Case Identification
Procedure: Pinhole® Surgical Technique
Tooth/Teeth: #5–12
Procedure date: 01/06/26
Post-operative interval: 3 Weeks
Post-operative examination date: 01/27/26
Procedure time: 11:35 AM – 1:00 PM (85 minutes)
This case documents the 3-week post-operative presentation following treatment of maxillary gingival recession involving teeth #5–12 using the Pinhole® Surgical Technique.
As documented in the operative record from January 6, 2026, the primary clinical objective was to achieve adequate soft-tissue release and intentional overcorrection to increase tissue thickness and establish a biologic environment supportive of favorable healing. The intraoperative gingival margin position was intentionally not considered the final outcome.
At the 3-week post-operative interval, the treated sites demonstrate:
• Early coronal gingival positioning
• Increased soft-tissue thickness and volume
• Favorable tissue adaptation without scarring
• Healing patterns consistent with early biologic remodeling
At this stage, tissues are in the active healing phase and have not yet completed maturation or remodeling. The observed gingival margin position reflects the body’s early biologic response rather than a finalized clinical endpoint. Continued remodeling and settling are expected as healing progresses.
The clinical significance of this case lies in the early demonstration of stable tissue response following adequate release and overcorrection, reinforcing the principle that final gingival position is determined by biology during healing rather than intraoperative placement.
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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