Case Identification
Procedure: Pinhole® Surgical Technique
Tooth/Teeth: #19–25, #27–30
Procedure date: 12/30/25
Post-operative interval: 3 Weeks
Post-operative date: 01/22/26
Procedure time:
5:48 PM – 6:54 PM (66 minutes)
This case documents the immediate post-operative presentation following treatment of mandibular gingival recession using the Pinhole® Surgical Technique.
As documented in the operative record from December 30, 2025, the primary clinical objective was to achieve adequate soft-tissue release and controlled overcorrection to increase tissue thickness and establish a biologic environment supportive of long-term stability. The gingival margin position observed at this immediate interval is not intended to represent the final outcome.
At the immediate post-operative stage, the treated sites demonstrate:
• Successful coronal advancement of existing gingival tissues
• Increased soft-tissue volume consistent with controlled overcorrection
• Intact papillary architecture without incisions or sutures
• Early tissue adaptation and stability
At this interval, tissues remain within the acute inflammatory phase of healing. Gingival margin position, tissue contour, and marginal thickness are expected to evolve as edema resolves and biologic remodeling progresses. Final tissue position will be determined by the patient’s host tissue response, rather than intraoperative placement alone.
The clinical focus at this stage is protection of the surgical site and preservation of a stable biologic environment to allow uninterrupted vascularization and early wound healing.
The Pinhole® Surgical Technique was developed by Dr. John Chao as a biologically guided, minimally invasive approach to the management of gingival recession.
For additional information:
www.pinholesurgicaltechnique.com
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