Case Identification
Procedure: Pinhole® Surgical Technique
Tooth/Teeth: #21–28, 31
Procedure date: 12/22/25
Post-operative interval: 6 Weeks
Post-operative examination date: 02/01/26
Procedure time: 11:34 AM – 12:18 PM (44 minutes)
This case documents a 6-week clinical observation following treatment of mandibular gingival recession involving teeth #21–28 and #31 using the Pinhole® Surgical Technique.
The pre-surgical photograph demonstrates gingival recession affecting the mandibular anterior and posterior region, with visible root exposure and reduced soft-tissue thickness. The follow-up image was obtained six weeks post-treatment, allowing evaluation beyond immediate post-operative changes and into the early remodeling phase of soft-tissue healing.
At the 6-week post-operative interval, the treated sites demonstrate:
• Improved gingival margin position relative to the pre-surgical presentation
• Early stabilization of soft-tissue adaptation along the cervical tooth contours
• Increased tissue volume and a smoother gingival contour in the treated region
• Tissue appearance consistent with ongoing remodeling and maturation
At this interval, the tissues have progressed through initial healing and are continuing through early remodeling. The clinical appearance may continue to refine over subsequent months as biologic maturation progresses.
The clinical significance of this case lies in the demonstration of early soft-tissue improvement and favorable adaptation in the mandibular arch at a short-term follow-up interval following a minimally invasive periodontal procedure performed without incisions or sutures.
The Pinhole® Surgical Technique, developed by Dr. John Chao, is a biologically driven approach to the management of gingival recession that emphasizes tissue preservation, controlled release, and long-term stability.
For additional information:
www.pinholesurgicaltechnique.com