However, in this particular case, being a state of combined endoperio lesion, and with the palato radicular groove being the cause for involvement, an endodontic therapy is essential along with the periodontal regenerative therapy to achieve regeneration of the lost periodontal structures and bone. Palato radicular groove is a rare developmental anomaly with prevalence rate of 2. Aim the aim of this report is to present the management of three cases of different magnitude affecting the periodontal attachment apparatus due to the presence of a palato radicular groove prg. It usually begins in the central fossa area, extends over the cingulum and continues apically down the root surface peikoff et al. The palategingival grooves are an anatomical anomaly in maxillary incisors, which might result in local periodontal pocket formation, bone loss and sometimes pulpal necrosis. The palatogingival groove anatomical anomaly occurred in maxillary lateral incisors. Prevalence and features of palatoradicular grooves.
These grooves typically begin in the central fossa area of the incisors, extend over the cingulum and continue apically down the root surface. A poorly described deformity, displacement of the cementoenamel junction, occurred in 38% of the grooves which crossed that structure. A palatogingival groove is a developmental anomaly that often leads to the establishment of combined periodontalendodontic lesions and can be an unidentified cause of endodontic failure. Treatment of the palato gingival groove with guided tissue regeneration. Comparative morphological analysis of the root developmental groove with the palato gingival groove. Prosthetic rehabilitation of a hemisected maxillary molar. At the 6month followup examination, the patient was symptom free. Macroscopic analysis of the teeth revealed that the palatogingival groove occurred most frequently on the lingual surface of maxillary lateral incisors 11 of. Combined treatment of a lateral incisor with palato. Radial groove definition of radial groove by the free.
This groove is called the palatoradicular groove filename. The prevalence, location and confirmation of palateradicular grooves in maxillary incisors. Clinically, palatal radicular groove may be associated with periodontal andor endodontic problems. On examination, brownish discoloration of teeth 11 was seen and a draining sinus tract was present on the labial alveolar mucosa tablefig1a. Pdf relationship of palatoradicular groove and localized. Surgical management with intentional replantation on a. Instruments and techniques 287 shaping and cleaning of radicular space 288 guidelines for shaping of a root canal 301 instrumentation guidelines 312 bibliography 321 chapter 14 irrigants and intracanal medicaments 324 irrigants 327. Treatment of an osseous lesion associated with severe palato radicular groove. Michael arnold palatoradicular groove associated with a birooted maxillary incisor. Two classifications were independently put forward by goon et al. Palatogingival groove pgg is an anatomic malformation of developmental origin usually found on the lingual aspect of the roots of maxillary incisor teeth.
The palatogingival groove anatomical anomaly occurred. The palatal groove is defined as a developmental groove in root, that when present is usually found on the palatal aspect of the maxillary incisor teeth. Mgr educational and research institute university, chennai, tamil nadu, india 2 department of conservative dentistry and endodontics, bangalore. The prognosis of pulp diseases andor periapical inflammation in the presence of a palatogingival groove is not very favorable, and depends in part on the grooves extension, the depth of the groove, and the relation of the groove to the pulp cavity 2, 3, 9, 12, 14. A diagnostic and treatment challenge prashanth prakash 1, soumya raveendran 1, ramya raghu 2, keerthi venkatesan 1 1 department of conservative dentistry and endodontics, thai moogambigai dental college and hospital, dr. The palato gingival groove occurred most frequently on the lingual aspect of the lateral incisor 11 of, and its coronal and radicular extensions were on the distolingual surface of the. Remember this may be asked on the ndbe part 1 as a potential problem with scaling cleaning this area. Endodonticperiodontal management of a maxillary lateral. The prevalence, location and confirmation of palate radicular grooves in maxillary incisors. Palatoradicular groove associated with a birooted maxillary.
Relationship between palatoradicular grooves and localized periodontitis. Palato radicular groove is a common tooth anomaly which is first described in 1958, as a radicular invagination of an upper lateral incisor in a chinese female. A new system for classifying tooth, root and canal. Developmental radicular anomalies include the palatogingival groove, the distolingual groove and the radicular groove. A case of type iii palatogingival groove is successfully treated with intentional replantation.
Palatoradicular groove, diagnosis and managementaa case report a indian journal of dentistry 2011volume 2issue 2 55 as a diagnostic aid, iopa radiograph provides only a 2d image and hence does not provide information regard ing the depth of the groove and its relation with the pulp cavity. The presence of a concomitant palatoradicular groove prg on a maxillary lateral incisor is not a common developmental anomaly. Endodontic and periodontal management of a severely affected. The labiogingival groovenotch is a developmental phenomenon that can be easily misdiagnosed and improperly treated. Relationship between palato radicular grooves and localized periodontitis. Surgical management with intentional replantation on a tooth. The prevalence, location and conformation of palatoradicular. Treatment of an osseous lesion associated with a severe palatoradicular groove. The palatal radicular palatoradicular groove is a linear depression or groove that begins at the central fossa of the maxillary incisors, extends over the cingulum and continues specifically to the root surface and possibly reaches the apex.
Palatogingival groove an added dimension in the etiology of. Combined endodontic and surgical management of twin rooted maxillary lateral incisor with a palatogingival groove. Platelet rich plasma in management of palato gingival groove. This case report describes a case of palatogingival. Various studies have shown different treatment approaches for this developmental anomaly. Endodontic and periodontal management of a severely. An endoperio challenge rhythm bains 1, vivek kumar bains 2, kapil loomba 3, kavita verma 4, anju loomba 5 1 department of conservative dentistry and endodontics, faculty of dental sciences, king georges medical university, saraswati dental college and hospital, lucknow, uttar pradesh, india 2 department of periodontology, saraswati dental college and hospital. Palatoradicular grooves prgs are developmental anomalies of maxillary incisors that are a site for plaque accumulation and periodontal infection, contributing to localized periodontitis. While it is important for every musician in a band to be responsible for having a good time feel, it is an absolute given that the bass player and the drummers primary objective is to lay down a solid groove. Palatoradicular groove is a common tooth anomaly which is first described in 1958, as a radicular invagination of an upper lateral incisor in a chinese female.
The relationship of palatogingival grooves to localized periodontal disease. Awdc 2015 abstract book thursday, 24 september 2015 free communication sessions 4160 and poster sessions 3348 free communications sessions 4160. Radicular grooves are quite variable in their depth and also the distance and direction traversed down the root. Management of lateral incisor with palatal radicular groove. Developmental infoldings may result in defects that can provide a pathway for pulpal pathology, and consequently periodontal destruction. The palatogingival groove occurred most frequently on the lingual aspect of the lateral incisor 11 of, and its coronal and radicular extensions were on the distolingual surface of the. Treatment of complex groove presents a clinical challenge to the operator. In the present case, there was a groove on the palatal side of a maxillary lateral incisor with vital pulp. Treatment of the palato gingival groove with guided tissue. Radiographic investigation of the lateral bone defect showed the beginning of ossification and healing. Macroscopic and microscopic analysis of the palatogingival. The labiogingival notch seen on the central incisors was first described by brin and benbassat in 1989 with 6. The existence of pulpal and periodontal disease can complicate the diagnosis and treatment planning and affect the sequence of care to be performed.
About half of the grooves terminated on the root and 58% of these extended more than 5 mm from the cementoenamel junction. Successful surgical management of palatogingival groove using. In diagnosis, think easy first palato radicular grooves prgs are developmental anomalies of maxillary incisors that are a site for plaque. However, in this particular case, being a state of combined endoperio lesion, and with the palatoradicular groove being the cause for involvement, an endodontic therapy is essential along with the periodontal regenerative therapy to achieve regeneration of the lost periodontal structures and bone. Combined treatment of a lateral incisor with palatoradicular. Palatoradicular groove is a rare developmental anomaly with prevalence rate of 2. C periapical radiograph showing a guttapercha cone tracing the facial sinus tract. Relationship between palatoradicular grooves and localized periodontitis relationship between palatoradicular grooves and localized periodontitis hou, guey. Aim the aim of this report is to present the management of three cases of different magnitude affecting the periodontal attachment apparatus due to the presence of a palatoradicular groove prg. Here a case of prg that was initially thought to be root fracture or cementodentinal tear is presented, along with a discussion of the importance of a. A palato radicular groove prg is a developmental abnormality primarily found in the maxillary lateral incisor. Jun 16, 2015 the existence of pulpal and periodontal disease can complicate the diagnosis and treatment planning and affect the sequence of care to be performed.
The grooves path was linear in all cases, and subsequently was determined to be shallow and depression shaped in part of the samples 8 of. Palatal radicular groove is a discreet alteration in tooth morphology, characterized by an invagination that begins near the cingulum of the tooth and moves in an apical direction. The spiral track cut into a phonograph record for the stylus to follow. Management of palato radicular groove in a maxillary. Successful surgical management of palatogingival groove. Management of palato radicular groove in a maxillary lateral. Case description the authors present three cases involving the. Free communication sessions 4160 and poster sessions. Palatogingival groove also referred to as palato radicular groove, disto lingual groove, corono radicular groove or radiculo lingual groove is described in literature as a developmental malformation that exists on the palatal aspect of the incisor teeth and runs towards the mesial, distal or midpalatal root regions. Prevalence and features of palato radicular grooves. Palatoradicular groove varghese jm, ballal v saudi endod j. At the 6month followup examination, the patient was symptomfree. The retrograde periodontal lesion is a very rare condition of endodontic origin with secondary periodontal involvement.
Treatment of an intrabony osseous lesion associated with a. Complex facial radicular groove in a maxillary lateral incisor. Treatment of an osseous lesion associated with a severe palato. Nov 21, 2017 palatogingival groove or radicular lingual groove rlg is a developmental anomaly in which an infolding of the inner enamel epithelium and hertwigs epithelial root sheath create a groove that passes from the cingulum of maxillary incisors apically onto the root. Palatoradicular groove, an anatomical variation that is more often found in maxillary lateral incisors, is characterized by a developmental groove, which usually begins in the central fossa, crosses cingulum and extends a variable distance onto the root. Pdf palatoradicular groove and localized periodontitis. Treatment of an osseous lesion associated with a severe palato radicular groove. Management of an endodonticperiodontal lesion in a maxillary. The palatoradicular groove can be defined as a linear depression or a groove which starts at the junction of the cingulum with one of the lateral marginal ridges and continues apically to the proximal surface of the root, possibly reaching the apex. Palatoradicular groove, diagnosis and managementa case.
Palatogingival groove or radicular lingual groove rlg is a developmental anomaly in which an infolding of the inner enamel epithelium and hertwigs epithelial root sheath create a groove that passes from the cingulum of maxillary incisors apically onto the root. Palatogingival groove an added dimension in the etiology. We report on the successful treatment of this condition through endodontic and periodontal therapy. Facial radicular groove in a maxillary central incisor. Palatogingival developmental groove 285 bibliography 285 chapter shaping and cleaning of the radicular space. The distolingual groove in maxillary lateral incisors. Complex facial radicular groove in a maxillary lateral incisors. Background the palato radicular groove is a developmental anomaly often associated with localized periodontitis and pulpal necrosis. The labiogingival groove notch is a developmental phenomenon that can be easily misdiagnosed and improperly treated. Relationship between palatoradicular grooves and localized. Failure of endodontic therapy has been reported in the upper incisors due to a unrecognized palatogingival groove first reported by lee et al. Management of an endodonticperiodontal lesion in a. Successful multidisciplinary management of an endodontic.
Radicular groove is an anatomical malformation that often leads to combined endodonticperiodontic lesions. Combined endodontic and surgical management mafiadoc. A palatoradicular groove prg is a developmental abnormality primarily found in the maxillary lateral incisor. Pdf management of palato radicular groove in a maxillary.
The periodontal problem of the tooth was treated and the 6month postoperative followup showed attachment gain. Palato radicular grooves prgs are developmental anomalies of maxillary incisors that are a site for plaque accumulation and periodontal infection, contributing to localized periodontitis. Mar 31, 2019 the relationship of palato gingival grooves to localized periodontal disease. Treatment of the radicular groove, include curettage of the affected periodontal tissues, saucerisation of the groove, sealing the groove with a biocompatible material, root canal treatment when a primary or secondary endodontic lesion is present and surgical procedures i. Radial groove synonyms, radial groove pronunciation, radial groove translation, english dictionary definition of radial groove. A poorly described deformity, displacement of the cementoenamel junction, occurred in 38%. Recognition of the palatogingival groove is very important, especially because of its complexity and the problems that. A deep periodontal pocket of mm was found on the palatal aspect of 11 and a palato radicular groove prg extending. Comparative morphological analysis of the root developmental groove with the palatogingival groove. Treatment of a rare retrograde lesion a case report. The palatogingival groove anatomical anomaly occurred in. The prevalence, location and conformation of palato. Treatment of an osseous lesion with a severe palato radicular groove. Abstract two cases of the rare anomaly, the palatal radicular groove, affecting maxillary lateral incisors, are reported and discussed.
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