Conservative Management of a Rare Presentation of Mucosal Fenestration in a Four-Year-Old Child

Abstract

Mucosal fenestration refers to a window-like defect in the alveolar bone where the root of a tooth is denuded of its bony covering. Various causes ranging from trauma to chronic periapical or periodontal inflammation can produce such defects. This condition usually manifests either in adolescents or in extreme age group patients. The present case report is of a four-year-old boy who showed the presence of mucosal fenestration in the anterior maxillary gingivae in relation to teeth 51 and 61 (primary maxillary right and left central incisors as per the Fédération Dentaire Internationale (FDI) System) and was treated in a conservative and least invasive manner. Mucosal fenestration in the primary dentition phase can be treated in a conservative manner as opposed to any invasive treatment approaches, likely to instill fear or anxiety in a pediatric patient.

Keywords: alveolar bone; defect; fenestration; gingiva; periodontal inflammation.