Pinhole Technique (Pinhole Surgical Technique® for Gum Recession)
Gum recession can make teeth look longer, increase sensitivity, and expose roots to decay. Traditional gum grafting is highly effective, but it typically requires surgical incisions and sutures. The Pinhole Surgical Technique® (PST) offers a minimally invasive alternative—no scalpels, no stitches, and significantly less downtime.
With the pinhole technique, your periodontist gently repositions healthy gum tissue through a small opening in the gum, restoring coverage and improving esthetics in a single appointment.
What Is the Pinhole Technique?
The Pinhole Surgical Technique is a breakthrough procedure used to correct gum recession without using donor tissue or traditional grafting. Instead, it relies on mobilizing your existing gums and repositioning them to a healthier, more protective level.
How It Works
A tiny pinhole—similar in size to a needle puncture—is made in the gum tissue. Special instruments are inserted through this opening to gently loosen and reposition the gum tissue downward (or upward for lower teeth). Collagen strips are then placed under the gums to stabilize them during healing.
No cutting.
No sutures.
Minimal recovery time.
Who Benefits From the Pinhole Technique?
The pinhole technique is ideal for patients who want a minimally invasive solution for recession, particularly in areas that affect the smile.
You may be a good candidate if you have:
- Mild to moderate gum recession
- Sensitivity due to exposed roots
- Healthy gum tissue that is adequate in thickness
- Multiple areas of recession needing treatment
- Esthetic concerns about long-looking teeth
- Preference for a scalpel-free, suture-free treatment option
Patients with severe bone loss, active periodontal disease, or very thin tissue may require alternative regenerative procedures.
Benefits You Can See Right Away
One of the biggest advantages of the pinhole technique is the instant cosmetic improvement—most patients see a visible change immediately after the procedure.
Clinical Benefits
- Corrects recession without grafting
- Preserves your natural gum tissue
- Reduces root exposure and sensitivity
- Strengthens gum coverage with collagen stabilization
- Treats multiple teeth in one visit
- Minimal risk of complications
Patient-Focused Benefits
- No incisions or stitches
- Faster, more comfortable recovery
- Little to no downtime
- Reduced swelling and bleeding
- Immediate esthetic enhancement
- No second surgical site (unlike traditional grafting)
What to Expect During the Procedure
Your comfort is our priority. The pinhole technique is typically completed under local anesthesia, with sedation available based on preference.
Step-by-Step Overview
- Numbing the Gums
Local anesthesia ensures a comfortable experience. - Creating the Pinhole Entry Point
A small pinhole is made in the gum above the recessed area. - Releasing and Repositioning the Gum Tissue
Specialized microsurgical instruments gently loosen the gum tissue and slide it over the exposed root. - Stabilizing With Collagen Strips
Collagen is placed under the gum to hold it in the new position while it heals and thickens. - Healing Begins Immediately
The tiny entry point closes naturally within a day or two without sutures.
Aftercare & Healing Recommendations
Although recovery is gentle, proper care ensures the best results.
Post-Procedure Guidelines
- Avoid brushing the treated area for 2–3 weeks
- Do not pull on the lip or cheek to inspect the gums
- Stick to softer foods in the early healing period
- Use prescribed rinses as instructed
- Avoid strenuous activity immediately after surgery
- Do not smoke or vape during healing
Healing Timeline
- 24–48 hours: Entry point closes naturally
- 1–2 weeks: Most swelling disappears
- 3–6 months: Collagen fully integrates and tissue thickens
- 1 year: Final, stable results
Why Consistent Maintenance Matters
Gum recession is often caused by factors like brushing too hard, grinding, or untreated gum disease. The pinhole technique corrects the recession, but maintenance prevents it from returning.
To protect your results, we recommend:
- Using a soft-bristle toothbrush
- Proper brushing technique training
- Treatment for grinding/clenching if present
- Periodontal cleanings every 3–4 months
- Tobacco cessation
- Monitoring recession during checkups
Healthy habits help ensure your new gum position stays stable for years to come.
FAQs
Does the pinhole technique hurt?
Most patients experience minimal discomfort during and after the procedure.
Is the pinhole technique better than gum grafting?
It depends. Severe recession or thin tissue may respond better to traditional grafting.
Will my gums look normal afterward?
Yes. Results are immediate, and gums typically look natural once fully healed.
How long does the appointment take?
Most cases take 1–2 hours, depending on how many teeth are treated.
Is this procedure permanent?
Results are long-lasting, especially with proper maintenance.
Call to Action
Ready to restore your gumline without grafts or sutures?
Contact Connect Periodontics and Implant Dentistry to schedule your consultation for the Pinhole Surgical Technique®.