Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting
Introduction. Gingival fenestration (GF) is a distinct clinical entity of uncertain etiology that is seldom documented in the literature. It has been associated mainly with submucosal mechanical irritants such as calculus that subsequently create an opening in the oral soft tissue, usually at facial...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2019/6810670 |
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| author | Braydon Haskell J. Kobi Stern Jordan Ghiassi Andrew Kurialacherry Sadja Gaud-Quintana Mark E. Peacock |
| author_facet | Braydon Haskell J. Kobi Stern Jordan Ghiassi Andrew Kurialacherry Sadja Gaud-Quintana Mark E. Peacock |
| author_sort | Braydon Haskell |
| collection | DOAJ |
| description | Introduction. Gingival fenestration (GF) is a distinct clinical entity of uncertain etiology that is seldom documented in the literature. It has been associated mainly with submucosal mechanical irritants such as calculus that subsequently create an opening in the oral soft tissue, usually at facial anterior sites. Surgical correction may be indicated to address functional and/or esthetic concerns. Case Presentation. The patient, a 74-year-old male, presented to the clinic with a chief complaint of “something is poking through my gum.” Clinical exam revealed a gingival fenestration on the facial of tooth #11, associated with what appeared to be a pronounced noncarious cervical lesion (NCCL). Surgical treatment consisted of a connective tissue graft and odontoplasty of the sharp protruding edge of the root surface. Healing was uneventful with excellent closure of the fenestration and no evidence of recurrence after 18 months of follow-up. Conclusion. GF is a perforation of the mucosa typically associated with underlying sharp mechanical etiology. This report describes a fenestration that developed from a probable abfractive lesion, which later was successfully closed and exhibits long-term stability. |
| format | Article |
| id | doaj-art-0758a076f88748a2af63c2971a5d0584 |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-0758a076f88748a2af63c2971a5d05842025-02-03T05:45:19ZengWileyCase Reports in Dentistry2090-64472090-64552019-01-01201910.1155/2019/68106706810670Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue GraftingBraydon Haskell0J. Kobi Stern1Jordan Ghiassi2Andrew Kurialacherry3Sadja Gaud-Quintana4Mark E. Peacock5The Dental College of Georgia at Augusta University, Augusta, GA, USAThe Dental College of Georgia at Augusta University, Augusta, GA, USAThe Dental College of Georgia at Augusta University, Augusta, GA, USAThe Dental College of Georgia at Augusta University, Augusta, GA, USAThe Dental College of Georgia at Augusta University, Augusta, GA, USAThe Dental College of Georgia at Augusta University, Augusta, GA, USAIntroduction. Gingival fenestration (GF) is a distinct clinical entity of uncertain etiology that is seldom documented in the literature. It has been associated mainly with submucosal mechanical irritants such as calculus that subsequently create an opening in the oral soft tissue, usually at facial anterior sites. Surgical correction may be indicated to address functional and/or esthetic concerns. Case Presentation. The patient, a 74-year-old male, presented to the clinic with a chief complaint of “something is poking through my gum.” Clinical exam revealed a gingival fenestration on the facial of tooth #11, associated with what appeared to be a pronounced noncarious cervical lesion (NCCL). Surgical treatment consisted of a connective tissue graft and odontoplasty of the sharp protruding edge of the root surface. Healing was uneventful with excellent closure of the fenestration and no evidence of recurrence after 18 months of follow-up. Conclusion. GF is a perforation of the mucosa typically associated with underlying sharp mechanical etiology. This report describes a fenestration that developed from a probable abfractive lesion, which later was successfully closed and exhibits long-term stability.http://dx.doi.org/10.1155/2019/6810670 |
| spellingShingle | Braydon Haskell J. Kobi Stern Jordan Ghiassi Andrew Kurialacherry Sadja Gaud-Quintana Mark E. Peacock Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting Case Reports in Dentistry |
| title | Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting |
| title_full | Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting |
| title_fullStr | Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting |
| title_full_unstemmed | Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting |
| title_short | Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting |
| title_sort | resolution of abfraction associated gingival fenestration utilizing connective tissue grafting |
| url | http://dx.doi.org/10.1155/2019/6810670 |
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