Surgical intervention of mucosal fenestration in a maxillary premolar: a case report.
Labial mucosal fenestration of the root apex is an uncommon occurrence. An unusual case involving a maxillary right first premolar is described. When presented, the tooth was nonvital with the buccal root apex readily seen through a soft tissue and bone fenestration. Conventional endodontic treatment with gutta percha failed to resolve the problem. Periodontal surgery with a laterally positioned pedicle flap was thus scheduled. At the 1-month recall, complete healing was evident in the surgical site, and the fenestrated area of the maxillary right first premolar was filled with healthy mucosal tissue. One-year postoperatively, the mucosa remained covered, and there was radiographic evidence of bone infilling in the periapical region.
Department of Periodontics, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China. brummend@seed.net.tw
Yuh-Ren
YR
Ju
Alice Hsin-Yi
AH
Tsai
Yu-Jen
YJ
Wu
Whei-Lin
WL
Pan
D000328:Adult; D000539:Alveolar Process / Q000473:pathology / Q000601:surgery; D001047:Apicoectomy; D001641:Bicuspid; D003751:Dental Fistula / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008437:Maxilla; D009061:Mouth Mucosa / Q000473:pathology / Q000601:surgery; D019647:Oral Surgical Procedures; D010482:Periapical Abscess / Q000150:complications* / Q000601:surgery; D012184:Retrograde Obturation