Surgical intervention of mucosal fenestration in a maxillary premolar: A case report

Yuh Ren Ju, Alice Hsin Yi Tsai, Yu Jen Wu, Whei Lin Pan

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Labial mucosal fenestration of the root apex is an uncommon occurrence. An unusual case involving a maxillary right first premolar is described. When presented, the tooth was nonvital with the buccal root apex readily seen through a soft tissue and bone fenestration. Conventional endodontic treatment with gutta percha failed to resolve the problem. Periodontal surgery with a laterally positioned pedicle flap was thus scheduled. At the 1-month recall, complete healing was evident in the surgical site, and the fenestrated area of the maxillary right first premolar was filled with healthy mucosal tissue. One-year postoperatively, the mucosa remained covered, and there was radiographic evidence of bone infilling in the periapical region.

Original languageEnglish (US)
Pages (from-to)125-128
Number of pages4
JournalQuintessence International
Issue number2
StatePublished - Feb 1 2004


  • Apicoectomy
  • Maxillary first premolar
  • Mucosal fenestration
  • Pedicle flap
  • Periradicular curettage
  • Retrograde restoration

ASJC Scopus subject areas

  • General Dentistry


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