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(20): 6991-6998 [PMID: 36051153 DOI: 10.12998/wjcc.v10.i20.6991]
Corresponding Author of This Article
Min-Hai Nie, Doctor, Full Professor, Luzhou Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, The Affiliated Stomatological Hospital of Southwest Medical University, No. 2 Jiangyang South Road, Jiangyang District, Luzhou 646000, Sichuan Province, China. nieminhai@126.com
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2022; 10(20): 6991-6998 Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.6991
Intentional replantation combined root resection therapy for the treatment of type III radicular groove with two roots: A case report
Dan Tan, Shi-Ting Li, Hao Feng, Zhong-Chao Wang, Cai Wen, Min-Hai Nie
Dan Tan, Shi-Ting Li, Hao Feng, Zhong-Chao Wang, Cai Wen, 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
Author contributions: Tan D and Nie MH were responsible for conceptualization and supervision; Tan D was responsible for writing the original draft, reviewing, and editing; Li ST and Feng H contributed to root canal therapy and intentional replantation of teeth; Wang ZC and Wen C were responsible for the formal analyses; All authors approved the final version to be submitted.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Min-Hai Nie, Doctor, Full Professor, Luzhou Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, The Affiliated Stomatological Hospital of Southwest Medical University, No. 2 Jiangyang South Road, Jiangyang District, Luzhou 646000, Sichuan Province, China. nieminhai@126.com
Received: November 12, 2021 Peer-review started: November 12, 2021 First decision: March 15, 2022 Revised: March 29, 2022 Accepted: May 22, 2022 Article in press: May 22, 2022 Published online: July 16, 2022 Processing time: 234 Days and 16.9 Hours
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.
Core Tip: We present a case of type III radicular groove with complex combined periodontal-endodontic lesions in a tooth, which was successfully treated by a combination of endodontic therapy, intentional replantation, and root resection. Sufficient knowledge about the diagnosis and treatment strategies and multidisciplinary involvement are essential to obtain the best outcome in a short period with a conservative and minimally periodontal trauma procedure.
