Management of palato radicular groove in a maxillary lateral incisor

Abstract

This study is to report the rare localization of a radicular groove on the palatal aspect of the maxillary lateral incisor and to discuss the pathology and management of the concomitant endo-periodontal defect. Unilateral palato-radicular groove was located on the Maxillary right lateral incisor of an 18-year-old female patient. The groove was associated with deep local periodontal pocket resulting in pulp necrosis and the formation of a large periapical lesion. A collaborative management was carried out using a combination of endodontic therapy, surgical enucleation, odontoplasty, and periodontal regenerative procedure resulting the successful healing of the periapical lesion.

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

“…Cases with advanced lesions along deep grooves frequently show no response to thermal or electric pulp testing. 15 22 30 31 32 33 34 35 36 A clinical examination shows funnel-shaped hollow grooves with an accumulation of plaque and calculus, along with loss of epithelial attachment, pocket formation, and bleeding on probing. PGG is often observed bilaterally in the oral cavity.…”

Management of apicomarginal defect in esthetic region associated with a tooth with anomalies

“…Limited cases are published with respect to maxillary incisor associated along with periapical lesion and concomitant marginal loss. 13 18 The prognosis of periaradicular surgery (varying between 25% and 90%) depends on the amount and location of bone adjacent to root surfaces. 19 20 Destruction of marginal bone found in apicomarginal defect reduces the success of treatment to 27% and 37%.…”

“…Literature reports numerous biomaterials for guided tissue regeneration which includes, resorbable/non-resorable membranes, periosteal grafts, various bone grafts. 3 7 10 15 18 22 23 24 All of these have shown successful results, but certain disadvantages of the membranes, such as high cost, possibility of contamination on exposure to oral cavity, need for second surgery (non-resorable membranes only) and greater risk of mechanical trauma from gingival sulcus (during loss of marginal bone) should be overcome. 26 Hence in present case mixture of PRF and DFDBA graft was used.…”

Two Rooted Maxillary Lateral Incisor

“…(1-3)However, morphological variations for these teeth include the presence of two, [4,5]three, [6,7] four, [8] and even five canals, [9] usually associated with the occurrence of t r a u m a t i c s t i m u l i d u r i n g t o o t h d e v e l o p m e n t process. [10]Other morphological variations have also been reported such as dens invagination, [9,11] radicular groove, [12] and fusion. [13] The clinician should always be aware of the possible anatomical variations of the teeth and try to judge their location, length and relationship to one another accurately.…”