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Fenestration gingival defect in erupting permanent mandibular incisors: a case report
L A Santos-Pinto1, N S Seale, A K Reddy
1Department of Pediatric Dentistry and Orthodontics, University of São Paulo, Araraquara, Brazil.
Quintessence International (Berlin, Germany : 1985)
|June 27, 1998
Summary
Bilateral fenestration of permanent mandibular central incisors' gingival tissue was observed. Over two years, without intervention, the gingival margin naturally repositioned apically, becoming lower than adjacent teeth.
Area of Science:
- Dentistry
- Oral Biology
- Periodontology
Background:
- Gingival fenestration is a rare developmental anomaly affecting the labial gingival tissue.
- Understanding its natural progression is crucial for dental practitioners.
Observation:
- A case of bilateral fenestration in the labial gingival tissue of permanent mandibular central incisors was documented.
- The condition was monitored over a two-year period.
Findings:
- No specific dental treatment was administered, only routine prophylaxis and oral hygiene instructions.
- The gingival margin of the affected teeth demonstrated a significant apical repositioning.
- This apical positioning resulted in a gingival margin lower than that of the adjacent, unaffected teeth.
Implications:
- Gingival fenestration may exhibit spontaneous apical migration of the gingival margin.
- This finding suggests a potential self-correcting mechanism or a slow remodeling process in certain gingival conditions.
- Further research is warranted to elucidate the underlying mechanisms and long-term prognosis.