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The management of mucosal fenestration: a report of two cases
1Divison of Endodontics, Department of Dentistry, Taichung Veterans General Hospital, Taichung, Taiwan. kam@vghtc.gov.tw
Aim:
To report on the management of two patients with mucosal fenestration of root apices.
Summary:
Two cases of mucosal fenestration of root apices were treated by a combination of nonsurgical root canal treatment and surgery. Root-end resection was performed to bring the root apices within the alveolus before root-end filling and packing of the bony defects with demineralized freeze-dried bone allograft. The areas were then covered with connective tissue grafts taken from the hard palate before repositioning the mucogingival flap. At 1 year follow-up, the mucosal fenestrations were completely healed by soft tissue graft coverage, and radiographs revealed bony healing.
Key Learning Points:
* Connective tissue grafts can be used to manage mucosal fenestration. * Periradicular surgery and connective tissue grafts can be used in combination.
