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Multidisciplinary Treatment of a Fenestration-type Defect
Rafael Travassos1, Bruno Soares1, Shilpa H Bhandi2
1Department of Dentistry, School of Dentistry, Federal University of Maranhão Avenida dos Portugueses S/N Campus do Bacanga, São Luis, Maranhao, Brazil.
The Journal of Contemporary Dental Practice
|June 13, 2015
Summary
This case report demonstrates successful treatment of a complex periodontal fenestration defect using a multidisciplinary approach. Advanced surgical techniques restored periodontal health, function, and aesthetics.
Area of Science:
- Periodontology
- Regenerative Dentistry
- Oral Surgery
Background:
- Fenestration defects involve exposed root surfaces covered by periosteum and gingiva, with intact cortical bone.
- Indications for root coverage include hypersensitivity, caries, abrasions, and esthetic concerns.
- Complex periodontal defects necessitate comprehensive treatment strategies.
Observation:
- A fenestration-type defect was treated with guided tissue regeneration (anorganic bovine matrix and resorbable membrane) and connective tissue grafts.
- An endodontic apicoectomy was performed in conjunction with regenerative procedures.
- A second connective tissue graft using a double papillae technique addressed residual gingival recession.
Findings:
- The interdisciplinary treatment successfully corrected the fenestration-type defect.
- Periodontal tissues were reconstructed, restoring health and function.
- The patient's esthetic concerns and self-esteem were improved.
Implications:
- An interdisciplinary approach is crucial for managing complex periodontal defects.
- Evidence-based surgical techniques can achieve predictable results in regenerative dentistry.
- Successful treatment enhances patient satisfaction and overall quality of life.
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