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DOI: 10.4103/2278-9626.134852
Combined treatment of a lateral incisor with palato-radicular groove: 1 year follow-up

Abstract
Periodontic - endodontic lesion with a palato-radicular groove as a contributing factor for periodontitis is the most important diagnostic and therapeutic challenges faced by periodontists and the maxillary lateral incisors are the most frequently affected teeth. These developmental grooves promotes the accumulation of plaque and calculus, which destroys the sulcular epithelium and later deeper parts of the periodontium, finally resulting in the formation of a severe localized periodontal lesion since proper cleaning of that site is difficult, if not impossible, for the patient. There are different types of treatment such as scaling and root planning, odontoplasty, amalgam restoration, and extraction of the tooth to treat palatogingival groove and associated periodontal bone defects. In this case, a successful management of an endodontic-periodontal combined lesion by combined treatment and guided tissue regeneration was presented.
Keywords
Combined endodontic periodontal lesion - combined treatment - guided tissue regeneration - maxillary incisors - palato-radicular groove - periodontitisPublikationsverlauf
Artikel online veröffentlicht:
01. November 2021
© 2014. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)
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References
- 1 Ennes JP, Lara VS. Comparative morphological analysis of the root developmental groove with the palato-gingival groove. Oral Dis 2004;10:378-82.
- 2 Goon WW, Carpenter WM, Brace NM, Ahlfeld RJ. Complex facial radicular groove in a maxillary lateral incisor. J Endod 1991;17:244-8.
- 3 Anderegg CR, Metzler DG. Treatment of the palato-gingival groove with guided tissue regeneration. Report of 10 cases. J Periodontol 1993;64:72-4.
- 4 Nyman S, Gottlow J, Karring T, Lindhe J. The regenerative potential of the periodontal ligament. An experimental study in the monkey. J Clin Periodontol 1982;9:257-65.
- 5 Lekovic V, Camargo PM, Klokkevold PR, Weinlaender M, Kenney EB, Dimitrijevic B, et al. Preservation of alveolar bone in extraction sockets using bioabsorbable membranes. J Periodontol 1998;69:1044-9.
- 6 Lee KW, Lee EC, Poon KY. Palato-gingival grooves in maxillary incisors. A possible predisposing factor to localised periodontal disease. Br Dent J 1968;124:14-8.
- 7 Archana PM, Salman AA, Panishankar KH, Kumar TS, Saraswathi PK. Palato radicular groove. SRM Univ J Dent Sci 2011;2:139-45.
- 8 Jeng JH, Lu HK, Hou LT. Treatment of an osseous lesion associated with a severe palato-radicular groove: A case report. J Periodontol 1992;63:708-12.
- 9 Gadagi JS, Elavarasu S, Ananda D, Murugan T. Successful treatment of osseous lesion associated with palatoradicular groove using local drug delivery and guided tissue regeneration: A report of two cases. J Pharm Bioallied Sci 2012;4:S157-60.
- 10 Polimeni G, Xiropaidis AV, Wikesjö UM. Biology and principles of periodontal wound healing/regeneration. Periodontol 2000 2006;41:30-47.