Abstract
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.
Original language | English (US) |
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Pages (from-to) | 125-128 |
Number of pages | 4 |
Journal | Quintessence International |
Volume | 35 |
Issue number | 2 |
State | Published - Feb 1 2004 |
Keywords
- Apicoectomy
- Maxillary first premolar
- Mucosal fenestration
- Pedicle flap
- Periradicular curettage
- Retrograde restoration
ASJC Scopus subject areas
- General Dentistry