Management of mucosal fenestrations by interdisciplinary approach: a report of three cases.
BACKGROUND
Mucosal fenestrations are infrequently encountered in clinical practice, and as such, their management has not been reported often. Their treatment might be further complicated by communication, with the oral environment making them susceptible to the deposition of plaque and calculus, a secondary factor in preventing reformation of mucosal covering.


METHODS
Three cases of mucosal fenestrations are presented, of which 2 were nonvital and were treated endodontically. Full-thickness flap was elevated; root-end resection and root-end filling with light-cured glass ionomer were done. In the third case, the tooth was vital, so the fenestrated root surface was just planed. The areas were then covered with connective tissue graft before repositioning the flap.


RESULTS
At subsequent follow-up, the mucosal fenestrations were completely healed by soft tissue coverage, and postoperative radiographs revealed good periapical bone healing in the first 2 cases, and there was maintenance of vitality in the third case.


CONCLUSIONS
Careful diagnosis of mucosal fenestrations can help elucidate the underlying cause, and combining nonsurgical and surgical therapies can be a good treatment option for their successful management.
Jhaveri
Hiral M
HM
Department of Periodontics & Oral Implantology, Dr. D. Y. Patil Dental College & Hospital, Pune, India. drhiraljhaveri@hotmail.com
Amberkar
Snehal
S
Galav
Lokesh
L
Deshmukh
Vijay L
VL
Aggarwal
Shalini
S
D000539:Alveolar Process / Q000473:pathology* / Q000601:surgery; D003238:Connective Tissue / Q000637:transplantation; D003751:Dental Fistula / Q000601:surgery*; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000473:pathology* / Q000601:surgery; D019647:Oral Surgical Procedures / Q000379:methods*; D010348:Patient Care Team; D012390:Root Canal Therapy; D013524:Surgical Flaps; D019227:Tooth Apex / Q000473:pathology* / Q000601:surgery; D055815:Young Adult