Long Island periodontist at the Farber Center explains how the Pinhole Surgical Technique produces minimal discomfort and saves patients time in the dental office.
For patients the biggest advantage of the Pinhole Surgical Technique is being able to have multiple teeth treated in one visit. I can treat an entire arch in one visit, which is different than what we were able to do with traditional techniques that graft tissue from the roof of the mouth or use cadaver tissue. There is also less swelling. This a one-visit treatment procedure, not counting the usual follow-up visits. That is amazing compared to traditional gum grafting.
Even in the areas where you have the most advanced recession, the shape of the instruments used in the Pinhole Surgical Technique allows the doctor to mobilize tissue where needed. The way we get around having to use additional tissue is by using collagen strips. Those resorb and they will become tissue. We are able to overcorrect the recession by pulling gum tissue down beyond where it really should be, and then the tissue settles down to the spot where the tooth meets the root surface.
I can do an entire arch in one visit. The follow-up visits are at the same intervals as traditional procedures, with a one-week, a three-week and a six-week follow-up.
However, with traditional procedures, the actual treatment for an entire arch would be done in three separate segments, maybe the upper right, the upper front and the upper left over three different visits that might be a couple of months apart. With the Pinhole Surgical Technique I can do one surgical procedure that takes about two hours with several 20-minute follow-ups after that.
This one-visit procedure also reduces the antibiotics and anti-inflammatories the patient has to take afterwards. Considering there are fewer visits and reduced discomfort, I consider the Pinhole Surgical TechniqueÆ the best option for most patients who need gum grafts.
Dr. Chris Chondrogiannis
Farber Center for Periodontics & Dental Implants
Offices in Hauppauge and Medford, NY
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