Smile Cliniq, call for a consultation today 020 8090 9077
Finchley 020 3199 4518 St John’s Wood 020 3199 4519
smile of the month smile of the month Book online
White Fillings| Crowns | Bridges | Veneers | Tooth Whitening | Implants | Mini Implants | Invisalign | Gum Treatment
Inman Aligner
| Root Canal Treatments | Dentures | Materials, Techniques and Equipment | Orthodontics | Dental Sedation
Finchley Dentist Best Dentist London Wrinkle treatment London Travel to Finchley Branch
Journey Planner

Travel to St John’s Wood Branch
Journey Planner

Pinhole Gum Recession Technique and Soft Tissue Grafting

020 3199 4518
St John’s Wood
020 3199 4519
Gallery Gallery Email Us

The New Easy way to treat Gum Recession – say goodbye to long and sensitive teeth

Pinhole Surgery Technique now performed in London

Gum Recession happens when the gum line moves away from the enamel and leaves the root surface exposed. This usually results in an unpleasant appearance of the gum and tooth, and often leads to tooth sensitivity. Most importantly, receding gums can also result in a greater risk of further infection of the gums and teeth, since the tooth is losing the natural barrier to withstand bacterial penetration. Gum recession does not allow for effective oral hygiene at home due to increased sensitivity and more difficulty in reaching the receded section.  Consequently more bacterial plaque is built up, contributing to further recession, bone loss and the establishment of gum disease (please click here for more information on gum disease).

What is it?

The Pinhole Surgery Technique, also known as Pinhole Gum Rejuvenation, is a scalpel-free, suture-free, graft-free procedure for correcting gum recession and saving teeth, invented by John Chao (D.D.S.). Pinhole surgery is a minimally invasive type of gum surgery which does not require any incisions or sutures. Instead, a small instrument is used to make a tiny pinhole sized entry point in the tissue. Then a special instrument is inserted and used to gently loosen the tissue so that it can be pulled over the exposed tooth. Since no incisions are being made, side effects such as pain, swelling, and bleeding are kept to a minimum. Additionally, patients will notice an instant improvement in the appearance of their smile.

Conventional Gum GraftingVs Chao Pinhole Gum Rejuvenation
Conventional Gum Grafting Chao Pinhole Gum Rejuvenation
Before After

Gum recession after pinhole technique

Pictures supplied by founder of the pinhole technique Dr John C Chao, published in The International Journal of Periodontics and Restorative Dentistry, A Novel Approach to Root Coverage: The Pinhole Surgical Technique

Who performs it?

PST is being performed by EvdokiaChasioti the only Specialist Periodontist in the UK who is trained and certified to offer this technique.

For more information click on the following link

How does it work?

The first step in Pinhole surgery is to clean the teeth in the area being treated. Then, our Periodontist will administer a local anaesthesia to numb the area. Using a small instrument, a pinhole sized (0.1 inch) entry point is made in the gums.

Once the area has been fully prepared to undergo gum surgery, our Periodontist will insert a specialized instrument into the tiny entry point that was made. Using this instrument, the tissue is slowly loosened and moved into the correct desired position. Finally, a different instrument is used to insert collagen strips through the entry point and into the gum tissue. This will help to keep the tissue in new place while the area heals. The entire gum surgery should take no longer than one hour and can be applied to several teeth at once.

What are the benefits?

Pinhole surgery gives patients several benefits that no other gum surgery can. These benefits include:

No Incisions – Since this is not a tissue graft, there is no need to cut or remove any part of the gums or from the patient’s palate

No Sutures – Tissue is held in place with collagen strips, rather than sutures that need healing. Faster recovery for the patient than traditional grafting

Minimal Pain – Patients will experience only minimal pain, swelling, or bleeding after the gum surgery

Instant Results – produces an instantly noticeable cosmetic improvement. The tiny entry point is barely apparent and should disappear as soon as the next day. Excellent, natural-looking, long-lasting results

Efficiency - It is possible to correct up to 14 teeth at once in one to two hours

Gum Recession and Soft Tissue Grafting

Understanding Traditional Soft Tissue Grafting

During a traditional soft tissue grafting procedure, the doctor removes a small piece of gingival tissue, typically from the roof of the mouth, and sutures it into place where the gums have receded. Although the treatment is not as invasive as some other oral surgeries, soft tissue grafting does involve incisions, stitches, and some degree of post-operative discomfort. Patients will commonly experience discomfort for several days following their procedure. They may encounter complications from eating certain foods or accidentally brush or floss too close to the sutures or treatment area. This can slow healing and increase the risk of developing infection. The traditional gum grafting procedure is an effective treatment for recession, but with the advent of the Chao Pinhole Surgical Technique®, it poses an unneeded risk of complications for the patient.

Soft Tissue Grafting

The Soft Tissue Graft is designed to resolve these problems and it is widely used to cover unattractive tooth roots, reduce gum recession and root sensitivity, and protect the exposed roots from decay and further bone loss.

Before After

It is also important for teeth undergoing orthodontic or restorative treatment to have a sufficient amount of strong gum tissue around the necks of the teeth, to prevent further recession during treatment.

Gum graft prior orthodontic treatment

Before After

Gum tissue can be added in several ways. Sometimes recession can be corrected by adjusting the existing level of the gum tissue. The most common treatment method is soft tissue graft. This is when a thin piece of gum tissue is softly taken from the roof of the mouth, or gently moved over from neighboring areas, to provide a stable band of strong gum around the tooth. 


In our clinic we are proud to present the Alloderm Gum Graft to treat gum recession. Alloderm is an excellent plastic surgery material for the correction of gum recession. With Alloderm we omit the need of taking gum tissue from another area of the mouth rendering the gum grafting a painless procedure for the patient. The Alloderm material is donated human tissue which ultimately is being transformed into natural gum of the patient. The procedure is performed under local anesthetic.

Before After

If you would like to know more about gum grafting why not book in for a consultation at our practices in London with the specialist Periodontist . Simply give us a call to book in or send us an email and we will contact you as soon as possible. 

Please click here for more information on gum recession. Please click here for more information about Laser Gum Treatments and here for gum de-pigmentation (gum bleaching).

Smile Cliniq's Guide to Better Oral Health our promise   about you   the importance of a smile  
our service
smile design
facial aesthetics
our team
our prices
contact us
our promise
about you
site map
areas we serve
children's dental quiz
teenager's dental quiz
Call for a Consultation today
020 3199 4518

© Copyright Smile Cliniq 2017

Smile Cliniq Limited. A company registered in England and Wales. Company number 08279068.
Registered office: C/O Raymonds Accountants, Social Economy House, Victoria Street, West Bromwich, B70 8ET
Dentist Website Design &Dental Marketing by Digimax : Web Design Agency London
Site updated 14/01/2015

Protected by Copyscape Web Plagiarism Checker

Dental Quiz Junior, 6-11 years olds Dental Quiz Teen, 12-18 years olds