Endodontic and Surgical Management of Mucosal Fenestration - A Case Report

Mucosal Fenestration

Abstract

Mucosal fenestrations are defects of alveolar cortical plate which are infrequently encountered in clinical practice. A 19 years old female reported with chief complaint of pain localized in the maxillary left molar region. The patient presented with no relevant medical history and upon interrogation said that the pain was dull and continuous and aggravates on mastication. Extra oral examination did not reveal the presence of any anomalies or of muscular sensitivity to palpation. Intra oral examination revealed presence of fenestration in relation to apex of mesio buccal root of 16. On radio graphic examination there was visible resorbtion and periapical radiolucency in relation with palatal root of maxillary left first molar. Endodontic therapy was performed and surgical management of the defect was done by elevating full-thickness flap, root-end resection and root-end filling with MTA. A small zone of fibrous tissue in the mucosa facing the fenestration was eliminated, and the flap was repositioned and sutured. Periodic follow up was done. [Rawtiya M Natl J Integr Res Med, 2019; 10(5):93-95]