Pinhole Surgical Technique: Restoring Recessed Gums

If you have noticed your teeth are longer and more sensitive, you may be experiencing gum recession. This can cause tooth pain, sensitivity, and eventually tooth loss. Gum recession can create pockets or gaps in the space between your gums and teeth allowing bacteria to reside in these pockets and turn into an infection. Increased sensitivity can develop when gums recede and more of the tooth or the root of the tooth is exposed. The part of the tooth that is exposed when the gum recedes is not as hard as the enamel on the rest of the tooth and is more susceptible to cavities. Gum recession can be caused by using a toothbrush that is not soft, brushing too hard for a long period of time, tobacco use, misaligned teeth and periodontal disease.shutterstock_94074964.compressed

A Better Way

Dr. Silberg can correct receding gums by utilizing the new Pinhole Surgical Technique™. Traditionally surgery to correct gum recession includes cutting out a section of gum tissue away from the roof of the mouth. That tissue is then surgically placed under the existing gum line and stitched into place. The new tissue assimilates with the gum tissue around it, resulting in a long and painful healing process. This process can only correct one or two teeth at a time.

Here at the Silberg Center for Dental Science, Dr. Silberg offers the state-of-the-art procedure the Pinhole Surgical Technique™. This incredible, noninvasive technique can fix all your gums in one appointment. You will only need a local anesthetic and once in effect, a small needle is used to create a pinhole in the gums. Unlike the older techniques, there will be no stitches, no cutting and no grafting. The pinhole will heal completely within 24 hours, in most people, and the recovery is quicker and less painful. Directly after the procedure you will see the instant, lasting results.

After the pinhole is created Dr. Silberg will take specialized tools to loosen and reposition the gum tissue to cover the roots of the affected teeth. Collagen strips are then placed in the tissue to help stabilize the gums. The gums will heal very quickly and you will be able to resume your regular diet as early as the next day.


Gum grafting is no longer the best option for receding gums. Contact us to schedule a discussion with Dr. Silberg, who studied this technique under the creator Dr. Chao and has mastered its application. Become one of the thousands of patients around the country that have benefited from healthy gums without painful unpredictable grafts. Schedule your Pinhole Surgical Technique™ today!

Compassionate, Ethical Dentistry

DAt the Silberg Center for Dental Science, we believe in holding ourselves to a higher standard. Instead of simply treating your dental concerns and sending you on your way, we strive to partner with each of our patients to provide them with the education and self-esteem that they deserve. We understand some of the inherent challenges that new patients can face, such as embarrassment about their dental condition, financial obligations, anxiety about dental work, and the longevity of repairs—which is why we make these promises to our patients.

We promise to always treat you with dignity and respect.

When you walk into our office, our goal is to make you feel like a part of the team. Our front desk staff will greet you with a smile, and we will quietly and discreetly discuss things like paperwork and insurance coverage. We know that you have other options when it comes to dental care, which is why we treat every single patient with the utmost dignity and respect, without exception.

We promise to always do and say what is right and what is best for you.

Dental concerns can be complicated and illusive, which is why some patients worry about undergoing suggested procedures. However, here at the Silberg Center for Dental Science, we promise to never put our own financial interests ahead of the importance of your care. We will always do and say what is best for you, and we understand that your dental care is up to you.

We promise to facilitate your health care decisions with education, caring and compassion.

Every patient is different, which is why we work hard to treat all of our patients with care and compassion. From the smallest children to the most experienced senior, we will treat every patient like they matter—because you do. We are also committed to helping our patients understand their oral health through providing dental education. We will take the time to explain your current condition, where your treatment might need to go, or why certain procedures were necessary in the past. We never want to leave you in the dark, so we always set aside enough time to discuss all of your dental health concerns.

We will never manipulate or pressure you to accept treatment. We will support you to achieve the highest level of health to which you aspire.

Because every person is different, the dental care that might be right for your friend or neighbor might not be something that you are interested in. Because of this, we promise to never pressure you to undergo dental procedures. We want you to feel completely in charge of your dental health, and we will help you to meet your goals—not the other way around.

We promise to keep our education and our technology up to date and will continue to be the leading implant and periodontal practice in the tri-state area

Unlike some other dental practices, we work hard to maintain our level of education through attending additional courses and investing in the best equipment. For example, the Silberg Center for Dental Science offers the innovative Pinhole Surgical Technique™, which is the least invasive gum grafting procedure available. Dr. Silberg also offers services such as laser dentistry, which reduces recovery time and increases patient comfort, and newer dental implants and abutments that are stronger and have a longer lifespan.

For more information about the promises we make to our patients, check out our website or make an appointment with the Silberg Center for Dental Science today.

What is L.A.N.A.P.?

If a patient is suffering from periodontal disease, a possible treatment is LANAP. LANAP stands for Laser-Assisted New Attachment Procedure, and is a highly effective, minimally invasive method for disinfecting and repairing diseased gums.

Receding gums

As gum disease progresses, the connective tissues between your gums and teeth are damaged or destroyed, and the gums pull away from the teeth. This results in deep pockets around the teeth which provide shelter for bacteria. Because this worsening infection continues to irritate the gums and cause more and more damage, diseased periodontal pockets create a self-sustaining cycle which can destroy the tissues around your teeth and result in tooth loss. To prevent this, the infection must be cleaned out, and the gums must be allowed to heal.

Old and new

In the past, periodontal pockets would have been repaired using periodontal flap surgery. Like most surgical procedures, periodontal flap surgery involves incisions, sutures, and a long healing period. LANAP offers a faster, less invasive alternative which is faster to heal and significantly less painful. We use precise strokes of the laser to remove diseased tissue and destroy pockets of infection, leaving only healthy gum tissue ready to reattach to your newly-cleaned teeth. LANAP is the most advanced treatment currently available for periodontal disease.LANAP

Comfortable and safe

Our specialized surgical laser is approved for use in periodontal cleaning and reattachment, and is a reliable instrument in the fight against gum disease. Unlike traditional methods, LANAP requires no incisions or sutures, allowing you to keep more of your original gum tissue and leading to faster healing times. Our patients report little or no pain, as well as minimal swelling. In a single visit, we can promote the healing and rejuvenation of your entire gumline. LANAP may even promote future regrowth of deteriorated bone without the use of a bone graft. From every angle, laser gum treatment is an improvement upon traditional surgical methods.

Make your appointment

Dr. Silberg is pleased to be able to offer this state-of-the-art periodontal treatment to patients in Pittsburgh and the surrounding area. If you have questions or would like to schedule an appointment, you can use our online contact form or call our office to schedule a consultation.

Treatments for Gum Recession

iStock_000013228439_LargeIf you struggle with receding gums, there are many different treatments available to you. Your Pittsburgh periodontist, Dr. Silberg, is trained in many different preventive and corrective procedures to ensure that your smile is healthy and beautiful. One of the more innovative approaches he offers is called Alloderm tissue grafts.

Traditionally, in a gum graft procedure, gum tissue is harvested from the roof of the mouth, and then grafted directly in to the problem area of recession. This can be a painful procedure, with an uncomfortable recovery. However, Dr. Silberg now offers Alloderm tissue grafts, which are a healthy, low-risk alternative to the traditional method.

What is Alloderm?

Alloderm is a regenerative dermal tissue donation which has been aseptically processed to remove cells, and freeze-dried to remove any moisture, while preserving the biological components and dermal structure. It can be grafted right in to your own tissue to create a seamless, natural solution to your receding gums. Alloderm has been used in over a million patients, over a span of more than 10 years in dental settings, with excellent results.

How does it work?

Alloderm tissue grafts are used to replace any missing gum tissue you may be experiencing. At your procedure, your gums will be gently pulled back to reveal the roots. The roots will be planed and demineralized to aid in the bonding of new tissue to the surface of the root. Small incisions are made to create a passageway between the tooth and the gum tissue. Next, the Alloderm tissue grafts are carefully placed in the space created, filling in the gaps where gum recession has occurred. Finally, the gums and grafts are sutured securely in place to allow healing to occur. An antibiotic or an anti-inflammatory medication may be prescribed to help make the healing process more comfortable and to prevent infection.

Because Alloderm tissue components are acellular, they are virtually risk-free from biological rejection, as well as transmittable disease. All tissue samples are thoroughly screened and treated with an aseptic procedure to prevent complications from arising as a result of the graft.

To learn more about this and other procedures we offer, visit our comprehensive website. Give us a call to set up a consultation and to see if Alloderm gum grafts may be the best option for you. As a qualified and experienced periodontist, Dr. Silberg and he staff are fully prepared to make your gums as strong and beautiful as they can be.

Advancements in Treating Receding Gums

PeriodontitisIf your gums are receding, you may need surgery to correct them. Traditionally this is done by cutting gum tissue away from the roof of the mouth, and replacing it under the affected gum line. The replaced gum tissue is stitched into place, where it will assimilate with the gum tissue around it. The healing process can be painful and lengthy.

Causes of Receding Gums

There are many reasons why gums may recede. Among them are hormonal changes or genetic predisposition, habits such as grinding teeth or tobacco use, misalignment, or gum disease. Whatever the cause, receding gums are serious and can lead to the degradation of the underlying bone tissue. If the bone is not strong it cannot support the teeth and they may fall out.

Here at The Silberg Center for Dental Science, we offer a state-of-the-art procedure called the Pinhole Surgical Technique. Dr. Silberg has learned this technique from its creator, Dr. Chao, and has brought it back to our office so that you can enjoy its incredible, non-invasive benefits.

Pinhole Surgical Technique

This technique is the latest break-through in the treatment of receding gums. In older treatments the gums are cut, grafted and stitched. But with the Pinhole Surgical Technique, there is no cutting, no grafting and no stitches. Because of this, there is far less discomfort, and the recovery is much quicker. This efficient method was developed so that you can enjoy the lasting results of healthy gums without all the hassle of traditional surgery.

In this procedure, only a local anesthetic is needed. Once administered and in effect, a small needle is used to create a “pinhole” in the gum tissue, giving access to the affected area. Using specialized tools, the gum tissue is loosened, and repositioned to cover the roots of the affected teeth.  Collagen strips are then placed under the tissue to help stabilize the gums. The pinhole site heals very quickly—often even overnight—so that you can resume your regular eating and drinking as early as the next day.

No longer is the scalpel the only way to correct receding gum lines. If your gums need to be treated for recession, come in for a discussion with Dr. Silberg, who has studied this technique and mastered its application. Forget about the fear and pain associated with the traditional method, because there is a better way. This breakthrough technique has enabled thousands of patients throughout the country to enjoy the benefits of beautiful, healthy gums, without grafts or stitches. Give us a call today to schedule your consultation.

Creating and Protecting Your Beautiful Smile

We live in an exciting time when it comes to modern dental procedures and technology. Virtually anyone today can shine a beautiful smile, thanks to technology and techniques that correct many common dental problems.

The following infographic developed by illustrates some of the most interesting and surprising findings about dental health. According to the research, attractive white teeth can make a person appear at least 20 percent more attractive and can shave off as much as five years from your apparent age.

Understanding the Possibilities

Both children and adults can benefit from correcting missing, misaligned or discolored teeth. However, achieving and maintaining that brilliant smile often represents a significant investment in time and money.

The infographic points out that a whopping 164 million work hours are spent by adults receiving dental care each year, and another 51 million school hours are required for the dental needs of children.

The dollar cost also represents a significant investment. A few of the more common procedures average:

  • Braces – $5,000
  • Veneers – $ 10,000 to $30,000 per set
  • Dental implants – $2,000 to $4,000 per tooth
  • Root canal – $1,000 per tooth

Of course, those costs are a minor consideration for a lifetime of healthy teeth and beautiful smiles. In the first place, dental health plays a very big role in your overall physical health. The highly regarded Mayo Clinic has identified many ways poor dental health may affect you, including aggravating several serious medical conditions.

The cosmetic value of a great smile cannot be overstated, either. A number of different surveys continue to document that the appearance of your teeth and smile is a major factor in your success and social acceptance. With this perspective, you can see why a reasonable investment in your dental health and appearance is extremely

Proactive Protection Is Essential

It is equally as important to protect your investment in a great smile by ensuring proper dental hygiene. For example, you can damage your teeth from poor dental habits such as frequent teeth grinding. If you feel this is a problem, check with your dentist for solutions, or take time to explore how it may be rooted in such factors as frustration and feelings of anxiety and anger.

You could also benefit from paying attention to what you eat and drink to better avoid staining and damaging your teeth. Certain foods and beverages have chemicals and acids that can stain and etch teeth very quickly. These include:

  • Coffee
  • Wine
  • Colas
  • Berries
  • Tea
  • Candies

If you drink these liquids, try to use a straw and always swallow as quickly as possible. Also, rinse with water as soon afterwards as possible. A beautiful smile is something everyone can aspire to, and could be well worth the investment. Be sure to regularly schedule dental checkups and maintain good oral hygiene.


Your Health, Your Future, Your Choice, Silberg Center for Dental Science

dental health

Start 2016 Off Right

At the dawn of a New Year, millions of Americans resolve to make healthier choices and turn over a new leaf. Here at the Silberg Center for Dental Science, we would like to encourage all of our patients to make 2016 their year to return to dental health. Whether it might be coming in for regular checkups or finally addressing that root canal you have been putting off, we know that making a commitment to dental health will pay off in the long run.

Also, we want you to know that we will do everything in our power to make your dental care experience as pleasant as possible. We want you to feel comfortable, welcome, and safe in our office, which is why we offer conveniences such as in-office sedation. In 2016, make a commitment to keep your teeth healthy, beautiful, and comfortable.  


Preventive Care Is Key

Did you know that a staggering 27.6% of adults between the ages of 20 to 44 suffer from untreated dental cavities? If this decay is allowed to stay and grow, it can harbor bacteria that can cause dental abscesses and periodontal disease. Fortunately, you can stop decay in its tracks by focusing on preventive care.

We encourage our patients to come in for a checkup twice a year, and not to put off recommended dental care procedures. Please keep in mind that we offer a range of payment plans to make your experience as convenient as possible. Our dentists are also happy to discuss the basics of oral hygiene and preventive care with you, if you feel like you need additional education. By maintaining healthy teeth, you can keep your body healthy, and fulfill your commitment to a healthier self in 2016.


Our Promises

We have also made a few resolutions of our own. Here are a few of the promises we want to make to our patients:

  • We promise to treat each of our patients with the dignity and respect that they deserve.
  • We promise to recommend treatment options that are safe and correct for your individual case.
  • We promise to facilitate your dental care with education, compassion, and kindness.
  • We promise never to pressure you into accepting treatment. We will always support your decisions.
  • We promise to provide a safe office environment and to include you in your dental care decisions.
  • We promise to maintain our commitment to continuing education and to provide state-of-the-art services for our patients.

We look forward to serving you in 2016. If you know that you are due for an appointment, call us today to set up a dental checkup.

Happy New Year from The Silberg Center for Dental Science

Make Oral Health A Priority In 2016!

new year

Don’t let those teeth go another year without being cared for. Join with us to make 2016 the year that you start focusing on your oral health! We are encouraging all of our patients to make dental care part of their New Year’s resolutions. It might seem silly, but by taking the time to perfect your oral hygiene regimen and visit with Dr. Silberg, you might be able to enjoy a healthier smile than ever before.

A great place to start is by making an appointment for a preventative checkup. You don’t have to wait until you have serious dental problems to visit with Dr. Silberg. In fact, early appointments can help us to identify issues with your teeth and stop decay before it starts spreading.

Let Us Help You to Perfect Your Smile

Here are just a few ways we can help you to have the smile you have always dreamed of:

  • Discolored, Damaged Teeth: Here at the Silberg Center for Dental Science, we offer a wide range of cosmetic dentistry options such as teeth whitening, bonding, or even reshaping. If your teeth are discolored or damaged, we can brighten them, smooth out the surfaces, and replace decay with tooth-colored resins or porcelain crowns.
  • Uneven or Blotchy Gums: Don’t let those splotchy or uneven gums make your smile look strange. We offer laser treatments to bleach away spots or to remove and reshape tissue. After all, your gums provide the frame for your smile.
  • Missing Teeth: Don’t let those missing teeth make your smile look damaged. We also provide custom-designed dental implants that can be anchored right into your jawbone. These implants are comfortable, natural looking, and can transform your smile.
  • Gingivitis: We can even treat advanced gingivitis at our office. Dr. Silberg can remove plaque and tartar pockets that might be inflaming your gums or contributing to periodontal disease.

Don’t hesitate to make your New Year’s appointment today! The sooner you start focusing on your oral health, the better.

Happy Holidays from Silberg Center for Dental Science!

happy hoildays

Dr. Silberg here! I just want to wish all my patients and my staff happy holidays. We’ve had a great year, and I’m looking forward to another.

To my patients, thank you for allowing me to be part of keeping your smiles bright. I hope you’ll have many reasons to smile over the holidays, and that you’ll stay safe and warm this season.

To my staff, I couldn’t keep the office running without you. Thank you for your hard work and for the positivity that you bring to the practice. Have a great holiday and I’ll see you all after the new year!

Best wishes,

Dr. Silberg

Taking Care of Your Dental Implants

After going through life with a few missing teeth, you might feel ready to meet with Dr. Silberg to have a few dental implants placed. However, just because those implants are man-made doesn’t mean that they require any less care than your normal teeth. Here is some crucial information regarding dental implant maintenance.

dental implants

How To Care for Dental Implants

If you care about your implants, make sure to take care of them. Here are a few ways to keep those new teeth pristine:

  • Brush Twice Daily: Plaque and tartar can build on your implants just like your regular teeth, which is why brushing is so important.
  • Floss Around the Implants: Bacteria can collect between your teeth and feast on food particles, which can irritate your gums and cause problems with your implants. To make flossing easier, some periodontists recommend interdental cleaners or irrigation flossers for people with dental implants. Both devices are gentle and easy to use. Irrigation flossers even have adjustable water jet levels, which makes it easier to blast away debris.  
  • Use Products Made For Implants: Think twice before you use that heavily abrasive toothpaste. Instead, ask Dr. Silberg which toothpastes are safe for the smooth surface of your dental implants. If you aren’t careful or you use the wrong products, you could permanently scratch your implants.  

Also, don’t forget to schedule regular dental checkups with your dentist. If you get your dental implants from the Silberg Center for Dental Science, Dr. Silberg offers free annual implant check-ups for the first three years after placement. He also guarantees your satisfaction, and will address any concerns that you have promptly.

The Importance of Diet and Exercise

Proper diet and exercise can do more than tone your physique. In addition to helping you to fight obesity and disease, staying fit can also help you to keep your jawbone healthy and strong. Exercise can also improve circulation, which can keep your dental implants anchored in place. Eating crunchy fruits and vegetables can also help to stimulate your jawbone, so that the bone stays strong and resilient against damage.  

Know the Signs of Problems

If you want to make your dental implants last and last, it is also important to be able to identify signs of problems early on. Pay attention for issues like red, swollen gum tissue or an uncomfortable implant. Never assume that a dental implant problem will go away on its own. Instead, report new symptoms to Dr. Silberg, who can inspect the area and treat the problem quickly and effectively.