WWYD-defect grafting in the anterior
I am curious how the eXPerts might approach the grafting for this case.
This is a new patient that we are working up a restorative plan on but he presented with a fistula apical to the gingival margin of #8/11.
Tooth tests vital
CBCT at endodontist shows no apical communication, no fracture
Patient has no pain and aside from knowing the fistula is there, he has no awareness due to any symptoms.
I entered in an exploratory fashion and derided the area but did not graft. I am re-entering next week. Healing at suture removal looked good. 6 week post op showed the fistula returning.
There was some discussion of a possible cemental tear but I did not stain at the initial surgery...but will this coming week.
Thanks in advance for the help and input.