Abstract
Gingival fenestration is rarely encountered clinical situation causing problems like root sensitivity, root caries and aesthetic problem. Although rare, this situation can be difficult to manage and needs multidisciplinary approach. This case report describes management of gingival fenestration defect with root exposure and endodontic lesion in upper left lateral incisor using multidisciplinary approach. Endodontic treatment followed by double papilla flap technique as coverage of gingival fenestration and finally crown was prosthetically rehabilitated. The result of this case with double papilla graft technique demonstrated satisfactory healing of the gingival fenestration defect with excellent colour and texture match with the surrounding tissues.
Highlights
Gingival fenestration is the exposure of tooth surface due to loss of overlying bone and gingiva.[1]
The present case report describes a rare situation where a gingival fenestration was noted in the maxillary right lateral incisor
It was successfully treated with combination of apicectomy, bone graft placement and double papilla flap technique as a soft tissue graft procedure to cover the fenestration defect
Summary
Gingival fenestration is the exposure of tooth surface due to loss of overlying bone and gingiva.[1] Though aetiology is not very clear, root prominence, malocclusion and buccally positioned teeth with thin cortical bone are considered predisposing factors.[2] It creates problems regarding plaque control, root hypersensitivity, root caries and aesthetic disharmony. There will be dilemma whether to extract or salvage the tooth. A fenestration defect with root exposure and endodontic lesion was treated with multidisciplinary approach. Double papilla flap technique was done for coverage of gingival fenestration and crown was prosthetically rehabilitated
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