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The Chao Pinhole Surgical Technique (TM)

Well, if you’re the patient getting operated on, maybe you don’t think it’s so cool. Unless you’re the rare exception who likes needles in your gums.

But you should be excited, because this technique will allow your gums to be shaped with minimal risk, pain, and down-time. Its inherently minimally invasive and low-maintenance. There is no cutting or suturing, and healing is quick.

This technique was developed fairly recently by a man named Dr. Chao, and it is taking off internationally as the preferred method of gum shaping after periodontal or gingival treatment.

Note that this is solely meant to restore the gum line for the purpose of aesthetics and functionality. It is not gum disease treatment, and it must be done in a disease-free mouth. So this is something I’d do after my patient has successfully undergone therapy for gum disease and only needs the gums to shrink back up around the teeth.

It sure beats the traditional method, however, of grafting gum tissue from another area of the mouth.

Dr. Sperbeck, West Los Angeles

http://www.dds4smiles.com

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Gum Recession: The How and The Why

How do people end up with recessed gums? Gum recession is a common result brought about by gum disease  (or its more advanced stages of gingivitis and periodontitis) and abrasive over-brushing (brushing your teeth too harshly too often with the wrong brush). Perhaps poor dental work in the past has caused an imbalance in the mouth, possibly a bite malfunction that has, over time, negatively affected occlusal (bite) functionality.

As a side note, yes, even slight imbalances in bite mechanics can cause long-term diseases and vulnerabilities that seem unrelated. That’s why holistic dentistry is so important: we get to the root of the problem, considering the whole patient. If you try treating gum recession without first considering the possibility of TMJ problems, mercury poisoning and tissue rejection from amalgam fillings, or miscalculated restorations, you may only have to do it again, with poorer results each time.

So why is gum recession a problem? Recessed gums weaken and loosen the roots of teeth, exposing the vulnerable parts to physical injury and infectious bacteria. Gum recession sets the stage for tooth decay and tooth loss. Practicality aside, bad cases of gum recession are not aesthetically pleasing and may cause patients to be self-conscious.

In my next post, I’ll talk a little bit more about the Pinhole Surgery Technique (PST) by Dr. Chao that’s used to correct gum recession without surgery.

What about you? Have you had any experience with gum recession, or do you know someone else who has? News of this Pinhole Surgery Technique may be a welcome relief, then… or maybe something you wish your dentist knew a long time ago.

Dr. Sperbeck, West Los Angeles

http://www.dds4smiles.com

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Treating Gum Recession with Dr. Chao’s Pinhole Surgical Technique (TM)

Traditionally, the way gum recession is treated is by performing gum grafts. Gum grafts are essentially stitching extra gum tissue (taken from elsewhere in the patient’s mouth) to the affected area, sewing everything up, and waiting several months for it to merge and heal and return the patient to normal. This method is effective and is how dentists are trained to treat more severe cases of gum recession. However, gum grafting is slow, invasive, riskier, and generally an involved, expensive process that interferes with the patient’s daily life.

That’s why I am so excited about the PST. If you saw the video I previously shared, you can see an illustration of the two methods compared side-by-side. The PST is a quick, simple, low-maintenance procedure with healthy and natural-looking results. I imagine patients would watch it and think, “Why on earth have dentists not come up with this sooner?” I agree. Sometimes solutions come along that are just so logical, so sensible, it makes you wonder why we even started out with more complicated treatments. Kudos to Dr. Chao!

PST is a method by which a tool is inserted directly into the gum tissue and is used to gently, partially separate the tissue from the underlying facial bones. The tool is like a hooked needle, which sounds awful, but it means nothing gets sliced up; the only mark left behind is — you guessed it — a little pinhole that heals up in a matter of hours.

After the insertion and loosening of the gum tissue, the gums are then pushed downward (or upward, depending on where we’re working) in sweeping motions around sterile teeth. When the gums are nice and cozy up against the teeth again, treatment is finished. Collagen is then inserted behind the gums to stabilize them and speed up the healing process.

Essentially, the Pinhole Technique not only physically manipulates the gums so that they once again surround and envelop the teeth, but also stimulates the surrounding area so the gums continue to grow and flourish and stay put in their proper place. A clean, disease-free environment is important, however, and this technique is not appropriate while gum disease is present.

Healing takes place in a matter of days, even overnight for some cases. The patient may not have to take time off work or interrupt his or her busy life. The pain and medical risks are minimal, if any. It is truly amazing, and I’m excited to incorporate it into my practice. I hope many future patients will benefit from this new technique.

Dr. Sperbeck, West Los Angeles

http://www.dds4smiles.com