Pinhole Surgical Technique® for Treatment of Gingival Recessions: A Case Series

Gul, Sarhang S; Rasam, Rebin O

	Pinhole Surgical Technique® for Treatment of Gingival Recessions: A Case Series
Sulaimani Dental Journal
Article 1, Volume 4, Special Issue, 2017, Pages 1-1 PDF (286.14 K)
Authors
Sarhang S Gul; Rebin O Rasam
Abstract
Background and Aim: The treatment of gingival recessions is a common requirement due to aesthetic concern and root sensitivity in today’s periodontal therapy. Several procedures have been proposed to preserve or enhance patient aesthetics. Connective tissue graft with either tunnel technique or coronally advanced flap are the most widely used procedures. However, these techniques require a skilled periodontist as well as morbidity associated with secondary graft. These issues have generated interest in other methods. Recently pinhole surgical technique® was introduced as a minimally intensive procedure for root coverage. The purposes of this case series are to evaluate the usefulness of pinhole surgical technique in covering exposed root and to evaluate patients’ satisfaction. Case Presentation: Three patients attended a private clinic complaining of dental hypersensitivity and elongated teeth affecting their quality of life. They were diagnosed with Miller class I and II gingival recessions. The patients were screened for their suitability and offered pinhole surgery to cover the exposed roots. Initially, non-surgical periodontal treatment was provided and two weeks later the surgical procedure was performed according to the pinhole surgical technique standard protocol. Conclusion: Full root coverage was achieved immediately after the procedure (approximately 30 minutes) and after one month of follow up. Furthermore, patients were more satisfied with the treatment outcome in terms of aesthetic and reduced sensitivity. Longer follow ups are planned to monitor long term stability of the treatment.

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