Treatment of Large Apical Lesions with Mucosal Fenestration: A Clinical Study with Long-term Evaluation

Lin, Yi Chun; Lee, Ya-Yun; Ho, Yi-Ju; Hsieh, Yi Chen; Lai, Yung‐Lien; Lee, Shyh Yuan

doi:10.1016/j.joen.2014.11.020

Cited by 9 publications

(18 citation statements)

References 21 publications

(33 reference statements)

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“…It has been seen that although mucosal fenestration without endodontic involvement may best be treated by mucogingival surgery with soft tissue grafts,[23] but where it is accompanied by alveolar bone loss and underlying pathology, open flap technique with regenerative therapy is a better treatment option along with endodontic treatment. [789] A study of five cases conducted by Lin et al . concluded that GTR therapy along with connective tissue graft facilitated fenestration closure and ensured long-term success in the treatment of large intrabony defect with mucosal fenestration.…”

Section: Discussionmentioning

confidence: 99%

“…concluded that GTR therapy along with connective tissue graft facilitated fenestration closure and ensured long-term success in the treatment of large intrabony defect with mucosal fenestration. [9] Tseng et al . have treated a large periradicular defect with soft-tissue fenestration with combined endodontic and periodontic therapy where GTR and bone graft were used.…”

Section: Discussionmentioning

confidence: 99%

“…[8] The approach taken in our clinical case has also shown good result in accordance with the mentioned studies. [789] The endodontic treatment was aimed to get rid of the microorganisms from the root canal system and to completely obturate the previously under obturated root canal. The periodontal surgical procedure was intended to restore the lost periodontium by raising the full-thickness flap to gain access for debridement of the complete pathology and placement of bone graft and barrier membrane to stimulate bone healing and regeneration.…”

Section: Discussionmentioning

confidence: 99%

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An infrequent clinical case of mucosal fenestration: Treated with an interdisciplinary approach and regenerative therapy

Jafri

Sultan

Ahmad

et al. 2019

J Indian Soc Periodontol

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Mucosal fenestration is a clinical finding in which a portion of the tooth root is denuded of the overlying alveolar bone and gingiva or oral mucosa, thus exposing the root to the oral cavity. If left untreated, they may be a source of infection by giving entry to oral pathogen, leading to further progression of periodontal disease. Depending on their site of presence, they may also be a reason of esthetic concern to some patients. This paper reports one such infrequent case of mucosal fenestration of lower incisor region that was well treated by an interdisciplinary approach and regenerative therapy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An infrequent clinical case of mucosal fenestration: Treated with an interdisciplinary approach and regenerative therapy

Jafri

Sultan

Ahmad

et al. 2019

J Indian Soc Periodontol

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“…During the surgical procedure they might be significant loss of bone tissue, varying in accordance with the extension of the lesion 6 . Thus, it has been suggested, associated to periradicular surgery, techniques of guided tissue regeneration (GTR) to assist in the healing process of bone tissue 11 , and accelerate the repair of the periapical region 6 . In this technique, lyophilized bone and bioactive resorbable membrane are frequently used, which protect the affected area and stimulate the deposition and growth of mineralized surrounding tissue 6 .…”

Section: Introductionmentioning

confidence: 99%

Endodontic Surgery Associated with Guided Tissue Regeneration Technique: Case Report

Baia¹,

Marques

Sponchiado

et al. 2019

J. Health Scie.

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Non-surgical endodontic retreatment should always be the first option for reintervention when the initial endodontic treatment fails. The surgical treatment, called periradicular surgery, will be the procedure of choice when there is no success after the conventional endodontic retreatment. The purpose of this article is to describe clinical case of endodontic surgery, associated with guided tissue regeneration (GTR). A male patient, 24 years old, was referred for endodontic surgery on tooth 12 after two unsuccessful endodontic interventions. During the surgery, osteotomy, lesion curettage, apicectomy, retrograde obturation with Mineral Trioxide Aggregate (MTA), and filling of the bone failure with lyophilized bone and reabsorbable collagen membrane were performed. After six months of follow-up, the patient did not present any type of painful symptomatology. The endodontic surgery, associated with a technique of guided tissue regeneration, was efficient to solve this clinical case. Keywords: Endodontics. Apicoectomy. Guided Tissue Regeneration. Resumo O retratamento endodôntico não cirúrgico deve sempre ser a primeira opção de reintervenção quando o tratamento endodôntico inicial falha. Já o tratamento cirúrgico, ou cirurgia parendodôntica, será o procedimento de escolha quando não há sucesso após o retratamento endodôntico convencional. O objetivo deste artigo é descrever um caso clínico de cirurgia parendodôntica, associada à regeneração tecidual guiada (RTG). O paciente, gênero masculino, 24 anos, foi encaminhado para cirurgia parendodôntica no dente 12 após duas intervenções endodônticas sem sucesso. Durante a cirurgia foram realizadas manobras de osteotomia, curetagem da lesão, apicectomia, obturação retrógrada com Mineral Trióxido Agregado (MTA), além de preenchimento da falha óssea com osso liofilizado e membrana de colágeno reabsorvível. Após seis meses de acompanhamento do caso, o paciente não apresentou nenhum tipo de sintomatologia dolorosa. A cirurgia parendodôntica, associada à técnica de regeneração tecidual guiada, foi eficiente para solucionar este caso clínico. Palavras-chave: Endodontia. Apicectomia. Regeneração Tecidual Guiada.

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“…[ 4 ] The principle of GTR can be successfully used, as an adjunctive technique in PR surgery. [ 5 6 7 ]…”

Section: Introductionmentioning

confidence: 99%

Treatment of a large periradicular defect using guided tissue regeneration: A case report of 2 years follow-up and surgical re-entry

Gurav

Shete

NaikTari

2015

J Indian Soc Periodontol

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Periradicular (PR) bone defects are common sequelae of chronic endodontic lesions. Sometimes, conventional root canal therapy is not adequate for complete resolution of the lesion. PR surgeries may be warranted in such selected cases. PR surgery provides a ready access for the removal of pathologic tissue from the periapical region, assisting in healing. Recently, the regeneration of the destroyed PR tissues has gained more attention rather than repair. In order to promote regeneration after apical surgery, the principle of guided tissue regeneration (GTR) has proved to be useful. This case presents the management of a large PR lesion in a 42-year-old male subject. The PR lesion associated with 21, 11 and 12 was treated using GTR membrane, fixated with titanium minipins. The case was followed up for 2 years radiographically, and a surgical re-entry confirmed the re-establishment of the lost labial plate. Thus, the principle of GTR may immensely improve the clinical outcome and prognosis of an endodontically involved tooth with a large PR defect.

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Treatment of Large Apical Lesions with Mucosal Fenestration: A Clinical Study with Long-term Evaluation

Cited by 9 publications

References 21 publications

An infrequent clinical case of mucosal fenestration: Treated with an interdisciplinary approach and regenerative therapy

An infrequent clinical case of mucosal fenestration: Treated with an interdisciplinary approach and regenerative therapy

Endodontic Surgery Associated with Guided Tissue Regeneration Technique: Case Report

Treatment of a large periradicular defect using guided tissue regeneration: A case report of 2 years follow-up and surgical re-entry

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