Tooth be Told

The innovative, minimally invasive Pinhole Surgical Technique offers an effective new way for patients to fight gum recession.

By: Dr. James Duncan

The most abundant protein in the body is collagen. This extracellular fibrous structural protein makes up 25 to 35 percent of our bodies, representing our connective tissues like in bone, ligaments, tendons, cartilage, cornea, blood vessels, skin, muscles and the dentin of our teeth. From the Greek word for glue, “kólla,” the word, “collagen,” means “glue producer.” Yes, sadly, this was derived from the early practice of boiling the tendons and skin of horses and other animals to create actual glue. So collagen is the “glue” that holds our bodies together.

Today, collagen matrices, which are predominantly derived from bovine, are being used to help treat burn victims to grow new skin, as well as in orthopedics to provide a matrix to grow bone. Of course, we must not exclude the more popular cosmetic use of collagen in derma fillers. You know, the fillers to plump and fill the lips, and to fill in loose and sagging skin to hide those age indicating wrinkles. This wonderful protein matrix is also used in dentistry to help combat periodontitis, the destructive gum disease and attachment loss we refer to as “receding gums.”

Receding gums (gingival recession) is a result of usually multiple factors that must be addressed. The fabulous news is now we can reverse receding gums with long-term results and great success, thanks to a new, patented procedure called Pinhole Surgical Technique (PST), which utilizes collagen. Pinhole is an innovative, minimally invasive procedure that requires no sutures and no scalpel to accomplish gum rejuvenation, with 80 percent of patients having 100 percent success.

Most recent research on treating gum recession has shown that in almost half (47 percent) of people with gum recession, the gums will continue to recede over their lifetime if untreated. In comparison, those people who receive some form of rejuvenating treatment will experience more than 80 percent success covering over the recession.

PST is done by placing this wonderful protein collagen under the gums and around the teeth where recession has occurred through a small pinhole located above the teeth. After healing, this fast-absorbed collagen will provide thicker gums that can attach back on the teeth closer to their original location, giving a more aesthetic, youthful smile. Most importantly, this innovative procedure of gum rejuvenation treats and protects against attachment loss of the teeth.

For more information, visit Duncan Dental Studio online at

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