2018
DOI: 10.2209/tdcpublication.2017-0030
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Treatment of Gingival Fenestration with Connective Tissue Graft: A Case Report

Abstract: Here, we report a case of gingival fenestration requiring periodontal plastic surgery. The patient was a 32-year-old man presenting with the chief complaint of esthetic impairment and gingival twitching due to gingival fenestration. Baseline examination revealed localized periodontal breakdown, including gingival fenestration in the lower right central incisor (#41). Periodontal examination revealed 3% of sites with a probing depth of ≥4 mm and 8.9% with bleeding on probing. Radiographic examination revealed v… Show more

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Cited by 4 publications
(9 citation statements)
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“…Another case report described the use of CTG for the correction of a fenestration defect as a result of teeth malposition. [ 14 ] However, in contrast to our report, the procedure involved vertical releasing incisions and the patient rejected the corrective orthodontic phase, therefore a risk of recurrence remains. In a contained alveolar defect with concurrent fenestration, a case report described the successful deployment of bone allograft combined with platelet-rich fibrin.…”
Section: Discussioncontrasting
confidence: 78%
“…Another case report described the use of CTG for the correction of a fenestration defect as a result of teeth malposition. [ 14 ] However, in contrast to our report, the procedure involved vertical releasing incisions and the patient rejected the corrective orthodontic phase, therefore a risk of recurrence remains. In a contained alveolar defect with concurrent fenestration, a case report described the successful deployment of bone allograft combined with platelet-rich fibrin.…”
Section: Discussioncontrasting
confidence: 78%
“…4,6,7 Management of mucosal fenestration defects usually require a combined therapy (endodontic treatment and periodontal surgeries) to achieve predictable treatment outcomes. Reported treatments include endodontic therapy with root-end resection 2,4,8,9 root surface debridement with chlorhexidine mouth-rinsing 9,10 excisions of the epithelial margin with primary closure of the mucosal defect 2,4,11 pedicle flap surgery 8,9 autologous soft tissue graft 5,7,12 or substitute 13,14 and/or regenerative osseous surgery. 1,6,7 Although in past few years, use of autologous platelet concentrates such as platelet rich fibrin (PRF) alone in bone regeneration 15 and minimally invasive surgical techniques has gained wide acceptance and popularity among clinicians in reconstructive surgery, their application in management of mucosal fenestration has never been reported.…”
Section: Introductionmentioning
confidence: 99%
“…In contrast, mucosal, apical, or gingivo‐osseous pathologic fenestrations are relatively uncommon and results in the exposure of the root surface to oral environment. Mucosal fenestrations have been reported more frequently on the labial aspect of maxillary or mandibular anterior teeth 1–6 . Absence of or thin buccal cortical plate and tooth malposition with pronounced labial inclination of root apex are the common predisposing factors for this pathological condition.…”
Section: Introductionmentioning
confidence: 99%
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“…5 It is a condition that has the potential to affect the quality of life of the individual. 5 Although literature on GF is very limited, some treatments have been reported. They include connective tissue graft, repositioned flaps, guided tissue regeneration, and orthodontic treatment.…”
Section: Introductionmentioning
confidence: 99%