Pinhole Technique and T-PRF: Proportioning Pink and White Esthetics – A Case Report

Abstract

Introduction: Field of periodontal plastic surgery is gaining fascination, because the importance of pink esthetics is increasing.

Preserving the lost soft tissue that too by minimally invasive procedure is being an attractive treatment modality which is been

accepted by patients on a larger scale. Hence, the aim of the article was to reposition the gingival margin to it’s original position

with minimally manipulating the tissues. Materials and Methods: A 45-year-old male patient reported to our department

with chief complaint of unaesthetic appearance and sensitivity in upper front tooth region. Following which patient has been

planned for minimally invasive pinhole surgery technique (PST), along with placement of titanium-platelet rich fibrin (T-PRF) after thorough phase I therapy.

Results: The patient had 4 mm of recession depth before surgery which was coronally advanced

until CEJ after 15 days postoperatively with the beneficial effects of T-PRF as a biomaterial and minimally invasive PST.

Conclusion: The patient treated by minimally invasive Pinhole technique showed reduction in recession depth after 15 days

with minimal post-operative complications.

Key words: Gingival recession, minimally invasive surgery, pinhole surgery, titanium platelet rich fibrin