Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting

Area of Science:

• Dentistry
• Periodontology
• Oral Surgery

Background:

• Gingival fenestration (GF) is a rare condition involving an opening in the gum tissue, often linked to mechanical irritants like calculus.
• The exact cause of gingival fenestration remains unclear, but it typically affects the facial anterior sites.
• Surgical intervention may be necessary for functional or aesthetic reasons.

Observation:

• A 74-year-old male presented with a gingival fenestration on tooth #11, associated with a noncarious cervical lesion.
• The patient reported a sensation of something protruding through the gum.
• Clinical examination confirmed the gingival fenestration and the underlying lesion.

Findings:

• Surgical treatment involved a connective tissue graft and odontoplasty to smooth the sharp root edge.
• The procedure resulted in uneventful healing and complete closure of the gingival fenestration.
• No recurrence of the condition was observed during an 18-month follow-up period.

Implications:

• Gingival fenestration can arise from abfractive lesions, not just calculus.
• Successful surgical management, including grafting and root modification, can achieve long-term stability.
• This case highlights a viable treatment approach for managing gingival fenestration and associated lesions.