Management of Mucosal Fenestrations by Interdisciplinary Approach: A Report of Three Cases

Introduction: Mucosal fenestrations are infrequently encountered in clinical practice, and as such, their management has not been reported often. Their treatment might be further complicated by communication, with the oral environment making them susceptible to the deposition of plaque and calculus, a secondary factor in preventing reformation of mucosal covering. Methods: Three cases of mucosal fenestrations are presented, of which 2 were nonvital and were treated endodontically. Full-thickness flap was elevated; root-end resection and root-end filling with light-cured glass ionomer were done. In the third case, the tooth was vital, so the fenestrated root surface was just planed. The areas were then covered with connective tissue graft before repositioning the flap. Results: At subsequent follow-up, the mucosal fenestrations were completely healed by soft tissue coverage, and postoperative radiographs revealed good periapical bone healing in the first 2 cases, and there was maintenance of vitality in the third case. Conclusions: Careful diagnosis of mucosal fenestrations can help elucidate the underlying cause, and combining nonsurgical and surgical therapies can be a good treatment option for their successful management.