NYC Pinhole Surgical Technique PST™

What is PST™?

The Pinhole Surgical Technique PST™ is a procedure in which Dr. Neary, Dr. Lanzetta, Dr. Chondrogiannis and Dr. Elhein use specialized instruments to make a small hole in your gum and add collagen material that stabilizes the area of gum recession. This new method is simple, suture-free, and minimally invasive.

PST™ was developed and patented by John Chao, D.D.S. It has been featured in the International Journal of Periodontics, one of the most prestigious dentistry journals in the world.

What causes gum recession?

While gum recession is usually viewed as one of the symptoms of gum disease, it can also be caused by insufficient tooth brushing, overly aggressive tooth brushing, or certain medications that can affect gum health. Gum recession can even be caused by orthodontic treatments and appliances like braces or retainers.

Why choose PST™?

Unlike gum grafting, The Pinhole Surgical Technique PST™ is minimally invasive and does not cut gum tissue, making it a much less painful option. Gum recession was traditionally treated using a connective tissue graft, which “harvests” gum tissue from the roof of the mouth and then sutures it to the affected area. Connective tissue grafts have a recovery period of up to three weeks and patients often experience side effects including gum pain, swelling, and bleeding. Palatal tissue grafts (tissue taken from the roof of your mouth) also have a different esthetic appearance than normal gum tissue, as the color and texture of roof tissue do not match that of your gums. Other methods, such as using donor tissues, may require intricate suturing, leading to possible complications and infection.

Benefits of PST™

• Non-invasive
• Reduces the side effects of gum surgery (bleeding, swelling, gum pain)
• Near-immediate cosmetic improvement
• Incision and suture-free
• Accelerated recovery
• One visit can treat multiple areas of recession

If you have any concerns about possible gum recession or are worried about the side effects of gum grafting, contact our office today to schedule an appointment. We will be happy to discuss the details and benefits of The Pinhole Surgical Technique PST™.

* Chao Pinhole Surgical Technique®™ and PST®™ are registered trademarks of John Chao DDS MAGD, 2008

FREQUENTLY ASKED QUESTIONS FOR PINHOLE:

What are the benefits of the Pinhole Surgical Technique?

• Minimally invasive: PST requires no grafts or sutures, making it less invasive than traditional gum grafting procedures.
• Faster recovery: Patients typically experience a quicker recovery time with less post-operative discomfort.
• Natural-looking results: PST provides a natural-looking result, improving both function and aesthetics.
• Reduced downtime: Most patients can return to their normal activities sooner compared to more invasive gum treatments.

Is the Pinhole Surgical Technique suitable for everyone?

PST is generally suitable for patients with gum recession due to periodontal disease or other factors. However, it may not be appropriate for individuals with severe gum disease or specific anatomical considerations. A consultation with a periodontist will determine if PST is the right option for you.

What should I expect during the Pinhole Surgical Technique procedure?

The PST procedure is typically performed under local anesthesia. The periodontist will create a small pinhole in the gum, then use specialized instruments to reposition the gum tissue. The procedure usually lasts about 1-2 hours, depending on the extent of treatment required.

What is the recovery time after the Pinhole Surgical Technique?

Recovery from PST is generally quicker compared to traditional gum grafting. Most patients experience minimal discomfort and swelling, and can resume normal activities within a few days. Full healing of the gum tissue typically occurs within a few weeks.

Are there any post-treatment care instructions for PST?

Yes, post-treatment care is important for optimal healing. You will receive specific instructions from your periodontist, which may include recommendations for oral hygiene, avoiding certain foods, and attending follow-up appointments.

How long do the results of the Pinhole Surgical Technique last?

The results of PST can be long-lasting when combined with good oral hygiene and regular dental check-ups. The gum tissue that is repositioned and secured typically remains in place, though maintaining gum health is crucial to prevent future issues.

How does the Pinhole Surgical Technique compare to traditional gum grafting?

Compared to traditional gum grafting, PST is less invasive, involves no sutures, and generally has a faster recovery time. Traditional gum grafting often requires the removal of tissue from the roof of the mouth and may involve a longer healing period.

How much does the Pinhole Surgical Technique cost?

The cost of PST can vary depending on factors such as the extent of gum recession and whether you have dental insurance coverage. It’s best to discuss costs and payment options with your dental provider.

 Is the Pinhole Surgical Technique covered by insurance?

Insurance coverage for PST can vary. Some dental insurance plans may cover a portion of the cost if it is deemed medically necessary, while others may not. It’s advisable to check with your insurance provider and our office to understand your coverage and potential out-of-pocket expenses.

Are there any risks or side effects associated with the Pinhole Surgical Technique?

PST is generally safe with minimal risks. Some potential side effects include mild discomfort, swelling, or temporary bleeding. These are usually short-lived and resolve as the gums heal. Your periodontist will provide you with detailed information on what to expect and how to manage any post-procedure symptoms.

For personalized information and to determine if PST is right for you, consult with a qualified periodontist who can evaluate your individual condition and treatment needs.