Case Identification
Procedure: Pinhole® Surgical Technique
Tooth/Teeth: #3, #5–7, #9–14, #20–28
Procedure date: 01/09/26
Post-operative interval: 1 Week
Post-operative date: 01/20/26
Procedure time:
- Upper: 11:23 AM – 12:30 PM (67 minutes)
- Lower: 01:50 PM – 03:00 PM (70 minutes)
This case documents the 1-week post-operative healing phase following treatment of generalized gingival recession using the Pinhole® Surgical Technique.
As noted in the operative record from January 9, 2026, the primary clinical objective was to achieve adequate soft-tissue release and controlled overcorrection in order to increase tissue thickness and establish a biologic environment supportive of long-term stability. Immediate gingival margin position at the time of surgery was not intended to represent the final outcome.
At 1 week post-procedure, the treated sites demonstrate:
- Early tissue stabilization
- Increased soft-tissue volume consistent with controlled overcorrection
- Reduction in post-operative inflammation
- Absence of incisions or sutures
At this interval, healing remains within the inflammatory and early proliferative phases. Gingival margin position may continue to change as inflammation resolves and biologic remodeling progresses. Final tissue position is determined by the patient’s host tissue response rather than intraoperative placement alone.
The clinical focus at this stage is preservation of a stable environment to allow uninterrupted biologic healing and tissue maturation.
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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