Dentist Questions Oral and Maxillofacial Surgeon

Is gum pinhole surgery as successful as gum graft?

I have gum recession and want to treat it. Is gum pinhole surgery as successful as gum graft?

3 Answers

It depends on the case. During the consultation with your Periodontist, this questions can be addressed based on your specific situation and going over the different indications for either procedure.
Hi, As an oral surgeon I am not familiar with those procedures. Those procedures are performed by periodontists. Sorry I can't be of more help.
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Gum pinhole surgery, also known as the Pinhole Surgical Technique (PST), and traditional gum grafting are both effective treatments for gum recession, but they have different success rates, advantages, and considerations. Success Rates: Gum Grafting: Traditional gum grafting has a long history of effectiveness and is widely regarded as a highly successful treatment for gum recession. Its success rate is quite high, often cited to be above 90%. Pinhole Surgical Technique: PST is a newer procedure but has shown promising results. Studies have indicated a high success rate, though long-term data is less extensive compared to traditional gum grafting. Procedure Differences: Gum Grafting: Involves taking tissue from another part of the mouth (like the palate) and grafting it onto the receded area. It's more invasive and typically involves stitches and a longer recovery period. Pinhole Surgical Technique: Is less invasive, involving a small hole through which special instruments are used to gently loosen and reposition the existing gum tissue over the receded areas. It usually results in less discomfort and a quicker recovery. Recovery and Comfort: Gum Grafting: Recovery can be more uncomfortable and longer due to the nature of the surgery, involving two wound sites (donor and recipient). Pinhole Surgical Technique: Generally has a faster recovery time and less post-operative discomfort, as it is less invasive and doesnt require a donor site. Aesthetic and Functional Outcomes: Both procedures are effective in covering exposed roots, reducing sensitivity, and improving gum aesthetics. The choice between them often depends on the extent of gum recession, patient preference, and the dentist's recommendation. Longevity and Relapse: The long-term success of both procedures can be influenced by factors like oral hygiene, smoking, and the underlying causes of the gum recession. Regular dental check-ups and proper oral care are crucial for the longevity of both treatments. It's important to consult with a periodontist or a dentist experienced in these procedures to determine which treatment is most suitable for your specific condition. They can provide a personalized recommendation based on the extent of gum recession, your oral health, and other relevant factors. Lior Neuman, DDS