Dr. Evdokia Chasioti is the first specialist Periodontist in London and the First Specialist Periodontist in the UK performing the Chao Pinhole® Surgical Technique.

 

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 live Pinhole procedure

See animation - Grafting vs Pinhole
 

BEFORE & AFTER PHOTOS

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2.5 year result

Pinhole Case #1

See Rocio on the Doctors show

5 year result

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Pinhole Case #2

See Joyce on KABC 7 Los Angeles

Pinhole Case #3

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Pinhole Case #4

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Pinhole Case #5

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Pinhole Case #6

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9 year result

Pinhole Case #7

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3.5 year result

Pinhole Case #8

2 year result
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Pinhole Case #9

7.5 year result
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Pinhole Case #10

Pinhole Case #11

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Pinhole Case #12

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Pinhole Case #13

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Pinhole Case #14

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PINHOLE ON TV

ABC 13 Las Vegas

KEYE TV's Austin

Click to see GLOBE News Report

Fox 11 Santa Barbara

KNBC 4 Los Angeles

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FREQUENTLY ASKED QUESTIONS

What is audio mastering?


Mastering is the final stage of audio production before a record or single is released into the world. I take your finished mixes and use some of the best analogue / digital equipment available to bring their overall sound in-line with music that is already released. If I am mastering an album or EP, I will also sequence each track with the perfect gaps of silence and with balanced tone and loudness. As a result, the overarching character of your project will be enhanced, finessed and polished. I will also make sure that your music sounds amazing on all systems, from full-range ATC studio monitors to cinemas to laptop and phone speakers. Mastering is a crutial time for you to view your project in the exact way that it will be heard once it is released. You will hear if any corrections are needed and we can work out the most effiecient way to make these either in the mastering domain or by revising the mix. Once the masters are approved, I can create a myriad of master files for every audio platform, from online distribution (iTunes, Amazon, Spotify etc.) to vinyl and cassette.




How quickly will I receive my masters after I have booked a session and sent you the files?


The average turn around for most mastering projects is approximately 2 - 5 working days from the time you upload the mix files. However, this timeline is subject to change depending on how much work I have on. To make sure that your project is sent back to you in time, please contact me at least 10 working days before your release date / production deadline.




In what format should I send you the mix files?


Sample Frequency: Always keep the sample frequency at the rate that the audio was recorded / mixed. Because all of my work is done in the analogue domain, I can 'pitch' a mix at any sample rate (up to 192kHz) and then capture the master at the delivery sample rate (up to 96kHz) without using any sample rate conversion. This avoids all of the unwanted artifacts that SRC introduces, which ultimately changes the tone and impact of your music. Bit-Rate: Keep the bit-rate as high as you can. If possible it should be no lower than 24-bit, however, 32-bit floating / fixed point files are even better. Try to avoid sending 16-bit files if possible. All files must be sent as uncompressed .WAV / .AIFF files. Do not send compressed lossy or lossless files such as .MP3 / .FLAC / .AAC etc...




In what format will I receive my master files?


Once your payment has been processed, the masters will be delivered as stereo WAV or AIFF files at any sample rate up to 96kHz / 16-bit or 24-bit. High quality MP3s can also be delivered up to 320kbps. Any number of file formats can be authored at no additional cost. If you do not request specific file formats prior to booking, the masters will be delivered at the CD and online distribution standard as 44.1kHz 16-bit WAVs. If you are releasing CDs, you will also receive an 'unlocked' DDP image that can be sent directly to the CD duplication factory. All files are delivered via Google Drive unless requested otherwise. If you require additional masters that are tailored to specific platforms, such as vinyl, cassette and radio, please see prices above or contact me via email or phone to discuss. I'll get back to you as quickly as possible.




Should I apply dither to my mix?


Dither is only relevant when you move from a higher bit depth to a lower bit depth. If you are sending 24-bit mix files it's a good idea to dither when rendering in order to avoid truncation distortion as you move from the internal resolution of your DAW (most likely 32-bit floating point or higher) to 24-bit. It is less important than it is for rendering 16-bit files but there are arguments that say it's good practice. Use flat/TPDF dither for this when possible. Dithering is not necessary if you are sending me 32-bit floating point files.




How much headroom should my mix have?


My only request regarding headroom is that there are no peaks at 0dBFS (no clipping) and peak normalization is turned off. Send me the mix that you love the most regardless of how much headroom it has. As long as I am working with the mix that sounds the best to you then I am happy. Ultimately, do what serves your music the best. If your mix does have heavy mix-buss processing, then it's often useful to send two versions; one with these processors on and one with them bypassed. This way we can decide together which approach best serves the final result. For those who would like a general rule of thumb, mixes should aim to have peaks above -20dBFS and should never clip at 0dBFS (when working with 24-bit files). This leaves a healthy amount of headroom for any processing that may be needed in the mastering domain.




How do I pay for your mastering services?


Once I have finished mastering your project, I will send you the masters as a DDP image that you can audition using a secure DDP player. The player allows you to listen to the mastered album as it will be played back from a CD. You will hear exactly what I hear in my mastering studio with the correct legnths of silence between each track. If you are happy with the way that it all sounds, then you will receive an invoice which you can pay via bank transfer. Once you have paid, I will then send you an upload link to the full resolution master files which are yours to release and distribute. The DDP player only allows you to audition the masters. You will not be able to use the masters in any other way until I have received payment and sent you the final master files. Just as a side note, the DDP file that you will listen to is fully encrypted and can only be played using the DDP player that I will supply. This is to protect your music from falling into the wrong hands and ending up somewhere you didn't expect.




What if I need changes to the masters?


Sometimes revisions are required. If so, I am more than happy to make these to the best of my ability within reason free of charge. However, if you need to make revisions / tweaks to the mix you originally sent me then a charge of £15 for each new mix sent will be added to your overall bill. To avoid any unexpected additional charges, please make sure that the final mixes you send are the best that you can achieve. Also please be certain that all mixes have been approved by everyone involved before sending. If you are unsure whether your mix is ready for mastering then feel free to send it over prior to booking a session. I'll gladly have a listen and, if necessary, be able to offer any advice on how it could be improved before we move onto the mastering stage.




Do you offer free test masters?


Yes, of course! I totally understand that handing your creation over to a stranger is a pretty daunting prospect… So, as a courtesy to all my new clients, I will master ONE track of any length totally free of charge. This is for you determine whether my style / approach to mastering your project is what you want. If you like my master, then we can discuss moving on to the next steps in the process. And if you don’t like my master, then no harm done! If you do decide to hire me to master the rest of your project then this first test master will always remain free. All you have to do is fill in the form below and upload your track via the link provided. I will typically get a test master back to you within 3 working days.




How do I send you mix files to master?


You can securely upload mix files via the upload link I provide here (there is no size limit). Your mixes are then automatically downloaded to my studio computer and I receive an email notification to let me know. Alternatively, you can use a file sharing service such as Google Drive, WeTransfer or Dropbox.




Can you review my mixes for free?


Yes. If you are unsure whether your mixes are ready for mastering then feel free to send them over prior to booking a session. I'll gladly have a listen and be able to give you a couple of suggestions on how elements could be enhanced before we move onto the mastering stage. However, the last thing I want to do is step on or 'water down' your creation. If I do suggest anything, it'll either be purely technical or simply a way to ehance certain elements that may feel slightly lacking musically. In any case, it's a conversation we can have with everyone involved and at the very least will give me a deeper understanding of your vision and artistic intention moving forward.




What about international payments (currencies other than GBP)?


I use TransferWise for all international payments. Any major currency can be used and all associated conversion fees are much lower than a standard international wire transfer. Please add roughly 1% to your total to cover fees. If you would prefer to use PayPal for international payments then please add roughly 3% to your total to cover transfer fees.





 

SERVICES

Periodontal Diseases


What is periodontal disease? This is a type of periodontitis, which is inflammation of the supporting tissues of the teeth (resulting in loss of supporting bone). It is the major cause of tooth loss in adults and unfortunately can only get worse without appropriate treatment (periodontitis is a progressive disease). The bacteria that accumulate on the teeth in the form of plaque and the body's immune reaction to it are considered the main causative factors. Of course susceptibility of the individual is an important factor in disease initiation and progression. You should also be aware that there is a potential association between periodontal disease and heart disease, although it has not yet proven to be causative. However, periodontal disease treatment tends to improve inflammation markers related to heart disease. Please note that a major risk factor for periodontal disease is smoking. Further people with diabetes are more likely to have periodontal disease than people without diabetes, probably because people with diabetes are more susceptible to contracting infections. In fact, periodontal disease is often considered a complication of diabetes. Those people who don't have their diabetes under control are especially at risk. Research has suggested that the relationship between diabetes and periodontal disease goes both ways - periodontal disease may make it more difficult for people who have diabetes to control their blood sugar. Severe periodontal disease can increase blood sugar, contributing to increased periods of time when the body functions with a high blood sugar. This puts people with diabetes at increased risk for diabetic complications. Periodontal disease often tends to progress almost silently without giving much cause for concern, until it has reached an advanced stage and the supporting tissues around the teeth are seriously compromised. Research has shown that periodontal disease is associated with several other diseases. For a long time it was thought that bacteria was the factor that linked periodontal disease to other disease in the body; however, more recent research demonstrates that inflammation may be responsible for the association. Therefore, treating inflammation may not only help manage periodontal diseases but may also help with the management of other chronic inflammatory conditions.




Periodontal Treatment


The plaque is removed under the gum line through a deep-cleaning method called scaling and root surface debridement. Scaling means scraping off the tartar from above and below the gum line. Root surface debridement gets rid of rough spots on the tooth root where the germs gather under the gum line, and helps remove bacteria that contribute to the disease. Then a periodontal review appointment is the next step where the pockets are re-measured to evaluate the degree of healing, the pocket depths and the plaque score. If inflammation and deep pockets remain following treatment with deep cleaning and medications the periodontal surgery may be considered. Your periodontist may need to pull gently the gum away from the teeth surfaces to remove tartar deposits in deep pockets or to reduce the periodontal pocket and make it easier for the patient to keep the area clean. This common procedure involves lifting back the gums and removing the tartar. The gums are then sutured back in place with tiny stiches so that the tissue fits snugly around the tooth again. After surgery the gums will heal and fit more tightly around the tooth. This sometimes results in the teeth appearing longer. In addition to flap surgery, your periodontist may suggest procedures to help regenerate any bone or gum tissue lost to periodontitis. Bone grafting, in which natural or synthetic bone is placed in the area of bone loss, can help promote bone growth. A technique that can be used with bone grafting is called guided tissue regeneration.




Guided Bone / Tissue Regeneration


When periodontal disease is established in the mouth, inflammation is present, periodontal pockets are formed around the teeth and the bone that supports the teeth is lost. The harmful bacteria that hide in the deep pockets create bone irregularities. When the shape of these irregularities allows it, we can use artificial bone substitutes with growth factors that enhance periodontal regeneration and re-grow the bone that was lost, increasing the longevity of the teeth and eliminating the depth that the harmful bacteria could hide. This periodontal surgical grafting technique is called Guided Tissue and Bone Regeneration and the most up to date procedures that contribute to periodontal regeneration are available in the clinic by Dr. Evdokia Chasioti Treatment results depend on many things, including how far the disease has progressed, how well you will keep up with oral care at home. Given the current evidence it is essential to act in the prevention, early diagnosis, and effective treatment of periodontal disease in order to combat the devastating oral and general health effects for the individual and society. For more information the dentists could visit: http://www.efp.org/ http://www.bsperio.org.uk/ http://www.perio.org/




Teeth Splinting


When the teeth are compromised from a periodontal point of view and lost most of their bone and gum support due to periodontal disease, they become wobbly. As a result the chewing efficiency, phonetics and function is compromised. To increase patient comfort during chewing we can connect multiple teeth together (teeth splinting) to reduce mobility and improve the patients function and chewing efficacy. Also, when the teeth are used as abutments for partial dentures they can be connected together to increase support of the periodontally compromised teeth. However, splinting makes oral hygiene procedures difficult. To ensure the longevity of the connected teeth, special attention must be taken towards oral hygiene. To connect teeth to each other, the enamel surface of the tooth is etched, most commonly with a 37% solution of phosphoric acid and composite resin can then be bonded to the etched surface to rigidly connect the teeth to each other. The connection cab be strengthened by adding a fibre or metal framework. No healthy tooth substance is removed and if the splint requires repairs in the future it can be easily reinforced without harming sound tooth structure.




Treatment of Gummy Smile - Crown Lengthening Procedures


You may ask your periodontist about procedures to improve a "gummy" smile because your teeth appear short or because you feel you expose excessive gum when you smile. Your teeth may actually be the proper lengths, but they're covered with too much gum tissue. To correct this, your periodontist performs a dental crown lengthening procedure. During the crown lengthening procedure, excess gum and bone tissue is reshaped to expose more of the natural tooth. This can be done to one tooth, to even your gum line, or to several teeth to expose a natural, broad smile. Your dentist or periodontist may also recommend a crown lengthening procedure for a tooth which will soon receive a dental crown or veneer to make a restorative or cosmetic dental procedure possible. Your tooth may be decayed, broken below the gum line, or it may have insufficient tooth structure for a restoration, such as a crown or bridge. Crown lengthening redefines the gum and bone level to expose more of the tooth so it can be restored.




Lightening of Dark Gums


Although melanin pigmentation of the gingiva is completely benign and does not present a medical problem, complaints of “black dark gums” are common, particularly in patients having a very high smile line (gummy smile). With the removal of unsightly pigmented gingival areas we create a pleasant and confident smile. This could be easily attained by using various methods including laser lightening of dark gums.




Socket Preservation


After having a tooth extracted, there will be an empty "socket" , a void, where the tooth used to be. If the void is left empty to heal by itself, the bone that used to support the tooth starts to disappear and becomes thin and shallow. This can cause a problem when we look at possible treatment to replace the gap with a partial denture, bridge or dental implant. Socket preservation is the act of minimizing bone shrinkage, and therefore preserving the bone's depth and height to allow better outcome for a future restoration. Once the tooth has been extracted, a bone graft material is inserted inside the socket. This bone graft material will harden overtime and become part of the jaw bone, ensuring provision of sufficient foundation for placement of future implants, bridges and dentures. After insertion of the bone graft material, a collagen membrane is placed on top to cover the graft material and allow good healing of the gum tissue. Socket preservation after having a tooth extracted has several advantages: -Prevents the bone from shrinking therefore maintaining horizontal facial bone structure -Less likely for a replacement denture or reline to be needed, as less bone and gum shrinkage occurs -Lower gap formation under the pontic (part of bridge replacing a missing tooth)of a bridge -Better bone depth and height and therefore a better prognosis when placing a dental implant and less need for future bone graft




Atraumatic Tooth Extraction


This technique is specifically designed to remove teeth using specialized tools. With an atraumatic tooth extraction minimal damage or trauma is caused to the surrounding bone and tissues. It is a minimally invasive technique, which is something that will certainly appeal to any patient that needs a tooth extraction, and is the technique we use wherever possible at contemporary Periodontics & Implant Surgery.




Dental Implants


A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge or denture. Dental implants may be an option for people who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason. This procedure is a team effort between the periodontist and the restorative dentist. The periodontist and dentist will consult with you to determine where and how the implant should be placed. Depending on the specific condition you will receive a tailored treatment plan to meet your needs. To learn more about dental implants, please contact our office.




Sinus Lift Procedures


A key to implant success is the quantity and quality of the bone where an implant is to be placed. If you've bone quantity and quality in close proximity to the sinus area in upper back jaw due to reasons such as periodontal disease or tooth loss, you may be left without enough bone to place implants. Sinus lift surgery can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants. Your periodontist can explain your options for graft materials, which can regenerate lost bone and tissue. Undergoing sinus lift surgery has been shown to greatly increase your chances for successful implants that can last for years to come.




Conventional Gum Graft





Porcine Gum Grafts






Meet Evdokia Chasioti DipDS, MDS
The Only Specialist Periodontist in London and the First Specialist Periodontist in the UK performing the Pinhole technique
GDC No: 223494
Diplomate of the American Board of Periodontology
GDC Registered Specialist Periodontist 
Special Interest in Implant Surgery

 

Evdokia Chasioti is a graduate of the Department of Dentistry of the historic Aristotle University of Thessaloniki in Greece. As an undergraduate she participated in panhellenic conferences and she developed her particular interest in the field of Periodontology. Following her qualification as a doctor of dental science, she joined private dental practices in Thessaloniki, where she was involved in complex dental cases.

In 2009, she joined the three year postgraduate specialist training program in Periodontics and Implant Dentistry at the prestigious University of Medicine and Dentistry of New Jersey (Rutgers School of Dental Medicine). Dr. Chasioti served as the Chief Resident of the department and she obtained her Masters of Dental Science in Periodontology with distinctions. She was awarded with Dr. Michael J. Deasy’s Endowed Scholarship for her commendable academic performance. She is registered with the General Dental Council and she is officially recognized by the General Dental Council UK, as a Specialist in Periodontology.

In 2013, Dr Chasioti received one of the highest recognitions of achievement afforded by the specialty of Periodontology and became a Diplomate of the American Board of Periodontology, completing successfully a rigorous examination, covering all phases of periodontal diseases and its treatment, including dental implants.

Dr. Chasioti is committed to practicing the highest level of dentistry based on her diverse expertise in numerous periodontal and implant procedures. Additionally, she is an international member of the American Academy of Periodontology and a member of the British Society of

Periodontology and the Association of Dental Implantology, UK. She is participating in several prestigious world conferences where she is presenting various periodontal and implant cases.

In addition to non-surgical periodontal diagnosis and treatment, Dr Chasioti also performs numerous surgical procedures, aiming to correct the function and aesthetics of periodontium. These procedures include resective (pocket elimination), additive (guided tissue regeneration) and combination periodontal osseous surgical procedures, the most up-to-date surgical techniques to correct gum deformities around teeth and implants with perio-plastic surgery including the Alloderm grafting, esthetic gum surgery and crown lengthening, guided bone regeneration techniques, ridge splitting procedures, dental implants, sinus lift operations, guided implant surgery for full mouth rehabilitation and treatment of peri-implant disease.

Dr. Chasioti believes in the evidence -based dentistry and considers the team approach fundamental to recreating stunning smiles, with state-of-the-art procedures.

 

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www.smilecliniq.com

www.camdendentalcentre.co.uk

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