An Innovative Management of Palato Gingival Groove In A Maxillary Lateral Incisor

DANA, SUCHIT; Khan, Gufran; Joy, Jittu Abraham; Khatib, Mohd Sibghatullah

doi:10.21276/ujds.2020.6.2.18

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Palatogingival groove is a rare developmental anomaly usually found on the palatal aspect of maxillary anterior teeth. 1 Region of maxillary anterior teeth are considered to be an area of embryologically importance with major and minor malformations [such as Palato-gingival groove (PGG), Dens-in-dente]. The region in which the lateral incisors are located are considered to be an area of embryologically risk.…”

Section: Introductionmentioning

confidence: 99%

Palato-gingival groove: A silent nidus. Recognition and an innovative management approach: A report of 3 cases

Rangaswamy

Tummala²,

Magarvalli³

et al. 2021

IJCE

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Developmental anomalies are one of the challenging clinical conditions to achieve successful treatment outcomes. Among these, Palatogingival groove [PGG] is a rare developmental anomaly usually found on the palatal aspect of maxillary anterior teeth. As self-cleansing is difficult in such patients, it can lead to serious localized periodontal lesion or can occur in combination with endodontic lesion. It is our sole responsibility being a specialist in the field of dentistry, to early diagnose and provide treatment for such conditions. On the basis of PGG extension to the pulp, it can be classified as simple or complex; accordingly, plethora of treatment options are available. Clinically taking interdisciplinary treatment modalities into consideration, curettage of the involved gingival tissues, elimination of the groove by grinding (saucerization), or by sealing with a Biocompatible material which might enhance the healing potential. Incase if the groove extends beyond the middle-third of the root, surgical flap debridement along with combined use of barrier membrane and alloplastic bone graft are recommended.This article represents a rare clinical case reports in management of PGG defect with an innovative conservative approach for simple, minimal groove extensive case and groove extension beyond 1/3 of the root region, treated with surgical multi-interdisciplinary approach.

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Section: Introductionmentioning

confidence: 99%

Palato-gingival groove: A silent nidus. Recognition and an innovative management approach: A report of 3 cases

Rangaswamy

Tummala²,

Magarvalli³

et al. 2021

IJCE

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Interdisciplinary approach for diagnosis and management of the tooth with type III palatogingival groove

Yadav

Baranwal

2023

Saudi Endodontic Journal

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Palatogingival grooves (PGGs) are developmental anomalies well known for causing endodontic and periodontal diseases to the teeth that have no evidence of caries or trauma. It is a rare developmental defect that frequently exhibits the palatal aspect of maxillary anterior teeth. The aim of this case report is to diagnose PGG using cone-beam computed tomography (CBCT) and manage it with an interdisciplinary approach by endodontic and periodontic intervention. A 20-year-old healthy female patient came with a chief complaint of foul smell and discharge of pus from the gum region. During clinical examination, a sinus opening and deep periodontal pocket were noticed with respect to the maxillary left lateral incisor. The tooth showed mild tenderness to percussion and a negative response to thermal and electric pulp testing. The intraoral periapical radiograph showed a vertical radiolucent line with periapical radiolucency, giving suspicion of PGG, which was confirmed by CBCT investigation. The diagnosis of pulp necrosis with chronic periapical abscess was made. After root canal treatment, surgical intervention was done and sealed the groove with Biodentine. This case report shows the successful outcome of a tooth associated with PGG after a 9-month follow-up. The tooth associated with this anomaly can be correctly diagnosed and planned with CBCT, and successfully treated using an interdisciplinary approach with a bioactive restorative material.

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An Innovative Management of Palato Gingival Groove In A Maxillary Lateral Incisor

Cited by 2 publications

References 5 publications

Palato-gingival groove: A silent nidus. Recognition and an innovative management approach: A report of 3 cases

Palato-gingival groove: A silent nidus. Recognition and an innovative management approach: A report of 3 cases

Interdisciplinary approach for diagnosis and management of the tooth with type III palatogingival groove

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