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Case Reports in Dentistry
Volume 2013, Article ID 902585, 5 pages
Case Report

Coverage of Gingival Fenestration Using Modified Pouch and Tunnel Technique: A Novel Approach

1Department of Periodontics, Sharad Pawar Dental College and Hospital, Sawangi (M), Wardha, Maharashtra 442004, India
2Department of Periodontics, Tamilnadu Government Dental College and Hospital, Chennai, Tamilnadu 600003, India

Received 15 April 2013; Accepted 20 May 2013

Academic Editors: S. Anil and M. De Bruyne

Copyright © 2013 Sunil Pendor et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Gingival fenestration defects are a rare phenomenon. Gingival fenestration means the exposure of the tooth due to loss of the overlying bone and gingiva. Though treatment of mucosal fenestration occurring in association with chronic periapical inflammation has been reported previously, the occurrence and treatment of gingival fenestration have not been documented in great detail. This report describes the occurrence of a gingival fenestration that developed secondarily to a gutka chewing habit. Treatment of the fenestration along with coverage of an adjacent recession defect in a single-step procedure using a pouch and tunnel technique is described.