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Treatment of a lateral incisor anatomically complicated with palatogingival groove
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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
Journal of Korean Academy of Conservative Dentistry 2011;36(3):238-242.
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
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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

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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
      Restor Dent Endod : Restorative Dentistry & Endodontics
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