Gum Rejuvenation

The Chao Pinhole® Surgical Technique also known as Pinhole Gum Rejuvenation™ is a scalpel-free, suture-free, graft-free procedure for correcting gum recession and saving teeth. A small hole is made by a needle and specially designed instruments are used to gently loosen the gum tissue and glide it over the receded part of the tooth. There is no cutting or stitching and patients can expect minimal post-operative symptoms (pain, swelling and bleeding). There is instant cosmetic improvement!

This cutting-edge minimally invasive procedure was conceived and patented by a Los Angeles dentist, Dr. John Chao. Dr. Chao’s innovative procedure has been featured on ‘The Doctors Show’, NBC and ABC networks. Take a look and call us to learn more about this innovative procedure. Dr. How is among the first few internationally trained and certified to provide this procedure.


Benefits of Pinhole procedure:

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

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.

What is gum recession?

Gum recession is the process in which the margin of the gum tissue that protects the teeth wears away, or pulls back, exposing more of the tooth root. If left untreated, the supporting tissue and bone structures of the teeth can be severely damaged and may ultimately result in tooth loss and even severe health consequences. Gum recession is a common dental problem and most people do not know that they have gum recession because it occurs gradually. The first sign of gum recession is usually tooth sensitivity or you may notice teeth that look longer than normal. Typically, a notch can be felt near the gum line. Do not ignore gum recession! Early detection and treatment is essential to maintaining overall health and saving teeth. If you think that your gums are receding, make an appointment immediately with a certified Pinhole surgical technique dentist for an evaluation of your individual case.

Why do gums recede?

  • Periodontal diseases. These are bacterial gum infections that destroy gum tissue and the supporting bone that holds teeth in place. Gum disease is the main cause of gum recession and loss of teeth. Due to genetics, some people may be more susceptible to gum disease. In fact, studies show that 30% of the population may be predisposed to gum disease, regardless of how well they care for their teeth.
  • Aggressive tooth brushing. Brushing teeth and gums too hard can cause gum recession.
  • Insufficient dental care. Inadequate brushing and flossing make it easy for plaque to turn into calculus (tartar) – a hard substance that builds on and between teeth. This type of plaque can only be removed by a professional dental cleaning.
  • Hormonal changes. Fluctuations in female hormone levels during a woman’s lifetime, such as in puberty, pregnancy, and menopause can make gums more sensitive and more vulnerable to gum recession.
  • Tobacco products. Tobacco users are more likely to have sticky plaque on their teeth that is difficult to remove and can cause gum recession.
  • Grinding and clenching teeth. Clenching or grinding teeth can put too much force on the teeth, causing gums to recede. Clenching during sleep is a common cause of gum recession.
  • Crooked teeth, a misaligned bite or missing teeth. When teeth do not come together evenly, excessive force can be placed on the gums and bone, allowing gums to recede.
  • Body piercing of the lip or tongue. Jewelry can rub the gums and cause irritation to the point that gum tissue is worn away.

Colonnade Dental - Dr. Vincent How