What Is Pinhole Gum Rejuvenation and How Does It Work?

Dr. Rowan Pereira • April 7, 2025

Gum recession is a common dental problem that can lead to tooth sensitivity, increased risk of decay, and even tooth loss if left untreated. Traditional treatments often involve grafting procedures that can be invasive and require a long recovery time. However, pinhole gum rejuvenation offers a minimally invasive alternative that provides fast and effective results.

What Is Pinhole Gum Rejuvenation?

Pinhole gum rejuvenation, also known as the Pinhole Surgical Technique (PST), is an advanced procedure used to treat gum recession without the need for traditional grafting. Instead of cutting or suturing the gums, this technique involves making a small pinhole in the gum tissue and gently repositioning it to cover the exposed roots.


The procedure was developed by Dr. John Chao and has gained popularity due to its minimally invasive approach, quick healing time, and natural-looking results.

How Does Pinhole Gum Rejuvenation Work?

The procedure is straightforward and typically takes about an hour, depending on how many teeth need treatment. Here’s a step-by-step breakdown:

  • Numbing the Area: A local anesthetic is applied to ensure the patient is comfortable during the procedure.
  • Creating the Pinhole: The dentist makes a tiny hole in the gum tissue using a specialized needle.
  • Repositioning the Gum: Special instruments are used to loosen and gently move the gum tissue back over the exposed tooth root.
  • Stabilizing the Tissue: Small collagen strips are inserted into the pinhole to help stabilize the gums and promote healing.
  • Healing Process: The pinhole heals naturally within a day or two, without the need for stitches or grafts.

Benefits of Pinhole Gum Rejuvenation

This technique offers several advantages over traditional gum grafting:

  • Minimally Invasive: No need for cutting or sutures.
  • Faster Recovery: Most patients resume normal activities within 24–48 hours.
  • Immediate Aesthetic Improvement: Gums look healthier right after the procedure.
  • Less Pain and Discomfort: Compared to gum grafting, the recovery is much more comfortable.
  • Long-Lasting Results: When combined with good oral hygiene, the results can last for years.

Who Is a Good Candidate for Pinhole Gum Rejuvenation?

This procedure is ideal for individuals who have mild to moderate gum recession due to:

  • Periodontal disease
  • Brushing too hard
  • Genetics
  • Orthodontic treatments
  • Teeth grinding (bruxism)


However, patients with severe gum disease or very thin gums may need additional treatments before undergoing the procedure.

Aftercare and Recovery

Since pinhole gum rejuvenation is a minimally invasive procedure, aftercare is relatively simple:

  • Stick to soft foods for a few days.
  • Avoid brushing the treated area for about a week (use a prescribed mouth rinse instead).
  • Follow up with your dentist for a post-procedure checkup.

A Modern Solution for Gum Recession

At Tetrahealth, we specialize in pinhole gum rejuvenation, a minimally invasive, suture-free solution for gum recession that deliversimmediate cosmetic improvement and lasting results. Say goodbye to discomfort and long recovery times—our experienced team is here to restore your healthy, beautiful smile quickly and effectively. Contact Tetrahealth™ today to learn more and schedule your consultation!

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