Gum Grafting / Pinhole Surgical Technique

Dr. Alice Moran was the first Board Certified Periodontist in Orange County to be trained on the Pinhole Surgical Technique.

The Pinhole Surgical Technique (PST™), is an incision-free and suture-free perioplastic surgery procedure for treating gum recession. Through a small pinhole made by a needle, Dr. Moran uses specially designed instruments to gently loosen the gum tissue and glide it over the receded part of the tooth. Since there is no incision or suturing, patients can expect minimal post-operative symptoms (pain, swelling and bleeding). Most patients also are pleasantly surprised by the instant cosmetic improvement.

Pinhole Surgical Technique


Pinhole Surgical Technique (PST™), is an incision and suture-free
perioplastic surgery procedure for treating gum recession.

Receding gums can make anyone look older, often cause tooth sensitivity and may lead to tooth loss. Gum recession can be caused by incorrect brushing techniques, gum disease, tooth malposition and orthodontics. Many people are unaware of the condition until their teeth become sensitive to cold temperatures because of root exposure. Others may be concerned by the unsightly appearance of their receding gums.

The standard treatment for receding gums is gum grafting surgery, a procedure in which a section of gum tissue must be cut out of the palate then sewn on to the affected area. Because of the limited amount of palatal tissue and recovery time for the palate, periodontists can usually treat only one or two teeth at a time, and then wait for the patient to heal before treating additional teeth. For a patient with several recessions, the treatment process could take months to even years.

The area of gum recession is numbed with a local anesthetic and depending on the number of recessions to be treated, one or two small entry points about the size of the tip of a ballpoint pen are made in the gum area near the tooth or teeth to be treated. A small dental instrument is inserted into the entry point to loosen the gum tissues and move them back into a normal, healthy position. Then tiny collagen strips are placed through the entry point under the gums. The collagen helps to keep the gums in place during the healing process. The entry site quickly heals and the pinhole is virtually undetectable the next day, with no down time needed for healing. Some patients may experience mild swelling, which dissipates in a few days.

Request an Appointment