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HOME > Restor Dent Endod > Volume 36(3); 2011 > Article
Case Report Treatment of a lateral incisor anatomically complicated with palatogingival groove
Moon-Sun Choi, DDS, MS, Se-Hee Park, DDS, PhD, Kyung-Mo Cho, DDS, PhD, Jin-Woo Kim, DDS, PhD
2011;36(3):-242.
DOI: https://doi.org/10.5395/JKACD.2011.36.3.238
Published online: May 31, 2011

Department of Conservative Dentistry, Gangneung-Wonju National University, Gangneung, Korea.

Correspondence to Jin-Woo Kim, DDS, PhD. Professor, Department of Conservative Dentistry, Gangneung-Wonju National University School of Dentistry, 120 Gangneung Daehangno, Gangneung, Korea. TEL, +82-33-640-3189; FAX, +82-33-640-3103; mendo7@gwnu.ac.kr
• Received: February 16, 2011   • Revised: April 29, 2011   • Accepted: April 29, 2011

Copyright © 2011 Korean Academy of Conservative Dentistry

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  • Objectives
    Palatogingival groove is a developmental anomaly that starts near the cingulum of the tooth and runs down the cementoenamel junction in apical direction, terminating at various depths along the roots. While frequently associated with periodontal pockets and bone loss, pulpal necrosis of these teeth may precipitate a combined endodontic-periodontal lesion. This case presents a case of a lateral incisor anatomically complicated with palatogingival groove.
  • Methods
    Two patients with lesion associated with the palatogingival groove were chosen for this report. Palatogingival grooves were treated with different restoration materials with endodontic treatment.
  • Conclusions
    Maxillary lateral incisor with a palatogingival groove may occur the periodontal disease with pulpal involvement. Elimination of groove may facilitate the periodontal re-attachment and prevent the recurrence.
  • Keywords: Composite resin; Endodontic-periodontal lesion; Lateral incisor; Palatogingival groove; Resin-modified glass ionomer
Figure 1
The first examination. Clinical photo (a, b) and periapical radiograph (c) of #12.
jkacd-36-238-g001.jpg
Figure 2
Treatment of palatogingival groove with RMGI.
jkacd-36-238-g002.jpg
Figure 3
Conventional retreatment of #12.
jkacd-36-238-g003.jpg
Figure 4
Three month follow-up. Clinical photo (a) and Periapical radiograph (b).
jkacd-36-238-g004.jpg
Figure 5
The first exam. Clinical photo (a) and periapical radiograph (b).
jkacd-36-238-g005.jpg
Figure 6
Caries treatment of palatogingival groove with conventional root canal therapy.
jkacd-36-238-g006.jpg
Figure 7
Seventeen months follow-up. Clinical photo (a) and periapical radiograph (b).
jkacd-36-238-g007.jpg
  • 1. Withers JA, Brunsvold MA, Killoy WJ, Rahe AJ. The relationship of palato-gingival grooves to localized periodontal disease. J Periodontol. 1981;52: 41-44.ArticlePubMed
  • 2. Everett FG, Kramer GM. The disto-lingual groove in the maxillary lateral incisor; a periodontal hazard. J Periodontol. 1972;43: 352-361.ArticlePubMed
  • 3. Lara VS, Consolaro A, Bruce RS. Macroscopic and microscopic analysis of the palato-gingival groove. J Endod. 2000;26: 345-350.ArticlePubMed
  • 4. Gound TG, Maze GI. Treatment options for the radicular lingual groove: a review and discussion. Pract Periodontics Aesthet Dent. 1998;10: 369-375.PubMed
  • 5. Rotstein I, Simon JH. Diagnosis, prognosis and decision-making in the treatment of combined periodontalendodontic lesions. Periodontol 2000. 2004;34: 165-203.PubMed
  • 6. Mente J, Hage N, Pfefferle T, Koch MJ, Geletneky B, Dreyhaupt J, Martin N, Staehle HJ. Treatment outcome of mineral trioxide aggregate: repair of root perforations. J Endod. 2010;36: 208-213.ArticlePubMed
  • 7. Meister F Jr, Keating K, Gerstein H, Mayer JC. Successful treatment of a radicular lingual groove: case report. J Endod. 1983;9: 561-564.ArticlePubMed
  • 8. Friedman S, Goultschin J. The radicular palatal groove-a therapeutic modality. Endod Dent Traumatol. 1988;4: 282-286.ArticlePubMed
  • 9. Vermeersch G, Leloup G, Delmée M, Vreven J. Antibacterial activity of glass-ionomer cements, compomers and resin composites: relationship between acidity and material setting phase. J Oral Rehabil. 2005;32: 368-374.PubMed
  • 10. Dragoo MR. Resin-ionomer and hybrid-ionomer cements: Part I. Comparison of three materials for the treatment of subgingival root lesions. Int J Periodontics Restorative Dent. 1996;16: 594-601.PubMed
  • 11. Santos VR, Lucchesi JA, Cortelli SC, Amaral CM, Feres M, Duarte PM. Effects of glass ionomer and microfilled composite subgingival restorations on periodontal tissue and subgingival biofilm: a 6-month evaluation. J Periodontol. 2007;78: 1522-1528.ArticlePubMed
  • 12. Sadowsky SJ. An overview of treatment considerations for esthetic restorations: a review of the literature. J Prosthet Dent. 2006;96: 433-442.ArticlePubMed

Tables & Figures

Figure 1
The first examination. Clinical photo (a, b) and periapical radiograph (c) of #12.
jkacd-36-238-g001.jpg
Figure 2
Treatment of palatogingival groove with RMGI.
jkacd-36-238-g002.jpg
Figure 3
Conventional retreatment of #12.
jkacd-36-238-g003.jpg
Figure 4
Three month follow-up. Clinical photo (a) and Periapical radiograph (b).
jkacd-36-238-g004.jpg
Figure 5
The first exam. Clinical photo (a) and periapical radiograph (b).
jkacd-36-238-g005.jpg
Figure 6
Caries treatment of palatogingival groove with conventional root canal therapy.
jkacd-36-238-g006.jpg
Figure 7
Seventeen months follow-up. Clinical photo (a) and periapical radiograph (b).
jkacd-36-238-g007.jpg

REFERENCES

  • 1. Withers JA, Brunsvold MA, Killoy WJ, Rahe AJ. The relationship of palato-gingival grooves to localized periodontal disease. J Periodontol. 1981;52: 41-44.ArticlePubMed
  • 2. Everett FG, Kramer GM. The disto-lingual groove in the maxillary lateral incisor; a periodontal hazard. J Periodontol. 1972;43: 352-361.ArticlePubMed
  • 3. Lara VS, Consolaro A, Bruce RS. Macroscopic and microscopic analysis of the palato-gingival groove. J Endod. 2000;26: 345-350.ArticlePubMed
  • 4. Gound TG, Maze GI. Treatment options for the radicular lingual groove: a review and discussion. Pract Periodontics Aesthet Dent. 1998;10: 369-375.PubMed
  • 5. Rotstein I, Simon JH. Diagnosis, prognosis and decision-making in the treatment of combined periodontalendodontic lesions. Periodontol 2000. 2004;34: 165-203.PubMed
  • 6. Mente J, Hage N, Pfefferle T, Koch MJ, Geletneky B, Dreyhaupt J, Martin N, Staehle HJ. Treatment outcome of mineral trioxide aggregate: repair of root perforations. J Endod. 2010;36: 208-213.ArticlePubMed
  • 7. Meister F Jr, Keating K, Gerstein H, Mayer JC. Successful treatment of a radicular lingual groove: case report. J Endod. 1983;9: 561-564.ArticlePubMed
  • 8. Friedman S, Goultschin J. The radicular palatal groove-a therapeutic modality. Endod Dent Traumatol. 1988;4: 282-286.ArticlePubMed
  • 9. Vermeersch G, Leloup G, Delmée M, Vreven J. Antibacterial activity of glass-ionomer cements, compomers and resin composites: relationship between acidity and material setting phase. J Oral Rehabil. 2005;32: 368-374.PubMed
  • 10. Dragoo MR. Resin-ionomer and hybrid-ionomer cements: Part I. Comparison of three materials for the treatment of subgingival root lesions. Int J Periodontics Restorative Dent. 1996;16: 594-601.PubMed
  • 11. Santos VR, Lucchesi JA, Cortelli SC, Amaral CM, Feres M, Duarte PM. Effects of glass ionomer and microfilled composite subgingival restorations on periodontal tissue and subgingival biofilm: a 6-month evaluation. J Periodontol. 2007;78: 1522-1528.ArticlePubMed
  • 12. Sadowsky SJ. An overview of treatment considerations for esthetic restorations: a review of the literature. J Prosthet Dent. 2006;96: 433-442.ArticlePubMed

Citations

Citations to this article as recorded by  
  • Endodontic treatment of maxillary lateral incisors with anatomical variations
    Moon-Hwan Lee, Jung-Hong Ha, Myoung-Uk Jin, Young-Kyung Kim, Sung-Kyo Kim
    Restorative Dentistry & Endodontics.2013; 38(4): 253.     CrossRef
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    Treatment of a lateral incisor anatomically complicated with palatogingival groove
    J Korean Acad Conserv Dent. 2011;36(3):238-242.   Published online May 31, 2011
    DOI: https://doi.org/10.5395/JKACD.2011.36.3.238
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Treatment of a lateral incisor anatomically complicated with palatogingival groove
Image Image Image Image Image Image Image
Figure 1 The first examination. Clinical photo (a, b) and periapical radiograph (c) of #12.
Figure 2 Treatment of palatogingival groove with RMGI.
Figure 3 Conventional retreatment of #12.
Figure 4 Three month follow-up. Clinical photo (a) and Periapical radiograph (b).
Figure 5 The first exam. Clinical photo (a) and periapical radiograph (b).
Figure 6 Caries treatment of palatogingival groove with conventional root canal therapy.
Figure 7 Seventeen months follow-up. Clinical photo (a) and periapical radiograph (b).

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Treatment of a lateral incisor anatomically complicated with palatogingival groove
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