Root Coverage with the Pinhole Surgical Technique

The pinhole surgical technique is a recent development in dentistry.

Sometimes areas of the teeth have exposed root surfaces, regardless of the amount of tissue that is present, or the thickness of that tissue. The Pinhole Surgical Technique® is a method that covers those root surfaces. Patients are often happy with this minimally invasive procedure. Dr. Chris Chondrogiannis at Farber Center explains why this surgery is the best option.

What is the Pinhole Surgical Technique?

The Pinhole Surgical Technique® achieves root coverage, which typically results from gum recession.  The resulting coverage is the same as traditional gum surgery using allografts, donor cadaver tissue, or taking tissue from the roof of the mouth.  Ultimately, the goal was always increasing the amount of thick tissue and covering root surfaces.

How is it Different From Traditional Surgery?

Unlike traditional surgery, which involves a large incision using a scalpel, the Pinhole Surgical Technique® uses very small pinholes with special instruments. Those instruments are inserted through the pinhole to separate and loosen up the tissue.  If we can mobilize that tissue we can cover the exposed roots.  Additionally, we use collagen strips under the soft tissue to help stabilize that tissue and that does not require the use of sutures. It is an easier, more efficient way to accomplish root coverage.

The Pinhole Surgical Technique® is so useful that we are leaning towards avoiding gum grafts from the roof of the mouth or using cadaver tissue. We would like to use this new technique for most or all of our root coverage procedures.

What is the Procedure Like?

It is done through very small pinholes that are about 1.5mm in diameter. Through those little holes we are able to do the procedure without having to place sutures.  That definitely minimizes the amount of discomfort the patient has and it minimizes swelling.  Patients do really great post-operatively.



Oral Hygiene and Your Overall Health

Oral hygiene is important to prevent gum disease when you get older.

You may wonder how oral hygiene and your overall health are connected. Dr. Alan Farber of Farber Center for Periodontics & Dental Implants explains the connection, which is the basis of the culture of Farber Center.

Oral Hygiene and Disease

Long-term gum infection often results in tooth loss. However, your struggles won’t end there. Recent research suggests an association between oral infections and ailments such as diabetes, cardiovascular disease and preterm birth.


If you have diabetes, you’re already at increased risk of developing gum disease. But chronic gum disease may, in fact, make diabetes more difficult to control, as well. Infection may cause insulin resistance, which disrupts blood sugar control. Oral inflammation due to bacteria (gingivitis) may also play a role in clogged arteries and blood clots.

Heart Attack and Stroke

It appears that bacteria in the mouth may cause inflammation throughout the body, including the arteries. This inflammation may serve as a base for development of atherosclerotic plaques in the arteries, possibly increasing your risk of a heart attack or stroke. Some research suggests that people with gum infections are also at increased risk of heart attack and stroke. The more severe the infection, the greater the risk appears to be. And gum disease and tooth loss may contribute to plaques in the carotid artery. In one study, 46 percent of participants who’d lost up to nine teeth had carotid artery plaque; among those who’d lost 10 or more teeth, 60 percent of them had such plaque.

Pre-Term Birth

Severe gum disease may increase the risk of preterm delivery and giving birth to a low birth weight baby. The theory is that oral bacteria release toxins, which reach the placenta through the mother’s bloodstream and interfere with the growth and development of the fetus. At the same time, the oral infection causes the mother to produce labor-triggering substances too quickly, potentially triggering premature labor and birth.


Oral hygiene is no joke! If you didn’t already have enough reasons to take good care of your mouth, teeth and gums, the relationship between your oral health and your overall health provides even more.