Chao Pinhole® Surgical Technique

What is Gum Recession?

Gingival recession (receding gums) refers to the progressive loss of gum tissue, which can eventually result in tooth root exposure if left untreated. Gum recession is most common in adults over the age of 40, but the process can begin in the teenage years. Gum recession can be difficult to self-diagnose in its earlier stages because the changes often occur asymptomatically and gradually. Regular dental check ups will help to prevent gum recession and assess risk factors.


The following symptoms may be indicative of gum recession:

  • Sensitive teeth
  • Visible roots
  • Longer-looking teeth
  • Halitosis, inflammation and bleeding

GUM RECESSION CAN CAUSE COLD SENSITIVITY

What Causes Gum Recession?

Gum recession is an incredibly widespread problem that we diagnose and treat on a daily basis. It is important to thoroughly examine the affected areas and make an accurate diagnosis of the actual underlying problem. Once the cause of the gum recession has been determined, surgical and non-surgical procedures can be performed to halt the progress of the recession, and prevent it from occurring in the future.


The most common causes of gingival recession are:

  • Overaggressive brushing

    Over brushing can almost be as dangerous to the gums as too little. Brushing too hard or brushing with a hard-bristled toothbrush can erode the tooth enamel at the gum line, and irritate or inflame gum tissue.

  • Poor oral hygiene

    When brushing and flossing are performed improperly or not at all, a plaque build up can begin to affect the teeth. The plaque contains various bacterial toxins that can promote infection and erode the underlying jawbone.

  • Chewing tobacco

    Any kind of tobacco use has devastating effects on the entire oral cavity. Chewing tobacco in particular, aggravates the gingival lining of the mouth and causes gum recession if used continuously.

  • Periodontal disease

    Periodontal disease can be a result of improper oral hygiene or caused by systemic diseases such as diabetes. The excess sugars in the mouth and narrowed blood vessels experienced by diabetics create a perfect environment for oral bacteria. The bacterium causes an infection which progresses deeper and deeper into the gum and bone tissue, eventually resulting in tooth loss.

How can I treat gum recession?

Every case of gum recession is slightly different, and therefore many treatments are available. Once the cause of the gingival recession has been addressed, surgery of a more cosmetic or restorative nature may be recommended. The Chao Pinhole® Surgical Technique is an excellent way of correcting restoring natural symmetry to the gums and make your smile look more aesthetically pleasing.


What is the Chao Pinhole® Surgical Technique?

The Chao Pinhole® Surgical Technique is a minimally invasive option for treating gum recession. Unlike traditional grafting techniques, PST is incision and suture free. All of the tools and techniques used to perform the Chao Pinhole® Surgical Technique were created by Dr. John Chao, who trained Dr. Prabakaran.

How does the Chao Pinhole® Surgical Technique Differ from Traditional Gum Grafting?

Traditional gum recession treatments involve the use of donor tissue or soft tissue grafts in order to rebuild the gumline. This soft tissue would be sutured in place and would join with existing gum tissue as it healed. While this traditional grafting treatment is effective, comparable results with better patient experience can be achieved through the Chao Pinhole® Surgical Technique.

During the Chao Pinhole® Surgical Technique, a needle is used to make a small hole in the patient’s existing gum tissue. Through this pinhole, special instruments are used to gently loosen the gum tissue. These tools help expand and slide the gumline to cover the exposed root structure. There are no grafts, no sutures, and no incisions needed with the Chao Pinhole® Surgical Technique. It simply involves the adjustment of the existing tissue.

The benefits of the Chao Pinhole® Surgical Technique are many:


  • Less discomfort for the patient after treatment
  • Faster recovery for the patient than traditional grafting
  • No need for uncomfortable sutures
  • No need for scalpels or invasive surgical tools
  • No need to take donor tissue from the patient’s palate
  • Excellent, natural-looking, long-lasting results

If you have gum recession and are interested in your treatment options, schedule a consultation at PerioHealth and Dr. Prabakaran will review your treatment needs.

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