Management of Mucosal Fenestration Associated With Immature Necrotic Tooth: A Combined Orthodontic Endodontic Approach

Mucosal fenestration is a clinical condition where tooth root apices are visible in the oral cavity due to loss of overlying alveolar bone and mucosa. Mucosal fenestration mostly affect maxillary incisors. The present case series reports two cases where patient reported with complaint of unesthetic appearance because of exposed roots of maxillary anterior teeth which on radiographic examination revealed open root apex. An interdisciplinary treatment was planned that included disinfection of root canal followed by orthodontic correction of tooth root apex and mucosal fenestration and lastly institution of regenerative endodontic therapy for closure of root apex.