The management of mucosal fenestration: a report of two cases

To report on the management of two patients with mucosal fenestration of root apices. Two cases of mucosal fenestration of root apices were treated by a combination of nonsurgical root canal treatment and surgery. Root-end resection was performed to bring the root apices within the alveolus before root-end filling and packing of the bony defects with demineralized freeze-dried bone allograft. The areas were then covered with connective tissue grafts taken from the hard palate before repositioning the mucogingival flap. At 1 year follow-up, the mucosal fenestrations were completely healed by soft tissue graft coverage, and radiographs revealed bony healing. center dot Connective tissue grafts can be used to manage mucosal fenestration. center dot Periradicular surgery and connective tissue grafts can be used in combination.