There are many different reasons that cause gum recession, aggressive brushing, orthodontics, tooth grinding, periodontal disease or lack of gingival tissue which gives you the appearance of very long teeth.

The Pinhole Surgical Technique PST™ may be an attractive alternative to gum grafting because it is a non-invasive procedure. Unlike gum grafting procedures, there is no cutting of the gum tissue involved. Traditionally, a periodontist needed to harvest gum tissue from the roof of the patient's mouth. A flap or tunnel was made in the front of the teeth and the tissue is sewn on. Only two to three teeth could be treated at one time as the donor site had to heal, which was so painful. Patients would need to be out of work for a week or on narcotics. What makes the PST so revolutionary it uses a 0.1-inch “pinhole” opening to move a patient's gumline to its healthy, and natural positioning. With this technique, up to 14 teeth can be corrected in one to two hours. Healing time is reduced from 3 weeks for traditional gum surgery using gum grafting to one day with the gum rejuvenation technique.

The rate of success of the Pinhole Surgical Technique (PST) is comparable to the highest rate of 90% attributed to traditional methods, according to a 33-month study of 43 patients. PST not only treats natural teeth affected by gum recession but also crowns and bridges. With PST the crown or bridge can be restored to a natural, well-fitting look.