Centre for Cosmetic, Laser and Implant Dentistry

Gum Treatments

Pinhole Surgical Technique™ (PST™)

Scalpel-Free, Suture-Free Treatment for Receding Gums

Restoring your gums should be comfortable, minimally invasive and aesthetically transformative. Gum recession, where tissue pulls back and exposes sensitive tooth roots, can affect your smile, cause temperature sensitivity and leave teeth vulnerable to root decay.

Historically, correcting receding gums meant invasive grafting surgery, where tissue was cut from the roof of the mouth and stitched onto the gums. We offer an internationally acclaimed alternative: the Pinhole Surgical Technique™. As one of a select few certified practices in South Australia trained to perform PST™, we restore a natural-looking gumline without incisions, donor tissue or stitches.

Illustration showing gum recession treated with the pinhole technique
25+Years dental experience
  • No stitchesCollagen strips instead
  • Multiple teethIn a single session
  • Next dayMost return to normal

What Is the Pinhole Surgical Technique™?

Developed by Dr John Chao, the Pinhole Surgical Technique™ is a patented, micro-invasive procedure that corrects gum recession and restores a healthy, youthful gumline.

Rather than cutting donor tissue from the palate, a tiny pinhole-sized entry point is made in the existing gum above the exposed roots. Specialised instruments gently loosen and slide the healthy gum tissue back over the roots, and bio-absorbable collagen strips hold it in place while it heals.

Performing PST™ requires specialised training and delicate instrument skills, so it is offered by only a small number of practices in Australia. Led by Dr Renu Karn, with over 25 years of clinical experience, we have invested in the instrumentation and training to bring it to our Adelaide patients.

Infographic of the pinhole gum surgery steps: the problem, the pinhole, the movement, the placement and the result

Causes of Gum Recession

Understanding the cause helps protect your long-term results.

  • Over-aggressive brushing

    Brushing too hard or with hard bristles wears away delicate gum margins.

  • Gum disease

    Plaque-driven inflammation destroys connective tissue and bone support.

  • Thin gum biotype

    Naturally thin gum tissue is more susceptible to wear and recession.

  • Grinding & clenching

    Excessive biting forces flex teeth at the gumline, causing tissue loss (abfraction).

  • Hormonal changes

    Pregnancy and menopause can make gum tissue more sensitive.

Why Treating Receding Gums Matters

Exposed roots lack the protective enamel found on the crowns of teeth. Left untreated, recession can lead to:

  • Root Sensitivity

    Sharp, painful sensitivity to hot, cold and sweet foods.

  • Root Decay & Tooth Loss

    A higher risk of aggressive root cavities.

  • Notches at the Gumline

    Groove-like wear near the gums.

  • An Aged Smile

    An uneven, “long in the tooth” appearance.

Before and after pinhole gum treatment, showing restored gum coverage
Results vary from person to person. Any invasive procedure carries risks; before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Pinhole Surgical Technique™ vs Traditional Gum Grafting

Feature
Pinhole Surgical Technique™
Traditional Gum Grafting
Donor tissue
None needed (uses existing gums)
Tissue cut from the roof of the mouth
Incisions
No scalpel; tiny pinhole entry
Extensive cutting of gums and palate
Stitches
None (collagen strips)
Multiple stitches in palate and gumline
Discomfort
Minimal pain, swelling or bleeding
Significant pain, swelling and bleeding
Recovery
Most return to normal the next day
2 to 3 weeks of restricted diet
Efficiency
Multiple teeth or full arches in about an hour
1 to 2 teeth per procedure
Appearance
Uniform, natural-looking gumline
Can leave a mismatched patch

The PST™ Procedure, Step by Step

The whole procedure usually takes under an hour and can treat multiple teeth or entire arches in one relaxed appointment.

  1. 1

    Periodontal Assessment

    We measure the extent of recession and evaluate your oral health to confirm PST™ is right for you.

  2. 2

    Preparation & Numbing

    The area is carefully cleaned and a local anaesthetic keeps you comfortable throughout.

  3. 3

    Creating the Pinhole

    Dr Karn creates a tiny entry point in the gum above the affected teeth.

  4. 4

    Repositioning the Tissue

    Patented PST™ instruments gently loosen and glide the gum tissue to cover the exposed roots.

  5. 5

    Collagen Stabilisation

    Bio-absorbable collagen strips hold the new gumline in place while it heals naturally, without stitches.

Recovery & Aftercare

Recovery is remarkably quick. You’ll notice an immediate improvement, the pinhole typically disappears within 24 to 48 hours, and most patients return to work the next day.

  • Gentle Rinsing

    Use the prescribed antibacterial mouthwash rather than brushing the treated area for the first few days.

  • Soft Food Diet

    Stick to soft foods for the first week so the collagen strips stay in place.

  • Gentle Brushing

    Switch to a soft-bristled toothbrush and gentle circular motions once cleared by your dentist.

Frequently Asked Questions About PST™

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Are the results permanent?

Once the repositioned tissue heals and reattaches, the results are long-lasting. Good oral hygiene, regular check-ups and avoiding hard-bristled toothbrushes will keep your new gumline healthy.

Does PST™ hurt?

Because there are no scalpels or stitches, discomfort is minimal. Local anaesthetic keeps you comfortable during the procedure, and patients report much less soreness than with grafting.

How long does an appointment take?

Treating a single area or a whole arch usually takes 45 to 60 minutes.

Am I a suitable candidate?

Most people with receding gums are good candidates. Active gum infection or severe bone loss must be treated first, and Dr Karn will confirm suitability at your consultation.

How much does PST™ cost in Adelaide?

Because PST™ can treat multiple teeth in one session without donor tissue, it is often more cost-effective than multiple grafting surgeries. We provide a fully transparent, itemised treatment plan at your consultation. Private health fund rebates (HICAPS) are processed on site, and flexible interest-free payment options (Afterpay, Zip and DentiCare) are available.

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Interested in pinhole gum treatment?

Book an appointment with our experienced team today. Start with a comprehensive new patient exam, and we’ll talk you through whether pinhole gum treatment could be right for you.

Product Partners

Philips Zoom whiteningLANAP laser gum treatmentOrmco orthodontics

All Health Funds Welcome

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Payment Options

ZipAfterpayDentiCare
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Book an Appointment

Which clinic would you like to visit?

Choose a clinic to see live availability and book online through HealthEngine.

Adelaide CBD

Level 3, Suite 302, 147 Pirie St, Adelaide SA 5000

Weekday appointments, Monday to Friday.

Book online Call (08) 8423 1091

Kensington

292 The Parade, Kensington SA 5068

Evening and Saturday morning appointments.

Book online Call (08) 8332 2800

Not sure which suits you? Call (08) 8423 1091 and our team will help.