Salvaging a tooth with a deep palatogingival groove: an endo‐perio treatment – a case report

Ballal, Vasudev; Jothi, V.; Bhat, Kadengodlu Seetharama; Bhat, Krishnamurthy

doi:10.1111/j.1365-2591.2007.01289.x

Cited by 33 publications

(26 citation statements)

References 13 publications

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“…Clinically, patients with a pathologic lesion related to PGG often complain of dull intermittent2728 or acute pain,2229 mobility of the teeth,303132 pain on percussion,27 pus discharge,29303133 sinus tract formation (Figure 1a),153233 and gingival swelling 22. They can also present with no symptoms 32.…”

Section: Literature Reviewmentioning

confidence: 99%

Recognition and management of palatogingival groove for tooth survival: a literature review

Kim

Choi

et al. 2017

Restor Dent Endod

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Palatogingival groove (PGG) is an anomaly in the maxillary anterior teeth, often accompanied by the area of bony destruction adjacent to the teeth with no carious or traumatic history. The hidden trap in the tooth can harbor plaque and bacteria, resulting in periodontal destruction with or without pulpal pathologic change. Related diseases can involve periodontal destruction, combined endodontic-periodontal lesions, or separate endodontic and periodontal lesions. Disease severity and prognosis related to PGG depend on several factors, including location, range, depth, and type of the groove. Several materials have been used and recommended for cases of extensive periodontal destruction from PGG to remove and block the inflammatory source and recover the health of surrounding periodontal tissues. Even in cases of severe periodontal destruction, several studies have reported favorable treatment outcomes with proper management. With new options in diagnosis and treatment, clinicians need a detailed understanding of the characteristics, treatment, and prognosis of PGG to successfully manage the condition.

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Section: Literature Reviewmentioning

confidence: 99%

Recognition and management of palatogingival groove for tooth survival: a literature review

Kim

Choi

et al. 2017

Restor Dent Endod

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“…Consequently, periodontal pocket is formed resulting in retrograde infection involving the apex. Theoretically, this is an Endo-Perio lesion showing a classification of ‘primarily periodontic origin resulting in an endodontic lesion’ 2. Different studies have revealed a prevalence rate for palatal groove of about 2.8–8.5%, the most prevalent being the maxillary lateral incisor 3.…”

Section: Discussionmentioning

confidence: 99%

“…The present case reports the use of MTA and demineralised bone matrix allograft for the treatment of this anomaly. The groove can also be filled using glass ionomer cement as explained by Ballal et al 2 or silver amalgam restoration as explained by Brunsvold4. MTA is reported to show good sealing ability and a high degree of biocompatibility 5 6.…”

Section: Discussionmentioning

confidence: 99%

Combined endodontic therapy and periapical surgery with MTA and bone graft in treating palatogingival groove

Mittal¹,

Vashisth²,

Arora³

et al. 2013

BMJ Case Reports

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A 37-year-old male patient reported to our department with chief complaint of pain and pus discharge from the labial marginal gingiva in the maxillary right lateral incisor region since last 4 months. Clinically, the tooth was hypersensitive to percussion and palpation but failed to respond to pulp sensitivity testing. After periodontal probing, a palatal groove was observed which started at the cingulum and travelled apically and laterally, associated with a pocket depth of 8 mm. Occlusal radiograph showed circumscribed radiolucency measuring 5 mm×7 mm in diameter at the apex of the tooth. A clinical diagnosis of chronic apical abscess was established. The case was treated with a combination of mineral trioxide aggregate and bone graft. At the 6-month follow-up visit, the tooth showed progressive healing without sinus track and sulcular bleeding.

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“…Mine, dentin veya sement tabakasının ince olmasına bağlı olarak pulpa dokusu irritanlardan etkilenerek nekroze olabilir 32 . Periapikal radyografiler iki boyutlu görüntü verdikleri için bu gibi gelişimsel anomalilerin teşhisinde yetersiz kalmaktadırlar.…”

Section: Palatoginvival Olukunclassified

Endodonti̇de Koni̇k Işinli Bi̇lgi̇sayarli Tomografi̇

Ertaş¹,

Arslan²,

Çapar³

et al. 2015

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Salvaging a tooth with a deep palatogingival groove: an endo‐perio treatment – a case report

Abstract: Teeth with deep palatogingival grooves may be significantly compromised with severe periodontal and periapical bone loss. Following thorough evaluation, the careful application of endodontic and periodontal surgical procedures may restore satisfactory function.

Cited by 33 publications

References 13 publications

Recognition and management of palatogingival groove for tooth survival: a literature review

Recognition and management of palatogingival groove for tooth survival: a literature review

Combined endodontic therapy and periapical surgery with MTA and bone graft in treating palatogingival groove

Endodonti̇de Koni̇k Işinli Bi̇lgi̇sayarli Tomografi̇

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