Case Identification
Procedure: Pinhole® Surgical Technique
Tooth/Teeth: #3, #8–9, #13–14, #27–28
Procedure date: 11/19/25
Post-operative interval: 7 Weeks
Post-operative date: 01/12/26
Procedure time:
Upper: 11:00 AM – 11:30 AM (30 minutes)
This case documents the early tissue maturation phase following treatment of generalized gingival recession using the Pinhole® Surgical Technique.
As noted in the operative record, the primary clinical objective was to achieve adequate release and controlled overcorrection in order to increase soft-tissue thickness and long-term stability. Immediate gingival position at the time of surgery was not intended to represent the final outcome.
At 7 weeks post-procedure, the treated sites demonstrate:
• Stable gingival margin position
• Continued reduction in vascularity and inflammation
• Improved tissue density and biotype maturation
• Enhanced integration with surrounding mucosa
At this interval, active healing has transitioned into biologic remodeling and consolidation. No further coronal movement is observed; instead, the tissue continues to refine in thickness, color, and texture. Final gingival position is determined by the patient’s host tissue response, not by intraoperative placement alone.
The clinical focus at this stage is confirmation of stability and preservation of a biologic environment that supports long-term tissue health.
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
#PinholeSurgicalTechnique #ClinicalObservation #GingivalRecession #TissueMaturation #BiologyDrivenHealing #MinimallyInvasivePeriodontics #DrJohnChao