Management of mucosal fenestration with external root resorption by multidisciplinary approach

BMJ Case Rep. 2014 Oct 9:2014:bcr2014206259. doi: 10.1136/bcr-2014-206259.

Abstract

Mucosal fenestration is a clinical condition in which the overlying gingiva is denuded and the root is exposed to the oral cavity. Invasive cervical resorption is an entirely uncommon entity and its aetiology is poorly understood. This case presents an invasive cervical resorption of maxillary right central incisor with fenestration at the cervical third of the tooth. The resorption area was chemomechanically debrided. It was then restored with Mineral Trioxide Aggregate over which pink glass ionomer cement (GC Fuji VII) was placed. Lateral pedicle flap was used to cover the fenestration. The resorptive defect was restored using tooth coloured restorative resin after removal of the pink glass ionomer cement. Orthodontic treatment was continued for correction of malocclusion.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aluminum Compounds / therapeutic use
  • Calcium Compounds / therapeutic use
  • Drug Combinations
  • Female
  • Gingiva / pathology*
  • Gingival Diseases / complications
  • Gingival Diseases / therapy*
  • Glass Ionomer Cements / therapeutic use
  • Humans
  • Incisor / pathology*
  • Oxides / therapeutic use
  • Root Canal Filling Materials / therapeutic use
  • Root Resorption / complications
  • Root Resorption / therapy*
  • Silicates / therapeutic use
  • Surgical Flaps
  • Tooth Root / pathology*

Substances

  • Aluminum Compounds
  • Calcium Compounds
  • Drug Combinations
  • Fuji VII
  • Glass Ionomer Cements
  • Oxides
  • Root Canal Filling Materials
  • Silicates
  • mineral trioxide aggregate