Combined Endodontic-Periodontal Treatment of a Palatogingival Groove

Abstract A palatogingival groove is a developmental anomaly that predisposes the involved tooth to develop a severe periodontal lesion. These grooves often present a clinical challenge because diagnosis and treatment planning require an interdisciplinary approach. This case report describes the succ...

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Bibliographic Details
Published inJournal of endodontics Vol. 41; no. 11; pp. 1918 - 1922
Main Authors Castelo-Baz, Pablo, PhD, DDS, Ramos-Barbosa, Isabel, PhD, DDS, Martín-Biedma, Benjamín, PhD, DDS, Dablanca-Blanco, Ana Belén, DDS, Varela-Patiño, Purificación, PhD, DDS, Blanco-Carrión, Juan, PhD, DDS
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.11.2015
Subjects
Adult
Dental Pulp Necrosis - therapy
Dentistry
Endocrinology & Metabolism
Female
Gingiva - abnormalities
Humans
Incisor - pathology
Interdisciplinary approach
palatal groove
Palate - abnormalities
periodontal regenerative techniques
Periodontitis - therapy
Treatment Outcome
Interdisciplinary approach
periodontal regenerative techniques
palatal groove
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Summary:Abstract A palatogingival groove is a developmental anomaly that predisposes the involved tooth to develop a severe periodontal lesion. These grooves often present a clinical challenge because diagnosis and treatment planning require an interdisciplinary approach. This case report describes the successful management of a right maxillary lateral incisor with a deep palatogingival groove in combination with an extensive periodontal pocket and pulp necrosis of the involved tooth. Collaborative management used a combination of endodontic treatment, periodontal therapy, odontoplasty, and a periodontal regenerative procedure using protein complex derived from enamel matrix (Emdogain; Straumann, Basel, Switzerland). Despite a predicted poor prognosis, the tooth lesion healed. This report also discusses the rationale behind the treatment modalities.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0099-2399
1878-3554
DOI:10.1016/j.joen.2015.08.008