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.
Ju
Yuh-Ren
YR
Department of Periodontics, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China. brummend@seed.net.tw
Tsai
Alice Hsin-Yi
AH
Wu
Yu-Jen
YJ
Pan
Whei-Lin
WL
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