An Innovative, Minimally Invasive Solution for Gum Recession
Explore the Pinhole Surgical Technique™ in Johnson City, TN
Gum recession is a common consequence of periodontal disease, genetics, overbrushing, and age. As gum tissue pulls back from the teeth, it exposes the sensitive root surfaces—leading to discomfort, an uneven smile, and a higher risk of decay and further bone loss.
At Shelby Periodontics, we are proud to offer the Pinhole Surgical Technique™ — a breakthrough alternative to traditional gum grafting. This incision-free, suture-free procedure treats gum recession without the need to harvest donor tissue from the roof of the mouth.
What Makes the Pinhole Surgical Technique™ Different?
Unlike traditional grafting—which involves cutting tissue from one area and suturing it into the area of recession—the pinhole technique uses a small access point in the gum. Specialized instruments are inserted through the pinhole to gently loosen and reposition the existing gum tissue over the exposed root surface.
Benefits of the Pinhole Technique include:
- No scalpels, incisions, or stitches
- No need for donor tissue from the palate
- Significantly faster recovery time
- Minimal post-operative discomfort or swelling
- Immediate cosmetic improvement
- Ability to treat multiple areas in a single visit
This technique is particularly well-suited for patients with mild to moderate recession, those with multiple affected teeth, or individuals who want a quicker, less invasive solution than traditional graft surgery.
If you've been told you need a gum graft, the pinhole technique may be a more comfortable and efficient option with excellent clinical outcomes.

How the Procedure Works
At your initial consultation, Dr. Daniel Shelby will evaluate your gum recession and determine if you’re a good candidate for the Pinhole Surgical Technique™. If appropriate, here’s what you can expect:
- A tiny pinhole is created in the gum tissue near the recessed area.
- Using specially designed tools, Dr. Shelby gently loosens and repositions the gum tissue.
- The gumline is guided over the exposed roots and stabilized using collagen strips, which support healing and maintain tissue position.
- The access point heals quickly—often within 24–48 hours—with no need for stitches.
Because there are no incisions or graft donor sites, most patients experience significantly less discomfort and can return to normal activity sooner than with traditional methods.

Expert Gum Recession Treatment in Johnson City
Dr. Shelby is trained and certified in the Pinhole Surgical Technique™, and as a board-certified periodontist, he brings advanced surgical expertise to every procedure. Our practice focuses on comfort, clarity, and long-term results — ensuring each patient feels confident and well-informed before treatment begins.
Whether you're dealing with early signs of gum recession or have been putting off treatment due to fear of traditional surgery, we encourage you to explore this modern, less invasive solution.
If gum recession is affecting your comfort or confidence, there’s no need to wait. Shelby Periodontics offers expert diagnosis and care — including cutting-edge options like the Pinhole Surgical Technique™.