North Texas Dentistry Volume 9 Issue 4 2019 ISSUE 4 DE - Page 10

comfort following the procedure, especially compared to auto- genous grafting. During PST, a sterile 16-gauge hypodermic needle is used to make small “pinholes” in the patient’s facial mucosa, typically 5-10mm apical to the gingival margin. Spe- cially designed instruments are introduced through the pinholes to gently release the existing soft tissue and create a full-thick- ness tunnel down to the tissue margin. The tissue is expanded and released so that it can be easily coronally positioned to cover the exposed root surfaces. A collagen barrier membrane (Bio-Gide ® ) is cut into dozens of strips which are inserted through the pinholes to stabilize the flap and begin the process of regeneration of the connective tissue. Since no incisions are needed with PST and no donor tissue is harvested from the patient, the need for sutures is usually eliminated. “In PST, the tissue is released so thoroughly that it naturally drapes down to an excellent level when the collagen strips are inserted. Because sutures are not required, the procedure can be completed in less time. I continue to be pleased by the quality of the regenerated tissue and extent of the root coverage, as well as minimal dis- comfort most patients have following this procedure.” Dr. Stewart is pleased to be able to offer a variety of options for soft tissue grafting. “All of these techniques have their particular strengths. I try to match the procedure to the patient’s individ- ual need. In addition, after a thorough explanation of the poten- tial risks and benefits, I make sure to consider the patient’s concerns and expectations.” Preoperative view of gingival recession facial to teeth #12-14 Eleven days post-op view Four weeks post-op view Seven weeks post-op view 10 NORTH TEXAS DENTISTRY | The office of Dr. Daniel M. Stewart is located at 1001 Buckingham Road, Suite 108, Richardson, Texas 75081. For more information, call (972) 680-1606 or visit Daniel M. Stewart, DDS is a graduate of the University of Texas at Austin and Baylor College of Dentistry. He served six years in the U.S. Air Force and completed periodontics specialty training at the Univer- sity of North Carolina at Chapel Hill College of Den- tistry before entering private practice. Dr. Stewart has pro- vided comprehensive peri- odontal and dental implant surgical care for North Texans in the Dallas area including the com- munities of Lake Highlands, Richardson, Plano, Garland, Allen, Wylie, Murphy, Sachse, Rowlett, and Rockwall for more than 30 years. His practice emphasizes excellence in a wide variety of treatments while providing patients the utmost in respect, integrity and kindness. Four days post-op view