title: Multidisciplinary Treatment of a Fenestration-type Defect.
abstract: The case report aimed at treating a fenestration-type defect with multidisciplinary conventional and advanced surgical techniques. Fenestrations are isolated areas in which the exposed root surface is covered only by the periosteum and gingiva, but the remaining cortical bone remains intact. Root coverage is indicated in cases of root hypersensitivity, treatment of shallow caries lesions, cervical abrasions, and esthetic and cosmetic needs. In this case report, after proper hygiene instruction and dental biofilm control, a fenestration-type defect was treated using guided tissue regeneration (anorganic bovine matrix and resorbable membrane) and a connective tissue grafts, associated to an endodontic apicoectomy. After reevaluation, the remaining gingival recession was treated with a second gingival connective tissue graft covered with q double papillae type in order to reconstruct the periodontal tissues of the involved tooth. In this clinical case, the interaction between the different areas of dentistry has made it possible to correct a fenestration-type defect, following procedures based on scientific evidence, restoring periodontal health, esthetics, self-esteem, and meeting the patient's expectations regarding her initial complaint. This case report shows the important role of interdisciplinary approach to treating a patient with a complex periodontal defect that required different types of knowledge and abilities to achieve the best results based on the current status of dentistry possibilities.
authors.affiliation: Department of Dentistry, School of Dentistry, Federal University of Maranhão Avenida dos Portugueses S/N Campus do Bacanga, São Luis, Maranhao, Brazil.
authors.forename: Rafael
authors.initials: R
authors.lastname: Travassos
authors.affiliation: Department of Dentistry, School of Dentistry, Federal University of Maranhão Avenida dos Portugueses S/N Campus do Bacanga, São Luis, Maranhao, Brazil.
authors.forename: Bruno
authors.initials: B
authors.lastname: Soares
authors.affiliation: Department of Conservative Dentistry and Endodontics MS Ramaiah Dental College and Hospital, Bengaluru Karnataka, India.
authors.forename: Shilpa H
authors.initials: SH
authors.lastname: Bhandi
authors.affiliation: Department of Postgraduate Program in Dentistry, School of Dentistry, CEUMA University, Rua Josué Montello 1 Renascença II, São Luís, Maranhao, Brazil.
authors.forename: Monica Barros da
authors.initials: MB
authors.lastname: Silva
authors.affiliation: Department of Postgraduate Program in Dentistry, School of Dentistry, CEUMA University, Rua Josué Montello 1 Renascença II, São Luís, Maranhao, Brazil.
authors.forename: Matheus Coelho
authors.initials: MC
authors.lastname: Bandéca
authors.affiliation: Department of Postgraduate Program in Dentistry, School of Dentistry, CEUMA University, Rua Josué Montello 1 Renascença II, São Luís, Maranhao, Brazil.
authors.forename: José Carlos Elias
authors.initials: JC
authors.lastname: Mouchrek
authors.affiliation: Department of Dentistry, School of Dentistry, Federal University of Maranhão Avenida dos Portugueses S/N Campus do Bacanga, São Luis, Maranhao, Brazil.
authors.forename: Vanessa Camila da
authors.initials: VC
authors.lastname: Silva
authors.affiliation: Professor, Department of Dentistry, School of Dentistry, Federal University of Maranhão Avenida dos Portugueses S/N Campus do Bacanga, São Luis, Maranhao 65085-580, Brazil, e-mail: bbbenatti@gmail.com.
authors.forename: Bruno Braga
authors.initials: BB
authors.lastname: Benatti
mesh_terms: D000328:Adult; D016301:Alveolar Bone Loss / Q000601:surgery*; D000818:Animals; D001047:Apicoectomy / Q000379:methods; D001857:Bone Matrix / Q000637:transplantation; D002417:Cattle; D003238:Connective Tissue / Q000637:transplantation; D003481:Cuspid / Q000601:surgery*; D005881:Gingiva / Q000637:transplantation; D005889:Gingival Recession / Q000601:surgery; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods*; D064593:Heterografts / Q000637:transplantation; D006801:Humans; D008437:Maxilla / Q000601:surgery; D008567:Membranes, Artificial; D010348:Patient Care Team; D013524:Surgical Flaps / Q000601:surgery; D014092:Tooth Root / Q000601:surgery*
chemical_list: D008567:Membranes, Artificial
keywords: Periodontal disease; Tooth apex; Gingival recession; Guided tissue regeneration