Chao Pinhole Surgical Technique Now Available to Treat Gum Recession in Winston-Salem, NC

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A revolutionary improvement to the treatment of gum tissue recession has been developed that does not require surgery in the palate, is done through a tiny pinhole, and requires no sutures. This new procedure is being provided by Kenneth A. Peavy, D.M.D. M.H.S., a Diplomate of the American Board of Periodontology.

No scalpels, no palate, no sutures, and happy patients!

Gum recession is one of the most common dental problems and can lead to pain, poor esthetics, cavities, and tooth loss, but many people avoid treatment because the bad reputation of traditional scalpel surgery which usually involves cutting tissue from the roof of the mouth to sew into other areas, was painful for two or three weeks after surgery, and required many sutures. “Fear of pain and the extra surgery in the palate were the major barriers to treatment. Either patients wouldn’t have the treatment at all or they would only do worst area and not return for additional sites. Many people over the years said they would rather lose their teeth than do 'that' surgery,” says Dr. Peavy. He reports that finding a new way to treat multiple areas without large incisions, sutures, or a palatal donor site was exactly what the dentist and patients needed.

Grafts always called for an incision large enough to place the graft into, but Dr. Chao had the great idea to use collagen from porcine donors (pigs) and cut the graft into tiny pieces that could be placed into the needed areas of recession through a tiny, round pinhole. He also designed the instruments so that everything could be done through the pinhole. It is similar to the difference between and open joint surgery and an arthroscopic procedure.

Recession is often present on many teeth and it is now possible to treat as many teeth as need it at one visit. Patients can immediately appreciate the difference in the gum line esthetics and are amazed that it can be done without sutures and in one visit. The pinholes heal in a couple of days and it is hard to see them at all at the one week post-operative checkup. “Our patients have done well with the new procedure and usually only take over- the -counter pains medicines like Advil or Tylenol and have been returning to their regular activities the next day.

“I used to dread the afternoon post-op visits because so many patients were unhappy, still in pain, and complaining about the roof of their mouth! It was very discouraging, but since adopting the Chao Pinhole Technique (also being referred to as Pinhole Gum Rejuvenation), my afternoons are full of smiles and sometimes a hug or two! Our patients and I have never been happier,” reports Dr. Peavy

Dr. Peavy is a board certified periodontist in Winston-Salem and has been providing periodontal care for his patients for 25 years. Patients interested in learning more about this procedure can visit Dr. Peavy’s website at or call 336-774-3001.

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