Pinhole Gum Surgery in London

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Contact us to restore and heal your gums

  • Instant cosmetic results
  • No need for uncomfortable sutures
  • Quick healing

Avg. Treatment Time

60 – 90 Minutes



No. of Treatments

1 – 2

Pinhole Gum Surgery is a procedure that gently pulls the gum back over the root of the tooth when the root has become exposed due to receding gums. Pinhole gum surgery does not require stitches and is less invasive than other, alternative procedures.

Only a handful of dentists in London can perform the Chao Pinhole® Surgical Technique (gum rejuvenation). One of them is a Neem Tree Dentist.

Smita Mehra

A word from Smita Mehra, Principal Dentist

A very specialised area of dentistry, pinhole gum surgery is a minimally invasive technique to help gum recession. There are a very select group of clinicians who are qualified in this technique in London, and we have one in our Esher clinic

Gum recession can occur as a result of bacteria (periodontal disease: gingivitis and periodontitis), the natural ageing process, or abrasive habits when it comes to brushing the teeth. When gum recession occurs, the root structure of the tooth becomes exposed.

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Exposing the root of the tooth means that tooth decay and other problems can begin to take affect along the gum line and beneath it.

If receding gums are left untreated, you may develop sensitive teeth, dental pain, further tissue loss and development of gum inflammation or become unhappy with your appearance (e.g. long teeth).

Pinhole Gum Surgery at the Neem Tree

If your gums begin to recede, your dentist may decide that a pinhole gum surgery procedure is necessary. Pinhole gum surgery allows ours specialist dentists to gently stretch the existing gum to cover the exposed root of the tooth.

This procedure is done by making a small pin-sized hole in the gum and gently pulling the gum to cover the root. Pinhole gum surgery does not require stitches and is much less uncomfortable and invasive than other, similar alternatives.

Contact us today to find out more about our Pinhole Gum Surgery services in London and Surrey.

Book an Appointment in Esher or Wandsworth



The Neem Tree
Wandsworth Dental Practice

515 Old York Rd, Wandsworth, London, SW18 1TF
Call: 02088 700 030
Email: [email protected]



The Neem Tree
Esher Dental Practice

138 High Street, Esher, KT10 9QJ
Call: 01372 464 000
Email: [email protected]

Before and After











Fee Guide

Specialist Consultation (excl. diagnostic x-rays)£260
Periodontal Review (1 hour)£260
6-point Periodontal Chart£160
Gum GraftingPlease contact
Crown Lengthening Surgeryfrom £600
Peri-implantitisfrom £425
Surgical Periodontal Treatmentfrom £575
Periodontal Maintenancefrom £145
Non-Surgical Root Surface Debridementfrom £425 per hour
Pinhole Gum Graftingfrom £1,250

Learn more about pinhole gum surgery

What is the pinhole gum surgery procedure?

Since healthy gums are essential for a healthy mouth, getting gum recession treated is important for lasting dental wellness. The Chao Pinhole® Surgical Technique (PST) or Pinhole Gum Rejuvenation is a minimally invasive option for treating gum recession. Unlike traditional grafting procedures, PST is a scalpel-free, suture-free and graft-free procedure created by Dr John Chao in California, USA. While traditional grafting treatment is effective, comparable results with better patient experience can be achieved through the innovative Pinhole® Surgical Technique.

During the Pinhole® Surgical Technique, a small needle is used to make a small hole in the patient’s existing gum tissue. Through this pinhole, special instruments are used to gently loosen the gum tissue. These tools help expand and slide the gum line to cover the exposed root structure. There are no gum grafts, no sutures, and no incisions needed which minimises any side effects including pain, swelling, and bleeding.

What other treatment options are there for gum recession?

The proper treatment for receding gums will depend on the cause and the severity.

If the damage to your gums is not too severe, we may be able to treat it with a thorough deep clean with our dental hygienist. During this cleaning, plaque and tartar is removed from the affected area. In some cases, this can help your gums recover. However, you may also sometimes require antibiotics to combat the infections that can cause receding gums.

If one or more teeth is misaligned and causing the surrounding gum to recede, we may be able to treat the problem with orthodontic procedures. By aligning the teeth in the correct positions, we may be able to stop the pressure on your gums which causes them to recede.

However, if the gums are severely receding, or we cannot treat the cause through other means, it may be best to use a surgical procedure. There are a few different ways we can do this. One involves opening the gums a little more to allow us to remove as much plaque and tartar as possible. We then reattach the gum securely to cover any exposed tooth. In some cases, it may be necessary to graft new gum or bone onto the affected area.

How long does the pinhole technique surgery take?

The treatment time will vary depending on the severity of your case and how many teeth need to be covered with the gum. IT only takes around 20 minutes to perform the pinhole technique on each tooth. The recovery time is only a couple of days, so the whole process can be done within the space of a week.

What is gum recession?

Gum recession refers to the loss of gum tissue along the gumline. This can occur due to various factors such as the natural aging process, periodontal disease, or abrasive brushing habits. When the gums pull back and expose the root of the tooth, the gums are said to be receding.

Why should gum recession be taken seriously?

If gum recession is not taken seriously and you do not get it seen by a dentist, it leaves your gums and teeth vulnerable to issues such as tooth decay and other problems that can affect the teeth along the gumline and beneath it. Healthy gums are essential for a healthy mouth, therefore, getting gum recession treatment is important for your overall oral health and dental wellbeing.

What causes gum recession?

It is not just ageing that causes gum recession. Gum disease and genetics play huge contributing factors, as well as brushing too hard for a long period of time or poor oral health care. Poor oral health can lead to gum disease (Gingivitis), when the gums become inflamed due to the presence of plaque bacteria and, if it is left untreated, they eventually begin to recede.

What are the effects of untreated gum recession?

Leaving receding gums can lead to a severe recession, sensitivity, root decay and tooth loss. Damaged gums can lead to gingivitis or periodontitis. This can cause more long term problems with aesthetic concerns and oral discomfort, making Pinhole Gum Surgery an important procedure.

Who can perform the Chao Pinhole® Surgical Technique?

The Chao Pinhole® Surgical Technique (PST®), invented and patented by John Chao, D.D.S. in California, USA. The only dentist who has been trained by Dr Chao can perform this procedure. Pinhole® Surgical Technique is performed by Drs Georgios Chatzopoulos, Fernando Madeira and Nuno Ferreira, who are trained and certified to provide this unique gum rejuvenation treatment.

Only a handful of dentists are licenced to perform the Pinhole Surgery technique, 3 of them are Neem Tree dentists. 

What are the benefits of Pinhole Gum Surgery?

There are a quite a few benefits of gum surgery including: 

  • Prevents the progression of gum recession and bone loss.
  • Protecting the roots of teeth from decay. 
  • Prevention of sensitivity 
  • Better aesthetic results. 
  • Shorter recovery time.
  • No stitches or incisions, completely non-invasive.
  • Does not remove tissue from another part of the mouth.
Can you fix receding gums?

Yes, there are treatment options for you if your gums are receding.

If you notice your gums are receding, be sure to book an appointment with your dentist. If left untreated, gum recession can you cause you pain, increase sensitivity and increase the chances of tooth decay and tooth loss. Receding gums cannot be reversed but they can be fixed. 

You can either have pinhole gum surgery or a gum grating procedure.

Can receding gums grow back?

No, your receding gums cannot grow back. However, while they can’t grow back, there are many treatment options that can help stop or slow down the process. 

Are receding gums bad?

When your gums begin to recede, gaps will then begin to form between the gum and tooth, therefore, allowing disease-causing bacteria to build up. If this is left untreated, the teeth themself as well as the surrounding tissue and bone structure of the teeth can get damaged. This can often result in tooth loss.

Receding gums is a widespread dental condition, if you think your gums are receding, book a check-up with your dentist. 

How do you stop receding gums from getting worse?

The best way to keep your receding gums at bay and avoid further recession, is to brush and floss your teeth twice daily. Especially if your gums have receded due to aggressive brushing, be sure that you are mindful of the force you are applying to your teeth and gums while you are brushing. It can be hard to break these habits you are not aware of but using a soft-bristled toothbrush may help. 

How much does it cost to fix receding gums?

Treatments start From £1,250.

Will my teeth fall out from receding gums?

If left untreated, your receding gums can cause tooth decay and are likely to fall out as a result. The bacteria build up between the gums and teeth due to the recession, can also lead to gum disease which will also endanger the teeth. 

Are receding gums normal with age?

Receding gums are quite common in older adults (40+). It can also occur over a long period of time of brushing too hard on your teeth and gums. 

How do I clean my gums?
What do unhealthy gums look like?

Some signs of unhealthy gums include swelling and redness. If your gums are healthy they will look firm and pink. If your gums bleed while you are brushing or flossing, or your gums appear to be pulling away from the teeth, these are sure signs that you have unhealthy gums and you should book a dentist appointment as soon as possible. 

How long does it take to heal from gum surgery?

The healing process from pinhole surgery is far shorter than with gum grafting. The recovery time for pinhole gum surgery is only a matter of a few days. 

Is everyone a candidate for pinhole gum surgery?

If you have receding gums and it cannot be treated with other, non-surgical means, you may be a candidate for pinhole gum surgery.

However, all cases are different and you will need to discuss your options with your dentist.

Can the whole mouth be treated?

Pinhole gum surgery is designed to repair receding and damaged gums. However, the cause of your receding gums may be able to be treated with professional cleaning of the teeth and gums.


Gum recession
Gum recession is a process that occurs when the gums weaken and begin to pull away from the tooth, exposing the root. This can occur as a result of periodontal disease (gingivitis, periodontitis, advanced periodontitis), the natural aging process, or abrasive toothbrushing habits.

Gum grafting
Gum grafting is a treatment for receding or damaged gums which removes a part of the gum from the roof of the mouth and stitches it onto the existing, receding gum to cover the root of the tooth.

Gingivitis is a reversible form of gum disease which causes your gums to become swollen, irritated and red. If not treated properly, gingivitis may develop into periodontitis, which is not reversible.