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Dentistry Journal
Volume 11
Issue 2
10.3390/dj11020037
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Case Report

Tunnel Fenestration of the Mandibula after Unsuccessful Post Traumatic Treatment: A Case Report of the One Year Follow-Up

by
Peter Gillner
*,
Richard Mosch
and
Constantin von See
Department of CAD/CAM and Digital Technologies in Dentistry, Danube Private University, 3500 Krems, Austria
*
Author to whom correspondence should be addressed.
Dent. J. 2023, 11(2), 37; https://doi.org/10.3390/dj11020037
Submission received: 23 November 2022 / Revised: 29 January 2023 / Accepted: 31 January 2023 / Published: 2 February 2023
(This article belongs to the Special Issue Endodontics and Restorative Sciences)
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Abstract

Particularly severe cases with tunneled defects are rarely reported and are described only in a few case reports. This case report describes the treatment of a tunnel fenestration in the lower central jaw after unsuccessful endodontic treatment following trauma of incisors 31 and 41 over the course of six years, which led to the development of an internal granuloma and a radicular cyst in the lower jaw. The patient presented with a 2.67 cm3 radicular cyst displacing the surrounding tissue at regio 31 and 41, which resulted in a tunnel-like bony defect. Endodontic treatment and periapical root tip resection on teeth 31 and 41 with cystectomy, and with a 12 month follow-up, were successful in the healing of the bone defect. The preserved teeth received lithium disilicate crowns for definite restoration one year postoperatively. This treatment can be an option for the therapy of large cysts.
Keywords: periapical surgery; radicular cyst; root canal; internal granuloma; tunnel fenestration periapical surgery; radicular cyst; root canal; internal granuloma; tunnel fenestration
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MDPI and ACS Style

Gillner, P.; Mosch, R.; von See, C. Tunnel Fenestration of the Mandibula after Unsuccessful Post Traumatic Treatment: A Case Report of the One Year Follow-Up. Dent. J. 2023, 11, 37. https://doi.org/10.3390/dj11020037

AMA Style

Gillner P, Mosch R, von See C. Tunnel Fenestration of the Mandibula after Unsuccessful Post Traumatic Treatment: A Case Report of the One Year Follow-Up. Dentistry Journal. 2023; 11(2):37. https://doi.org/10.3390/dj11020037

Chicago/Turabian Style

Gillner, Peter, Richard Mosch, and Constantin von See. 2023. "Tunnel Fenestration of the Mandibula after Unsuccessful Post Traumatic Treatment: A Case Report of the One Year Follow-Up" Dentistry Journal 11, no. 2: 37. https://doi.org/10.3390/dj11020037

APA Style

Gillner, P., Mosch, R., & von See, C. (2023). Tunnel Fenestration of the Mandibula after Unsuccessful Post Traumatic Treatment: A Case Report of the One Year Follow-Up. Dentistry Journal, 11(2), 37. https://doi.org/10.3390/dj11020037

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