Keywords
gingival fenestration
soft tissue graft
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.
References
Pendor S, Baliga V, Muthukumaraswamy A, Dhadse PV, Ganji KK, Thakare K. Coverage of gingival fenestration using modified pouch and tunnel technique: a novel approach. Case Rep Dent. 2013:1-5.
Elliot JR, Bowers GM. Alveolar dehiscence and fenestrations. Periodontics. 1963;1:245-8
Sato N. A Periodontal Surgery: A Clinical Atlas. Japan: Quintessence; 2000.
Cohen DW, Rose SE. The double papilla repositioned flap in periodontal therapy. J Periodontol 1968;39(2):65-70
Grupe HE, Warren Jr RF. Repair of gingival defects by a sliding flap operation. J Periodontol 1956;27(2):92-5
de Sanctis M, Zuchhelli G. Coronally advanced flap: a modified surgical approach for isolated recession –type defects: three year results. J Clin Periodontol 2007;34(3):262-8
Stefanini M, Marzadori M, Aroca S, Felice P, Sangiorgi M, Zuchhelli G. Decision making in root coverage procedures for the aesthetic outcome. Periodontol 2000. 2018;77(1):54-64
Carranza F.A, Newman M.G, Takei H.H Klokkevold P.R. Carranza's Clinical Periodontology. 11th ed. St. Louis, Mo.: Elsevier Saunders. 2012.
Deepa D, Jain N. Gingival fenestration defect in the maxillary anterior region treated with coronally positioned flap using platelet –rich fibrin membrane. J Interdiscip Dentistry 2015;5:140-4
Travassos R, Soares B, Bhandi SH, Silva MB, Bandeca MC, Mouchrek JC Jr et al. Multidisciplinary treatment of a fenestration type defect. J Contemp Dent Practice 2015;16(4):329-34.