Resumo

GOMEZ, Verónica; RAMOS, Jacobo; VERBE, Johana  e  DIAZ, Antonio. Surgical management of canine apical fenestration: an unusual case report. CES odontol. [online]. 2014, vol.27, n.1, pp.119-125. ISSN 0120-971X.

Apical fenestration describes the situation where the apex of a tooth is exposed to the oral environment following breakdown of the overlying bone and alveolar mucosa; it is considered a variation within the range of periodontal normality. Although symptom free, the presence of fenestrations may complicate endodontic treatment or jeopardize the functional and aesthetic outcome of periodontal surgery. This non-pathological condition should be treated with caution because it represents a challenge to the clinician, because it is often misdiagnosed and mistreated and therefore, requires a multidisciplinary approach. Several surgical and nonsurgical procedures were documented for treatment, even when diagnosed properly, the management with a simple surgical procedure is sufficient. We report an unusual case of a 42 year old woman who consulted the dentist and referred an exposed tooth root in anterior gingival area with an aesthetic compromise. A diagnosis was made of an apical fenestration of the maxillary canine root at the apex with very thin buccal cortical plate and thin periodontal biotype, which was treated successfully by a combination of nonsurgical root canal treatment and apical surgery. Postoperative control revealed complete coverage of the fenestration. We describe The surgical protocol to correct the apical fenestration with satisfactory aesthetic and functional results is described, showing the procedure as a safe treatment option which is effective in these unusual cases

Palavras-chave : Fenestration; Apexotomy; Retrograde filling.

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