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Scott F. Johnson DMD, MS
Periodontics, Implants, Cosmetic Dental Surgery

Naples

(239) 254-0308

9170 Galleria Ct. #100
Naples, FL 34109

Bonita Springs

(239) 948-6725

23451 Walden Center Dr., #300
Bonita Springs, FL 34134

repair gumline

That are many factors that can cause gums to be abnormally shaped. Sometimes gums do not properly recede after a new tooth erupts or alternately sometimes periodontal disease can cause gums to recede too much.

Gum line related problems can make a person feel self conscious about their mouth thus affecting their self esteem.

The good news is that treatment of gum line related treatments have become much easier with new pain-free techniques.

Learn how we treat gum line problems with gum lifts or gum grafts

Pinhole® Surgical Technique is a breakthrough treatment for gum recession

What is gum recession?
Gum recession refers to the loss of gum tissue along the gumline. This can occur as a result of periodontal disease (gingivitis, periodontitis, advanced periodontitis), the natural aging process, or abrasive habits when it comes to brushing the teeth.

Why should gum recession be taken seriously?
When gum recession occurs, the root structure of the tooth becomes exposed. This means that tooth decay and other problems can affect the teeth along the gumline and beneath it. Since healthy gums are essential for a healthy mouth, getting gum recession treated is important for lasting dental wellness.

What is the Pinhole® Surgical Technique (PST)?
The Pinhole® Surgical Technique is a minimally invasive option for treating gum recession. Unlike traditional grafting techniques, PST is incision and suture free.

How does the Pinhole® Surgical Technique (PST) differ from traditional gum grafting?
Traditional gum recession treatments involve the use of donor tissue or soft tissue grafts in order to rebuild the gumline. This soft tissue would be sutured in place and would join with existing gum tissue as it healed.

While this traditional grafting treatment is effective, comparable results with better patient experience can be achieved through the Pinhole® Surgical Technique.

How is Pinhole® Surgical Technique (PST) performed?
During the Pinhole® Surgical Technique, a needle is used to make a small hole in the patient’s existing gum tissue. Through this pinhole, special instruments are used to gently loosen the gum tissue. These tools help expand and slide the gumline to cover the exposed root structure.

There are no grafts, no sutures, and no incisions needed with the Pinhole® Surgical Technique. It simply involves the adjustment of the existing tissue.

What are the benefits of Pinhole® Surgical Technique (PST)?
The benefits of the Pinhole® Surgical Technique are many:

  • Less discomfort for the patient after treatment
  • Faster recovery for the patient than traditional grafting
  • No need for uncomfortable sutures
  • No need for scalpels or invasive surgical tools
  • No need to take donor tissue from the patient's palate
  • Excellent, natural-looking, long-lasting results
Soft Tissue Grafting

A frequent periodontal condition is known as gum recession. This means the existing gum tissue has receded up or down the root of the tooth exposing various amounts of the root. Root exposure can create root sensitivity especially to hot and cold, an increased potential for root decay, and/or esthetic concerns. Gum grafting procedures are the treatment of choice to prevent the recession from continuing further. There are many different types of recession and hence many different types of gum grafting. Some are aimed at covering the root of the tooth and other procedures are focused on providing an excellent new zone of gum tissue to halt the recession.

A gum lift may be performed to create a more even gum line. Patients with a gummy smile can quickly and safely have unwanted tissue removed, thus exposing more tooth to shape a more attractive smile.

Normally the gums protect the underlying bone. If the gum tissue is too thin it is easily injured and it may 'die back' or recede. When gum recession occurs, bone recession (loss) has also occurred.
This can be unsightly, uncomfortable and weakens the teeth. In later years teeth will be more susceptible to cavities where recession has occurred. Thickening and widening the gums by plastic surgery can stop gum recession, which reduces the risk of bone (and tooth) loss, decreases tooth sensitivity to cold and can correct unsightly long-tooth appearance.
Under local anesthesia, thin layers of tissue are moved from the roof of the mouth to deficient areas to recreate an effective layer of gum tissue. While soft-tissue (skin, not gum) from tissue banks is sometimes used, its efficacy and long-term stability is uncertain. If you are unhappy with the appearance of short unsightly teeth this can be greatly improved by a combination of periodontal procedures by your Periodontist and cosmetic dentistry by your Dentist.
Although teeth may appear short, they may actually just be covered with too much gum tissue. This can be corrected by performing the periodontal plastic surgery procedure of crown lengthening.
Under local anesthesia, excess gum (and sometimes bone) is reshaped to expose more of the natural tooth. This can be done for one or more teeth to even your gum line and to create a beautiful smile.
After any of these procedures, when the local anesthesia wears off, low-grade pain is present through the evening but is gone by the next day.

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Periodontist: Naples, Bonita Springs, FL

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Phone | (239) 254-0308
Fax | (239) 254-0309
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