Case Identification
Procedure: Pinhole® Surgical Technique
Tooth/Teeth: #20–27
Procedure year: 2011
Follow-up interval: 14 Years
Follow-up examination date: 01/12/26
This case documents the long-term clinical stability following treatment of mandibular anterior gingival recession using the Pinhole® Surgical Technique.
As recorded at the time of surgery, the primary clinical objective was to achieve adequate release and controlled overcorrection in order to increase soft-tissue thickness and establish a biologic environment supportive of long-term stability. Immediate gingival position at the time of surgery was not intended to represent the final outcome.
At 14 years post-procedure, the treated sites demonstrate:
• Stable gingival margin position
• Preservation of soft-tissue thickness and contour
• Absence of recurrent gingival recession
• Healthy tissue tone consistent with mature biologic remodeling
At this interval, healing and tissue maturation are considered complete. The observed stability reflects long-term host tissue adaptation following establishment of a favorable biologic environment at the time of treatment. Final gingival margin position is determined by the patient’s host tissue response, not by intraoperative placement alone.
The clinical focus of this long-term follow-up is assessment of durability, tissue stability, and maintenance of gingival health over time.
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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