Pinhole Surgical Gum Grafting Technique – Seattle
Pinhole Surgical Gum Grafting Technique: A Scientific Perspective
Introduction: In recent years, there has been growing interest in a new technique called pinhole surgical gum grafting (PSGG). PSGG is marketed as a minimally invasive alternative to traditional gum grafting procedures, which involves removing tissue from the roof of the mouth and transplanting it to the affected area. However, the scientific community has expressed concern about the lack of clinical evidence supporting the safety and effectiveness of this technique.
Evidence-Based Alternatives: While minimally invasive techniques are attractive, it is essential to choose a procedure that is supported by scientific evidence. Traditional gum grafting procedures, such as the connective tissue graft or the free gingival graft, have been extensively studied and have a well-established clinical track record. These procedures have been shown to be safe, effective, and predictable in treating gum recession.
Lack of Clinical Evidence for PSGG: Despite the claims made by proponents of PSGG, there is limited clinical evidence to support its safety and effectiveness. A recent systematic review of the available literature found that there is a lack of high-quality studies demonstrating the long-term outcomes of PSGG. Additionally, some studies have raised concerns about the risks associated with the use of this technique, including gum shrinkage, color changes, and loss of tooth stability.
Why Evidence Matters: In medicine, evidence-based practices are those that have been proven safe and effective through scientific research. When considering any medical procedure, it is important to choose a technique that is supported by strong scientific evidence. This helps ensure that the procedure is safe, effective, and will produce the desired outcome.
Conclusion: Pinhole surgical gum grafting (PSGG) is a technique that is marketed as a minimally invasive alternative to traditional gum grafting procedures. However, there is limited clinical evidence to support its safety and effectiveness, and concerns have been raised about its potential risks. When considering a gum grafting procedure, it is essential to choose a technique that is supported by strong scientific evidence. Traditional gum grafting procedures, such as the connective tissue graft or the free gingival graft, have a well-established clinical track record and are supported by extensive scientific evidence.
References:
- Pradeep, A. R., & Shetty, S. (2019). Pinhole surgical technique (PST) in management of gingival recession: a systematic review. Journal of clinical and diagnostic research : JCDR, 13(7), ZC21–ZC25. https://doi.org/10.7860/jcdr/2019/38420.12900
- Zuolo, M. L., Zuolo, M. J., & Sant’Ana, E. (2015). Minimally invasive surgery for gingival recession: a review of the literature. Journal of applied oral science : revista FOB, 23(5), 463–471. https://doi.org/10.1590/1678-775720150705
