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Gaudex Y, Gandillot V, Fontanille I, Bouchard P, Kerner S, Carra MC. Palatal groove associated with periodontal lesions: a systematic review illustrated by a decisional tree for management. BMC Oral Health 2024; 24:1037. [PMID: 39232693 PMCID: PMC11373439 DOI: 10.1186/s12903-024-04771-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2023] [Accepted: 08/19/2024] [Indexed: 09/06/2024] Open
Abstract
BACKGROUND Palatal groove represents a relatively uncommon developmental root anomaly, usually found on the palatal aspect of maxillary incisors. While its origin is controversial, its presence predisposes to severe periodontal defects. AIM This study aimed to provide a systematic review of the literature focusing on the varied diagnostic techniques and treatment modalities for periodontal lesions arising from the presence of palatal groove. Based on the existing evidence and knowledge, the study also provides a comprehensive decisional tree, guiding clinicians in the challenging decision-making process face to a palatal groove. METHODS The literature search was conducted on Medline and Cochrane databases by two independent reviewers, who also performed the screening and selection process, looking for English written articles reporting on diagnosis and management (all treatment approaches) of periodontal lesion(s) associated with a palatal groove. Based on this literature, a comprehensive decisional tree, including a standardized palatal groove evaluation and tailored treatment approaches, is proposed. Moreover, a clinical case is described to demonstrate the practical application of the developed decisional tree. RESULTS Over a total of 451 articles initially identified, 34 were selected, describing 40 patients with 40 periodontal lesions associated with palatal grooves. The case report illustrates a deep, large, circumferential intra-bony defect on the palatal side of the tooth #22 associated with a shallow, moderately long palatal groove in an 18-year-old male patient. Following reevaluation, a single flap surgery was deemed necessary, combined with a regenerative procedure. At 2 years post-treatment, the tooth #22 is healthy, in a functional and esthetic position. The decision-making process, based on local and systemic patient's conditions, should allow an early and precise diagnosis to prevent further complications and undertake an adequate treatment. CONCLUSION Palatal grooves are relatively rare; however, they are frequently associated with severe periodontal defects. The identification, diagnosis, prompt, and tailored management of the associated lesion is essential to mitigate potential periodontal and endodontic complications related to the presence of palatal groove. SYSTEMATIC REVIEW REGISTRATION [ https://www.crd.york.ac.uk/prospero/ ], identifier [C CRD42022363194].
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Affiliation(s)
- Yvan Gaudex
- Service of Odontology, Rothschild Hospital (AP-HP), 5 Rue Santerre, Paris, 75012, France
- Department of Periodontology, UFR of Odontology, Université Paris Cité, 5 Rue Garanciere, Paris, 75006, France
| | - Vianney Gandillot
- Service of Odontology, Rothschild Hospital (AP-HP), 5 Rue Santerre, Paris, 75012, France
- Department of Periodontology, UFR of Odontology, Université Paris Cité, 5 Rue Garanciere, Paris, 75006, France
- Institution Nationale Des Invalides, Paris, France
| | | | - Philippe Bouchard
- Service of Odontology, Rothschild Hospital (AP-HP), 5 Rue Santerre, Paris, 75012, France
- Department of Periodontology, UFR of Odontology, Université Paris Cité, 5 Rue Garanciere, Paris, 75006, France
| | - Stephane Kerner
- Service of Odontology, Rothschild Hospital (AP-HP), 5 Rue Santerre, Paris, 75012, France
- Department of Periodontology, UFR of Odontology, Université Paris Cité, 5 Rue Garanciere, Paris, 75006, France
- Cordeliers Research Centre, Laboratory of Molecular Oral Physiopathology, Paris, France
- Department of Periodontology, Loma Linda University School of Dentistry, Loma Linda, CA, USA
| | - Maria Clotilde Carra
- Service of Odontology, Rothschild Hospital (AP-HP), 5 Rue Santerre, Paris, 75012, France.
- Department of Periodontology, UFR of Odontology, Université Paris Cité, 5 Rue Garanciere, Paris, 75006, France.
- INSERM- Sorbonne Paris Cité Epidemiology and Statistics Research Centre, Paris, France.
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Aljuailan AI, Aljuailan R, Gaikwad RN, Kolarkodi SH, Alamri NR. Prevalence of palatogingival groove affecting maxillary anterior teeth in Saudi subpopulation: A cone-beam computed tomographic study with literature review. Saudi Dent J 2023; 35:1039-1047. [PMID: 38107044 PMCID: PMC10724363 DOI: 10.1016/j.sdentj.2023.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 08/29/2023] [Accepted: 09/04/2023] [Indexed: 12/19/2023] Open
Abstract
Aim To investigate the prevalence of palatogingival groove (PGG) affecting maxillary anterior teeth, bilateral occurrence, and distribution among sex in the Saudi subpopulation and to review the literature on the prevalence of PGG. Introduction Palatogingival groove (PGG) primarily affects maxillary lateral incisors and, when present, may contribute to the pathogenesis of periodontal and endodontic lesions. Materials & methods A total of 509 CBCT scans of Saudi patients with 2747 maxillary anterior teeth were included in the study. Patients' information, the tooth type, the presence/absence, the unilateral/bilateral distribution, and the type of PGG according to Gu's classification (type I, II, or III) were recorded. Results The prevalence of the PGG in maxillary anterior teeth was 1.3%, affecting 32 (6.3%) patients. The PGGs were mostly detected in lateral incisors 25 (2.77%). The PGG was found to be unilateral in most patients (96.9%), with higher frequency in males than in females without significance for sex. Conclusion PGG is not a rare anomaly in the Saudi population and is most frequently found in maxillary lateral incisors. Type I Gu's classification was mostly detected.
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Affiliation(s)
| | - Roqayah Aljuailan
- Department of Conservative Dental Sciences, College of Dentistry, Qassim University, Buraydah, Saudi Arabia
| | - Rahul N. Gaikwad
- Department of Community Dentistry and Oral Epidemiology, College of Dentistry, Qassim University, Buraydah, Saudi Arabia
| | - Shaul Hameed Kolarkodi
- Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Qassim University, Buraydah, Saudi Arabia
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Alkahtany SM, Alrwais F, Altamimi A, Bukhary SM, Mirdad A. The incidence of radicular groove on maxillary lateral incisors of Saudi population: CBCT evaluation. BMC Oral Health 2022; 22:583. [PMID: 36494650 PMCID: PMC9733403 DOI: 10.1186/s12903-022-02616-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 11/24/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND The radicular groove (RG) is one of the developmental anomalies that is commonly found in maxillary incisors. The formation of radicular groove is initiated around the cingulum and can reach the root at different levels. The incidence of radicular grooves was reported in different countries but there was no published data about the incidence of RG in Saudi Arabia. Therefore, this study aimed to evaluate the incidence of radicular grooves on maxillary lateral incisors in the Saudi population using cone-beam computed tomography (CBCT). METHODS The dental records of 490 patients (N = 490) with CBCT images of maxillary anterior teeth were screened for inclusion criteria. Then 264 included cases were evaluated independently by two Endodontists. The evaluation was performed on CBCT images in the axial, sagittal, and coronal sections using Planmeca Romexis® software. The following data were recorded for each patient: Patients' age and gender, radicular groove presence or absence, and if it is bilateral or unilateral. The type of radicular groove was recorded according to Gu's classification (type I, II, or III). RESULTS The incidence rate of radicular grooves in maxillary lateral incisors was 4.9%. RG was found to be unilateral in 61.5% and bilateral in 38.5%. The majority of RG were classified as type I in 69.2%, followed by type II in 15.4%, and type III was found in 15.4%. CONCLUSION 4.9% of the Saudi population has RG in the upper lateral incisor. This anatomical variation is mostly present as type I on one side only (unilateral).
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Affiliation(s)
- Sarah M. Alkahtany
- grid.56302.320000 0004 1773 5396Department of Restorative Dental Sciences, Division of Endodontics, College of Dentistry, King Saud University, PO Box 68004, 11527 Riyadh, Saudi Arabia
| | - Fatemah Alrwais
- grid.56302.320000 0004 1773 5396Department of Restorative Dental Sciences, Division of Endodontics, College of Dentistry, King Saud University, PO Box 68004, 11527 Riyadh, Saudi Arabia
| | - Asma Altamimi
- grid.415696.90000 0004 0573 9824Department of Dentistry, Division of Endodontics, King Saud Medical city, Ministry of Health, 12746 Riyadh, Saudi Arabia
| | - Sundus M. Bukhary
- grid.56302.320000 0004 1773 5396Department of Restorative Dental Sciences, Division of Endodontics, College of Dentistry, King Saud University, PO Box 68004, 11527 Riyadh, Saudi Arabia
| | - Amani Mirdad
- grid.56302.320000 0004 1773 5396Department of Periodontics and Community Dentistry, College of Dentistry, King Saud University, PO Box 68004, 11527 Riyadh, Saudi Arabia
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Tan D, Li ST, Feng H, Wang ZC, Wen C, Nie MH. Intentional replantation combined root resection therapy for the treatment of type III radicular groove with two roots: A case report. World J Clin Cases 2022; 10:6991-6998. [PMID: 36051153 PMCID: PMC9297402 DOI: 10.12998/wjcc.v10.i20.6991] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Revised: 03/29/2022] [Accepted: 05/22/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND A radicular groove is an anatomic malformation that usually initiates at the central fossa, extending along the root at varying lengths and depths and predisposes the involved tooth to a severe periodontal defect. Severe grooves that extend to the root apex often lead to complex combined periodontal-endodontic lesions. They are a serious challenge for doctors to diagnose and treat.
CASE SUMMARY In this report, we described a patient with a maxillary lateral incisor with a deep palatogingival groove with two roots, which led to complex combined periodontal-endodontic lesions. Suggested treatment modalities included curettage of the affected tissues, elimination of the groove by grinding and/or sealing with a variety of filling materials, and surgical procedures. In this case, a combination of endodontic therapy, intentional replantation, and root resection were used, which resulted in periodontal/periradicular healing after 12 mo.
CONCLUSION Intentional replantation and root resection offer a predictable procedure and should be considered a viable treatment modality for the management of palatogingival grooves, especially for two-rooted teeth.
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Affiliation(s)
- Dan Tan
- Luzhou Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
| | - Shi-Ting Li
- Luzhou Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
| | - Hao Feng
- Luzhou Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
| | - Zhong-Chao Wang
- Luzhou Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
| | - Cai Wen
- Luzhou Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
| | - Min-Hai Nie
- Luzhou Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
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Pinheiro TN, Cintra LTA, Azuma MM, Benetti F, Silva CC, Consolaro A. Palatogingival groove and root canal instrumentation. Int Endod J 2019; 53:660-670. [PMID: 31808951 DOI: 10.1111/iej.13259] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Accepted: 12/04/2019] [Indexed: 11/29/2022]
Abstract
AIM To evaluate the morphology and impact of root canal preparation in maxillary incisors with palatogingival grooves (PGG). METHODOLOGY Twenty extracted human maxillary incisors with PGG were subjected to macroscopic analysis and scanning electron microscopy analysis (SEM). The following characteristics of the PGG were evaluated: depth, point of origin in the cingulum, extension and position on the lingual surface. Furthermore, the presence of calculus, communications between the root canal system and the PGG, and root resorptions were investigated. The root canals were subsequently instrumented with K-files of three consecutive sizes. The teeth were sectioned, and the axial plane of each tooth section was imaged using SEM before and after instrumentation. The distance between the root canal walls and the PGG was calculated according to the location. Additionally, the distance between canal walls and cementum was measured at three different sites, to verify if instrumentation influenced dentine removal on a specific wall in teeth with PGG. Statistical analysis was performed using the Mann-Whitney or Student's t-test (P < 0.05). RESULTS Macroscopic analysis revealed that a deep groove was most frequently observed (75%), followed by a depression/shallow groove (25%) (P < 0.05). PGG typically originated in the distal margin ridge of the cingulum (65%) (P < 0.05), extending only to the middle (45%) or up to the apical (50%) third of the root (P < 0.05). Additionally, PGGs were typically located on the distal aspect of the lingual surface (70%) (P < 0.05). Calculus was concentrated on the surface of the crown and cementum-enamel junction (P < 0.05). Communication between the root canal and PGG was present in 35% of teeth, and root resorptions were noted in 50% of teeth. The distance between the external root surface and the pulp cavity was significantly narrower after instrumentation (P < 0.05); however, root canal preparation did not influence dentine removal on the specific wall associated with the groove (P > 0.05). CONCLUSIONS Palatogingival grooves were characteristically deep and originated from the distal margin of the cingulum. Although it has been associated with a thinner root wall, root canal preparation did not influence the thickness of the specific wall in the maxillary incisors with PGG.
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Affiliation(s)
- T N Pinheiro
- Oral Pathology and Oral Medicine, Dental School of Amazonas State University, Manaus, Brazil
| | - L T A Cintra
- Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, Brazil
| | - M M Azuma
- Cariology, Restorative Sciences and Endododontics, University of Michigan, Ann Arbor, MI, USA
| | - F Benetti
- Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, Brazil.,Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - C C Silva
- Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, Brazil
| | - A Consolaro
- Oral Pathology, Bauru Dental School, University of São Paulo, Bauru, Brazil
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Kim HJ, Choi Y, Yu MK, Lee KW, Min KS. Recognition and management of palatogingival groove for tooth survival: a literature review. Restor Dent Endod 2017; 42:77-86. [PMID: 28503472 PMCID: PMC5426222 DOI: 10.5395/rde.2017.42.2.77] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Accepted: 02/20/2017] [Indexed: 12/13/2022] Open
Abstract
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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Affiliation(s)
- Hee-Jin Kim
- Department of Conservative Dentistry, School of Dentistry, Chonbuk National University, Jeonju, Korea.,Department of Dentistry, Kosin University Gospel Hospital, Busan, Korea
| | - Yoorina Choi
- Department of Conservative Dentistry, School of Dentistry, Chonbuk National University, Jeonju, Korea
| | - Mi-Kyung Yu
- Department of Conservative Dentistry, School of Dentistry, Chonbuk National University, Jeonju, Korea.,Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea
| | - Kwang-Won Lee
- Department of Conservative Dentistry, School of Dentistry, Chonbuk National University, Jeonju, Korea.,Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea
| | - Kyung-San Min
- Department of Conservative Dentistry, School of Dentistry, Chonbuk National University, Jeonju, Korea.,Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea
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Tan X, Zhang L, Zhou W, Li Y, Ning J, Chen X, Song D, Zhou X, Huang D. Palatal Radicular Groove Morphology of the Maxillary Incisors: A Case Series Report. J Endod 2017; 43:827-833. [PMID: 28343927 DOI: 10.1016/j.joen.2016.12.025] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 12/21/2016] [Accepted: 12/28/2016] [Indexed: 02/05/2023]
Abstract
INTRODUCTION Teeth with a palatal radicular groove are challenging to diagnose, treat, and save. We classified this condition using cone-beam computed tomographic (CBCT) cross-sectional configurations combined with radiographic and morphologic observations during an intentional replantation procedure to identify and analyze the characteristics of palatal radicular grooves comprehensively as a reference for diagnosis, treatment planning, and prognosis evaluation of this condition. METHODS Eight cases with palatal radicular grooves present in permanent maxillary incisors were investigated by radiography and CBCT imaging before intentional replantation. RESULTS The palatal radicular grooves were classified into 3 types based on groove depth and cross-sectional shape on CBCT images: type I, with a shallow groove depth, corresponding to a normal, simple, and single root canal; type II, with a medium groove depth, corresponding to a C-shaped canal system; and type III, with a deep groove depth, almost bisecting the root of the tooth, simultaneously present with 2 independent root canals and an apex with normal shape, corresponding to a labial groove connecting with a palatal groove. The extracted teeth and their radiographic images showed corresponding characteristics. CONCLUSIONS The CBCT cross-sectional images allowed the best visualization of the depth of the grooves and highlighted the difficulties entailed in treating such teeth. Intentional replantation is an effective therapeutic decision for this type of deformity and can provide better prognosis estimation, especially in teeth with type II and III grooves.
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Affiliation(s)
- Xuelian Tan
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Lan Zhang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
| | - Wei Zhou
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yan Li
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Jiali Ning
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xi Chen
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Dongzhe Song
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xuedong Zhou
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Dingming Huang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
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Garrido I, Abella F, Ordinola-Zapata R, Duran-Sindreu F, Roig M. Combined Endodontic Therapy and Intentional Replantation for the Treatment of Palatogingival Groove. J Endod 2016; 42:324-8. [DOI: 10.1016/j.joen.2015.10.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2015] [Revised: 10/05/2015] [Accepted: 10/17/2015] [Indexed: 02/08/2023]
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Kishan KV, Hegde V, Ponnappa KC, Girish TN, Ponappa MC. Management of palato radicular groove in a maxillary lateral incisor. J Nat Sci Biol Med 2014; 5:178-81. [PMID: 24678222 PMCID: PMC3961929 DOI: 10.4103/0976-9668.127322] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
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.
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Affiliation(s)
- K V Kishan
- Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Coorg, Karnataka, India
| | - Vani Hegde
- Department of Conservative Dentistry and Endodontics, AME's Dental College and Hospital, Raichur, India
| | - K C Ponnappa
- Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Coorg, Karnataka, India
| | - T N Girish
- Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Coorg, Karnataka, India
| | - M C Ponappa
- Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Coorg, Karnataka, India
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Radicular grooves of maxillary anterior teeth in a Turkish population: A cone-beam computed tomographic study. Arch Oral Biol 2014; 59:297-301. [DOI: 10.1016/j.archoralbio.2013.12.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2013] [Revised: 12/09/2013] [Accepted: 12/11/2013] [Indexed: 01/20/2023]
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Du J, Wang X, Zhang J, Yan S, Wang L, Yang P. The Possible Effect of an Accessory Root-Like Structure on Periodontitis: A Clinical and Histologic Case Report. Clin Adv Periodontics 2013. [DOI: 10.1902/cap.2012.110105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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A Micro–Computed Tomographic Analysis of Maxillary Lateral Incisors with Radicular Grooves. J Endod 2011; 37:789-92. [DOI: 10.1016/j.joen.2011.03.002] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2010] [Revised: 03/01/2011] [Accepted: 03/03/2011] [Indexed: 02/07/2023]
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13
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Gandhi A, Kathuria A, Gandhi T. Endodontic-periodontal management of two rooted maxillary lateral incisor associated with complex radicular lingual groove by using spiral computed tomography as a diagnostic aid: a case report. Int Endod J 2011; 44:574-82. [DOI: 10.1111/j.1365-2591.2011.01868.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Comprehensive treatment of the infected maxillary lateral incisor with an accessory root. J Endod 2009; 34:1134-7. [PMID: 18718381 DOI: 10.1016/j.joen.2008.06.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2008] [Revised: 06/12/2008] [Accepted: 06/23/2008] [Indexed: 11/20/2022]
Abstract
Rare anatomic anomalies may occur in the dentition and can affect treatment decisions and prognosis. Accurate diagnosis and therapy performed at the highest level can result in predictable success in these cases. This case report shows the clinical and radiographic findings and successful treatment (nonsurgical and surgical) of a combined apical and marginal periodontal inflammatory lesion of a maxillary lateral incisor with an accessory root.
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Funao J, Onishi T, Ogawa T, Mori Y, Yamauchi M, Shintani S, Ooshima T. Intentional replantation of maxillary molar affected by an intractable periapical abscess related to a radicular groove: A case report. PEDIATRIC DENTAL JOURNAL 2008. [DOI: 10.1016/s0917-2394(08)70140-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Schwartz SA, Koch MA, Deas DE, Powell CA. Combined Endodontic-Periodontic Treatment of a Palatal Groove: A Case Report. J Endod 2006; 32:573-8. [PMID: 16728255 DOI: 10.1016/j.joen.2005.08.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2005] [Revised: 08/10/2005] [Accepted: 08/11/2005] [Indexed: 01/29/2023]
Abstract
The palatal groove is a developmental anomaly that predisposes the tooth involved to a severe periodontal defect. When further complicated by pulp necrosis, these grooves often present a diagnostic and treatment planning challenge that requires an interdisciplinary treatment approach. This case report describes the successful collaborative management of a maxillary lateral incisor with an extensive palatal groove using a combination of nonsurgical endodontic therapy, odontoplasty, and periodontal regenerative techniques.
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Affiliation(s)
- Scott A Schwartz
- Department of Endodontics, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
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