Periodontal Cosmetic Surgery Leads to Dramatic Results

Periodontal cosmetic surgery at Farber Center on Long Island can remove excess gum tissue and reshape the gum line. The procedure is often fast and easy.

Periodontal cosmetic surgery offered by the Farber Center

Am I a Candidate for Periodontal Cosmetic Surgery?

For some people, as their teeth grow into their mouth, excess gum tissue grows along with the teeth. In other words, not everyone has a gum line that stabilizes when it should. For some teenage and adult patients, it looks as if they still have baby teeth because they have excess gum tissue covering their adult teeth. In this case, a cosmetic periodontal procedure is one where we reshape the gum line to expose the full adult tooth to give the patient a much more natural and even gum line. Sometimes a patient appears to have very small teeth.

Many times during adolescence, especially if the patients have undergone orthodontic treatment, there is excess gum tissue that is covering half of their adult tooth, and once the excess gum tissue is removed the adult tooth is now exposed giving the appearance of a normal adult tooth. It is not a case of having small teeth; it is a matter of having too much gum tissue covering the normal-sized teeth.

What Can I Expect?

Our periodontists complete the procedures fairly quickly without much chair time but with a dramatic result. However, each procedure is unique.

Occasionally orthodontic treatment worsens this problem of too much gum tissue. As the teeth are shifted and placed into proper alignment, the gum line shifts along with the teeth. Many times children who have braces, unfortunately, do not take as good care of their teeth as they should, and the gum overgrows in response to the extra bacteria that is in the plaque around the teeth.

Many times because there is only excess gum tissue without other dental concerns to address, we can remove the excess gum tissue in a short visit with no stitches required. Within two weeks the gum line is almost 100% healed and the patient has a beautiful smile. This is an excellent outcome.

Dr. Vasiliki Batalias

The Farber Center for Periodontics and Dental Implants

Pinhole Surgical Technique Training


Farber Center’s Dr. Chris Chondrogiannis underwent specialized training to become certified in the Pinhole Surgical Technique. Here is his experience:

The pinhole surgical technique is a recent development in gum surgery.

The Training Course

The training for the surgical technique was an intense two-day course with the inventor of the technique, Dr. John Chao.  It includes meticulous attention to the instrumentation that Dr. Chao has patented. The instruments are angled and sharpened in a specific way so as not to harm the soft tissue, and if used correctly they will mobilize and move the tissue.  It took him about 13 years to perfect the instrumentation, and he has been using these particular instruments for the past four to five years.

Dr. Chris’s Experience

My training was hands-on. We did live surgery and then the follow-up the next day to see the healing.  We spoke with the patient and got her take on it. 

In my practice, when patients arrive, they already did their research on the Internet ahead of time. They learn that we can treat an entire arch in one visit, and that is a very attractive option. 

A particular patient that I saw had cadaver soft tissue grafting on the lower front. She was unhappy that this technique would be needed for every tooth. That process would take twelve to eighteen months to complete. However, it would only take two Pinhole Surgical Technique appointments about two months apart to treat the upper and lower arches separately. 

Immediately after the Pinhole Surgical Technique root surfaces look covered. That is achieved in about two hours, without suturing, and with minimal swelling and bleeding.  The patient is very comfortable the next day simply taking Ibuprofen. Within a week everything starts looking nice and pink and healthy. By three weeks the result is excellent. 

When the patient experiences excitement from the results of one tooth, they often want the procedure performed on the entire jaw. The overwhelming majority of our patients overcome their anxiety about gum grafting.

Ultimately, our patients are very happy with the Pinhole Surgical Technique at the Farber Center.

Dr. Chris Chondrogiannis

The Farber Center for Periodontics and Dental Implants