Dental Surgery: No Scalpel Needed!


LOS ANGELES, Calif. (Ivanhoe Newswire) — Nearly three million Americans have dental implants, according to the American Academy of Implant Dentistry. Most of the procedures go well, but sometimes, there is gum loss that causes self-consciousness and tooth sensitivity. A new technique allows a dentist to move gums back into place without cutting or stitching.

Marichel Esguerra had two gum grafts, trying to fix recession at the base of her dental implants. Neither worked.

“My gums have receded and it’s showing all the roots when I smile. So I have this insecurity all the time,” Esguerra explained.

Marichel flew from her home in the Bay Area to L.A. when she heard about Dr. John Chao’s Pinhole Implant Rejuvenation Technique.

John Chao, DDS, Pinhole Implant Rejuvenation Developer told Ivanhoe, “We can basically move the gums down to where they should be without any of the cutting or stitching that’s required of a normal grafting procedure.” (Read Full Interview)

After removing the crown and the abutment it sits on, Dr. Chao makes pinholes in the gum and loosens tissue, pulling it down over the exposed root. A few strips of collagen and sometimes growth factor follow.

“And lo and behold, we have the gums where they needs to be and the gums will grow to where they need to be to attach to the implant,” Dr. Chao stated.

Here are Marichel’s before and after photos.

Esguerra said, “This procedure is beyond my expectations. The result was amazing, and I’m speechless.”

She took Advil the day of treatment and was back to her job as a nurse almost immediately.

Pinhole Implant Rejuvenation takes 30 minutes, then an hour for one implant and longer for more teeth. Doctor Chao says the cost is similar to the cost of grafting, but there’s less pain, less swelling, and less recovery time. He has trained about 25 hundred dentists across the country to use this technique.

Contributors to this news report include: Wendy Chioji, Field Producer; Rusty Reed, Videographer; Cyndy McGrath, Supervising Producer; Gabriella Battistiol, Assistant Producer; Roque Correa, Editor.

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REPORT:          MB #4309

BACKGROUND: Gum recession is when the gum tissue that surrounds the teeth pulls back or wears away, exposing more of the tooth or even the tooth’s root. When this recession occurs, gaps can occur between the teeth and the gum line, making it easy for bacteria to build up. If left untreated, the structure of the teeth can be damaged, and may eventually result in tooth loss. It is a common dental problem which most people do not realize they have because it happens gradually. Usually it begins with tooth sensitivity or a tooth may look longer than normal, and a notch may be felt near the gum line. Factors that could cause gums to recede include periodontal diseases, genes, aggressive brushing, insufficient dental care, and hormonal changes.

TREATMENT: Standard treatment for gum recession typically involves gum graft surgery. Grafts can be used to cover the roots and/or develop tissue where it is absent. A periodontist will take gum tissue from a person’s palate or another donor source to cover the exposed root. This can be done for one tooth or multiple teeth to even the gum line and reduce sensitivity for the patient. They can prevent further recession and possible bone loss, and may even help prevent decay. Grafts may also improve aesthetics of a patient’s smile.


NEW TECHNOLOGY: John Chao, DDS, MADG, invented a scalpel-free and suture-free procedure to correct gum recession. Through a small hole using a needle, specifically designed instruments are used to gently loosen gum tissue and slide it over the receded part of the tooth or teeth. With no cutting or stitching, patients can expect minimal post-operative symptoms. The procedure takes about one to two hours, depending on how many teeth need to be covered. Patients in most cases are back to work the next day after the procedure.



Gary Grasso

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Doctor Q and A

Read the entire Doctor Q&A for John Chao, DDS

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