Max Moncayo, D.D.S. is certified to perform the Pinhole® Surgical Technique in Pacific Palisades, CA.


Pinhole® breakthrough treatment offers patients an easier, minimally invasive option to correct gum recession. 

The Pinhole® Surgical Technique/ Pinhole Gum Rejuvenation® invented and patented by John Chao, D.D.S., is a scalpel-free, suture-free procedure for treating gum recession.

This procedure is performed by making small holes with a needle in the gum tissue. Using specially designed instruments, the gum tissue is loosened and guided over the receded part of the tooth. Since there is no incision or suturing, patients can expect minimal post-operative symptoms (pain, swelling and bleeding). Most patients also are pleasantly surprised by the instant cosmetic improvement. 

To learn more about the Pinhole® Surgical Technique, please contact our office.

90 second snapshot of a live Pinhole procedure

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(424) 346-0955

See animation - Grafting vs Pinhole



2.5 year result

See Rocio on the Doctors show

5 year result

See Joyce on KABC 7 Los Angeles


9 year result


3.5 year result (upper arch)


2 year result


7.5 year result



Dr. Steve Show New York

Living 6 San Diego

Fox 11 Santa Barbara

ABC 13 Las Vegas

KEYE TV's Austin

KNBC 4 Los Angeles


Click to see GLOBE News Report



What is Gum Recession?

Gum recession refers to the loss of gum tissue along the gumline. This can occur as a result of periodontal disease (gingivitis, periodontitis, advanced periodontitis), the natural aging process, or abrasive habits when it comes to brushing the teeth.

Why should gum recession be taken seriously?

When gum recession occurs, the root structure of the tooth becomes exposed. This means that tooth decay and other problems can affect the teeth along the gumline and beneath it. Since healthy gums are essential for a healthy mouth, getting gum recession treated is important for lasting dental wellness.

What is Chao Pinhole® Surgical Technique?

The Chao Pinhole® Surgical Technique is a minimally invasive option for treating gum recession. Unlike traditional grafting techniques, PST is scalpel and suture free.
All of the tools and techniques used to perform the Chao Pinhole® Surgical Technique were created by Dr. John Chao.

How does Chao Pinhole® Surgical Technique differ from traditional gum grafting?

Traditional gum recession treatments involve the use of donor tissue or soft tissue grafts in order to rebuild the gumline. This soft tissue would be sutured in place and would join with existing gum tissue as it healed. While this traditional grafting treatment is effective, comparable results with better patient experience can be achieved through the Chao Pinhole® Surgical Technique.

How is Chao Pinhole® Surgical Technique performed?

During the Chao Pinhole® Surgical Technique, a needle is used to make a small hole in the patient's existing gum tissue. Through this pinhole, special instruments are used to gently loosen the gum tissue. These tools help expand and slide the gumline to cover the exposed root structure. There are no grafts, no sutures, and no incisions needed with the Chao Pinhole® Surgical Technique. It simply involves the adjustment of the existing tissue.

What are the benefits of Chao Pinhole® Surgical Technique?

The benefits of the Chao Pinhole® Surgical Technique are many: Less Discomfort for the patient after treatment. Faster recovery for the patient than traditional grafting. No need for uncomfortable sutures. No need for scalpels or invasive surgical tools. No need to take donor tissue from the patients palate. Excellent, natural-looking, long-lasting results.


Meet Max Moncayo D.D.S.

Pinhole® Surgical Technique Certified Dentist in Pacific Palisades, California

Dr. Max Moncayo began his journey in dentistry and medicine at Cal Poly Pomona. While being a multiple year Dean’s List science scholar, he received summer scholarships to attend the University of Michigan in dental/medical related advancement before deciding to direct his future education to dentistry.

In 2001 his childhood dream of serving his country was realized when he was commissioned as a Naval Officer and given the opportunity to continue his education at the UCLA School of Dentistry. During his training, Dr. Moncayo found a love for facial and oral surgery and decided to focus on the Oral and Maxillofacial Surgery specialty. After graduating dental school and beginning his active duty naval career, Dr. Moncayo completed the Advanced Education in General Dentistry program in Norfolk, Virginia to prepare him for the demanding task of being forward deployed with military units.

He then completed a surgical internship in Portsmouth, Virginia before completing the prestigious Oral and Maxillofacial Surgery residency at the Walter Reed National Military Medical Center in Bethesda, Maryland. Dr. Moncayo has completed numerous deployments for the U.S. Navy serving aboard multiple vessels and also forward deployed to Camp Dwyer in Afghanistan while serving in the 1st Marine Corps Division.

After serving our nation’s wounded, and sustaining an injury in Afghanistan himself, Dr. Moncayo has been constantly humbled and honored to provide his surgical abilities in the most demanding environments. It’s these experiences during his 15 years of military service that inspired his philosophy of always do what is right, and treat everyone with compassion and empathy. “The humbling experiences that I’ve endured help me remain grounded and motivate me to provide my very best care for every patient.”





Palisades Surgical Arts

881 Alma Real Dr. T4

Pacific Palisades, Ca 90272





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