Case Identification
Procedure: Pinhole® Surgical Technique
Tooth/Teeth: #4–6, 8, 9, 11–14
Procedure date: 03/25
Post-operative interval: 10 Months
Post-operative examination date: 01/27/26
This case documents the 10-month post-operative outcome following treatment of maxillary gingival recession involving teeth #4–6, 8, 9, and 11–14 using the Pinhole® Surgical Technique.
As documented in the original operative record from March 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 intraoperative gingival margin position was intentionally not considered the final outcome.
At the 10-month post-operative interval, the treated sites demonstrate:
• Stable coronal gingival margin position
• Maintained soft-tissue thickness and volume
• Favorable tissue contour without scarring
• Tissue adaptation consistent with ongoing biologic remodeling
At this interval, the tissues have progressed beyond early healing and are continuing through maturation and remodeling. The observed gingival margin position reflects the patient’s biologic response over time rather than intraoperative placement. Additional minor settling may still occur as remodeling continues.
The clinical significance of this case lies in the demonstration of sustained tissue stability achieved through adequate release and biologically guided healing, without the use of incisions or sutures.
The Pinhole® Surgical Technique was developed by Dr. John Chao as a minimally invasive, biologically driven approach to the management of gingival recession.
For additional information:
www.pinholesurgicaltechnique.com