Transform Your Smile With Minimally Invasive Pinhole Gum Surgery

Do receding gums make you hide your smile? The highly skilled  Long Island periodontists at Farber Center For Periodontics & Dental Implants can rebuild confident grins using the Pinhole Surgical Technique. This approach corrects gum loss with a single tiny entry point without scalpels or sutures. 

Schedule a consultation by calling our Hauppauge office at 631-265-4442 or our Medford office at 631-758-3700.

What is the Pinhole Surgical Technique (PST)?

The Pinhole Surgical Technique represents a very minimally invasive gum recession treatment alternative to traditional gum grafting, which requires extensive tissue cutting. After numbing the area, one of our Long Island periodontists makes a pin-sized hole through which specialized instruments gently loosen gum tissues before quickly and painlessly tucking them securely into place over exposed roots. The tiny access point means no visible incisions, minimizing discomfort and enabling rapid healing with incredible cosmetic outcomes.

Benefits of the Pinhole Surgical Technique

While traditional gum grafting effectively addresses gum recession, Pinhole repositioning proves to be a much more minimally invasive option and offers a wide array of other benefits. Some of the many benefits of the Pinhole Surgical Technique include:

  • Pinhole gum surgery eliminates scalpel incisions, which need extensive sutures for wound closure.
  • The pinhole procedure prevents trimming of the palatal donor site, reducing necessary graft tissue amounts.
  • Pinhole gum surgery decreases procedure times to as little as 30 minutes vs. hours.
  • Pinhole gum surgery minimizes post-op swelling throughout the healing process.
  • This minimally invasive treatment reduces bleeding and greatly accelerates patient healing periods.
  • Treating gum recession with Pinhole gum surgery helps you achieve phenomenal cosmetic results with no visible scarring.
  • Pinhole repositioning optimizes gum levels & protects restored teeth, aiding in the placement of crowns and other restorations.  

Who Qualifies for Pinhole Surgical Technique?

Good candidates for pinhole surgical technique usually have:

  • Gum recession with root exposure, which makes their teeth susceptible to sensitivity or decay
  • Overall healthy teeth and bone structure to provide stability
  • Enough gum and bone tissue for effective stretching and securing of graft-free gum tissue over exposed sections
  • Sufficient space between teeth for the Pinhole instruments to access tooth roots

The Pinhole Surgical Technique Process


The road to an improved smile starts with a consultation and smile assessment at one of our locations. Your Long Island periodontist will examine your oral cavity and determine your overall gum health. Digital images help your periodontist diagnose which regions of gum recession need help. 

Then, your periodontist will show you simulations of potential Pinhole outcomes so you fully understand the realistic changes possible for your unique anatomy. Your consultation is a great time to ask any questions or voice any concerns you may have.


On procedure day, the gums around the target teeth get gently numbed to eliminate discomfort. Tiny access openings then get created at the highest gum line points using needles. The patented Pinhole instruments access each exposed root to delicately tease surrounding gum tissues over vulnerable areas without incisions.

Pinhole Surgical Technique

The specialized Pinhole kit stretches and maneuvers your gum tissues into proper alignment over roots, usually in 30 minutes. Minimally invasive gum tissue repositioning avoids the need to trim the palatal region. Small collagen strips are sometimes used in securing migrated gum tissue in place. Your periodontist will inspect the new contouring achieved by the surgical procedure before closing entry points with a simple suture.

For a few days, medications can help manage minimal post-operative symptoms such as sensitivity, pain, and swelling. Most patients will barely notice these symptoms thanks to the minimally invasive procedure. Quick healing enables patients to enjoy full cosmetic improvements and gum tissue-boosting protection right away.

Post Pinhole Surgical Technique Care

Following your pinhole surgery, our Long Island periodontists recommend the following tips to ensure your healing goes smoothly:

  • Avoid disturbing the blood clot by being gentle with your mouth. Avoid spitting, swishing fluids forcefully, or touching sites.
  • Use any prescribed antibiotics fully to prevent infections and use any prescribed pain medication to manage tenderness.
  • Refrain from disruptive habits like alcohol and tobacco use that restrict critical blood flow to the healing periodontal sites.
  • Follow recommendations on oral hygiene to avoid damaging stabilized areas still integrating. 
  • Use soft gentle brushing to keep the area clean without over-agitating.
  • Schedule prompt follow-up exams and maintenance care with one of our periodontists to ensure stabilized results with any needed tune-ups.

Frequently Asked Questions

Does Pinhole surgery require a palatal donor graft?

No. By uniquely maneuvering your existing gum tissues already surrounding teeth, Pinhole repositioning avoids invasive palatal trimming for traditional grafting of gum tissue. This eliminates additional donor site wounds while still shifting adequate soft tissue amounts over root areas exposed by gum recession.

Are the results of Pinhole gum surgery temporary?

Like traditional gum grafting, successfully relocated and secured gum tissues last for the long term given proper at-home care. However, some patients exhibit tendencies for continual gum recession, which may require periodic touch-up maintenance procedures. Most patients enjoy lasting results, helping them retain confidence and dental health.

How long does recovery after Pinhole surgery take?

Patients report functioning normally and returning to work in just one to two days thanks to minimal cutting and quicker procedures. Complete Pinhole healing occurs in about four weeks as the areas stabilize compared to six to eight weeks for conventional methods. 

Is pinhole surgery covered by insurance?

Coverage varies depending on your insurance plan. Discuss with your dentist or periodontist and insurance provider to understand your specific coverage and any out-of-pocket costs.

No Scalpel, No Scars, All Smiles: Pinhole Gum Rejuvenation in Long Island!

If gum recession or increasing tooth root exposure accompanies your smile, depend on our Long Island periodontal experts to artistically rebuild and protect dental beauty without dramatic surgery. Pinhole repositioning offers a minimally invasive gum-boosting alternative to grafts, with faster, scalpel-free procedures. That means quicker recovery, improved comfort, and phenomenally natural, scar-free outcomes. 

Contact our Hauppauge office at 631-265-4442 or Medford office at 631-758-3700 to schedule your pinhole consultation and reveal your dream smile! Our team is proud to also provide services to residents of Patchogue, Holtsville, Middle Island, and the surrounding communities.

Before & After Photos

 Day of Pinhole Surgical TechniquePinhole Day
 Pre-Op Pinhole Surgical TechniquePinhole Pre-Op
 Post-Op Pinhole Surgical Technique (2 months)Pinhole Post-Op at 2months



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After Pinhole Surgical Technique
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Before Pinhole Surgical Technique
Before Pinhole Surgical Technique
After Pinhole Surgical Technique
After Pinhole Surgical Technique
Before Pinhole Surgical Technique
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