

  • No tooth brushing for six weeks
  • Patients should visit the dentist the day after the procedure and periodically after the operation, per the dentist’s orders

Six Weeks post-operation:

  • Brush after every meal with a fluoride toothpaste
  • Floss at least once per day
  • Drink plenty of fluids
  • Stop use of any tobacco products
  • Avoid sugary snacks and soft drinks

For the Pinhole Surgical Technique in Mesquite, TX, contact Galloway Dental at 469.273.1376 to discuss and to make an appointment for an evaluation.