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. Background the palatoradicular groove is a developmental anomaly often associated with localized periodontitis and pulpal necrosis. Clinically, palatal radicular groove may be associated with periodontal andor endodontic problems. Surgical management with intentional replantation on a. The purpose of this study was to determine the prevalence of palato gingival groove in. Palatoradicular groove, diagnosis and managementa case report. Combined treatment of a lateral incisor with palatoradicular groove. Palato gingival groove is a tooth developmental anomaly usually found in upper lateral and upper central incisors. These developmental grooves promotes the accumulation of plaque and calculus which destroys the sulcular epithelium and later deeper. It is usually located on the palatal aspect of maxillary incisors and frequently associated with periodontal or endodonticperiodontal lesions. There is disagreement as to the prevalence of this anomaly. 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. Palatoradicular groove prg is a developmental anomaly in tooth morphology and its characterized by a depression or concavity. Chhatikara, mathura 281 006, uttar pradesh, india click here for correspondence address and email.
At least one distinguishing trait was present in 63. Management of an endodonticperiodontal lesion in a maxillary. Palatoradicular groove is a rare developmental anomaly with prevalence rate of 2. Periodontic endodontic lesion with a palato radicular groove as a contributing factor for periodontitis is the most important diagnostic and therapeutic challenges faced by periodontists and the maxillary lateral incisors are the most frequently affected teeth. A 35yearold female patient reported with chief complaint of discoloration and pus drainage from the upper right central incisor.
It usually begins in the central fossa, crosses the. It is a potential communication path between the root canal and the periodontium that decreases the survival prognosis of the affected tooth, therefore compromising the stability of the dental structure in the oral cavity. A palato radicular groove prg is a developmental groove in the area of the central fossa of the maxillary incisor teeth that continues apically down the root. The palato gingival groove is defined as a developmental groove in a root that, when present, is usually found on the lingual aspect of maxillary incisor teeth 1. In this anomaly, a groove begins in the central fossa, extends across the cingulum, and extends gingivally with varying depths and distance. A deep periodontal pocket of mm was found on the palatal aspect of 11 and a palato radicular groove prg extending. Palatogingival groove is a tooth developmental anomaly usually found in upper lateral and upper central incisors.
A deep periodontal pocket of mm was found on the palatal aspect of 11 and a palato radicular groove prg extending into the gingival. Palato radicular gorrves and periodontal health accumulation. Periapical radiographs revealed an extensive peri radicular radiolucency involving the apical and middle onethird of the mesial aspect of root tablefig1d. T his is a case report that describes the management of a severe periodontal defect associated with a palato. It usually begins in the central fossa, crosses the cingulum and extends to varying distance apically, possibly reaching the root apex. The groove was associated with deep local periodontal pocket resulting in pulp necrosis and the formation of a large periapical lesion. Pdf management of palato radicular groove in a maxillary lateral. Horizontal sections of one of these cases demonstrated a canal configuration not. Majority of palato gingival grooves affect maxillary lateral incisors and may result from an infolding of the enamel organ and hertwigs epithelial root sheath hers.
Management of palato radicular groove in a maxillary. Developmental radicular anomalies include the palatogingival groove, the distolingual groove and the radicular groove. Mgr educational and research institute university, chennai, tamil nadu, india 2 department of conservative dentistry and endodontics, bangalore. On examination, brownish discoloration of teeth 11 was seen and a draining sinus tract was present on the labial alveolar mucosa tablefig1a. Palatoradicular groove prg is one of the rare developmental anomalies of maxillary incisor teeth, primarily maxillary lateral incisor. Palatoradicular gorrves and periodontal health accumulation. A total of 18 second and 26 third pmms with two palatal roots 2pr were examined from the collection of extracted teeth. Vertucci 1st premolar 19%, 285% or 3 6% i or ii 21. Recognition and management of palatogingival groove for.
Palatogingival groove an added dimension in the etiology of. Palatogingival grooves, periodontalendodontic lesion, epithelial. A palato radicular groove prg is a developmental anomaly primarily found in the maxillary lateral incisors. A deep periodontal pocket of mm was found on the palatal aspect of 11 and a palato radicular groove prg extending into the gingival sulcus was identified tablefig1b,1c.
Some treatment options were described for such lesions, including primary endodontic treatment and periodontal surgery and extraction with intentional. Radicular grooves are often located on the palatal aspect of maxillary lateral incisors, and rarely. Unilateral palato radicular groove was located on the maxillary right lateral incisor of an 18yearold female patient. The retrograde periodontal lesion is a very rare condition of endodontic origin with secondary periodontal involvement. Case description the authors present three cases involving the. Developmental infoldings may result in defects that can provide a pathway for pulpal pathology, and consequently periodontal destruction. Biocompatibility, calcium silicate, root resorption. This malformation can be named in different ways such as. The radicular palatal groove a therapeutic modality the radicular palatal groove a therapeutic modality friedman, shimon. Palatogingival groove pgg is an anomaly in the maxillary anterior teeth, often. The patient was scheduled for periodontal flap surgery after one week. Management of a perioendo lesion associated with palatogingival groove 37 dentsply detrey, konstanz, germany sealer and laterally compacted guttapercha at the second visit.
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. The depth of the groove could, however, act as a haven for bacteria beyond the confines of the root canal system. The radicular palatal groove a therapeutic modality. Combined treatment of a lateral incisor with palato. Palatoradicular groove, diagnosis and managementa case. The patient presented with pain, gingival swelling, and a 10 mm periodontal pocket on the distopalatal aspect of the right maxillary lateral incisor. Relationship between palatoradicular grooves and localized periodontitis. The labiogingival groovenotch is a developmental phenomenon that can be easily misdiagnosed and improperly treated. Prevalence and features of palatoradicular grooves. The importance and management of palatogingival groove.
To determine whether the presence of two palatal roots in permanent maxillary molars pmms could be predicted by observing dental morphological traits during the clinical examination. Differences between second and third pmms were not statistically significant p 0. A palatoradicular groove prg is a developmental anomaly primarily found in the maxillary lateral incisors. Palatogingival groove pgg is another anatomical aberration occurring in the maxillary incisor area. A palatogingival groove is defined as a developmental groove in a root and is usually located on the palatal aspect of a maxillary incisor 1 2. A palatoradicular groove prg is a developmental groove in the area of the central fossa of the maxillary incisor teeth that continues apically down the root. A palatal radicular groove prg is a morphological deformity, occurring during tooth development. The combination of nonsurgical endodontic and periodontal regenerative treatment is a predictable method in treating combined endodonticperiodontal lesions caused by palatogingival groove. Palato radicular groove is a rare developmental anomaly with prevalence rate of 2. Unilateral palatoradicular groove was located on the maxillary right lateral incisor of an 18yearold female patient. The palatogingival groove anatomical anomaly occurred in.
Pdf palatoradicular groove an anatomical variation of clinical. As well, little is known about the shape, location and length of the defect. The prevalence rate of palatoradicular groove has been reported to be 2. Periodontal regenerative treatment of intrabony defects. The formation of palato gingival groove is probably caused by infolding of the enamel organ and the epithelial sheath of hertwig during odontogenesis 2 and has been speculated to be an aborted formation of an additional root 3. It is therefore reasonable to suggest that when an apical radicular groove is found associated with a primary endodontic lesion removal of. Palatogingival groove an added dimension in the etiology. Palate radicular grooves, also called palato gingival grooves or radicular lingual grooves are developmental anomalies in which an infolding of the. The condition was diagnosed as pulp necrosis associated with localized chronic periodontitis resulting from palatoradicular groove. This will serve as a platform for bringing out the best in research by the dental fraternity. Treatment plan comprised of thorough scaling, root planning and root canal therapy followed by periodontal surgery for the treatment of pocket elimination and groove repair. Bleeding on probing was found in 97% of teeth with the groove while only 78% of teeth without the groove experienced bleeding on probing. The combination of nonsurgical endodontic and periodontal regenerative treatment is a predictable method in treating combined endodonticperiodontal lesions caused by palato gingival groove.
Background the palato radicular groove is a developmental anomaly often associated with localized periodontitis and pulpal necrosis. 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. 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. The role of clinical examination in the detection of. The periodontal flap operation was performed using a dental operating microscope dom. Palatoradicular grooves prgs are developmental anomalies of maxillary incisors that are a site for plaque accumulation and periodontal infection, contributing to localized periodontitis. Recognition and management of palatogingival groove for tooth. Palatoradicular groove, diagnosis and managementaa case report. On the other hand, a highly significant association between groove existence and bleeding on stimulation was found table 5. The journal of clinical dental updates and research jcdur is an official publication of tagore dental college and hospital. About half of the grooves terminated on the root and 58% of these extended more than 5 mm from the cementoenamel junction. Various studies have shown different treatment approaches for this developmental anomaly.
C periapical radiograph showing a guttapercha cone tracing the facial sinus tract. Palato gingival grooves, also called palatoradicular grooves or radicular lingual grooves are developmental anomalies in which an infolding of the inner enamel epithelium and hertwigs epithelial root sheath create a groove that passes from the cingulam and. Platelet rich plasma in management of palato gingival groove s elanchezhiyan 1, j harikaran 2, boris bhim 3 1 department of periodontia, ksr institute of dental sciences and research, tiruchengode, india 2 department of conservative dentistry, ksr institute of dental sciences and research, tiruchengode, india 3 private practice, rajaji nagar, pallavaram, chennai, tamil nadu, india. The radicular developmental groove is not an anatomical anomaly and of itself not pathogenic. Periodontic endodontic lesion with a palatoradicular groove as a contributing factor for periodontitis is the most important diagnostic and therapeutic challenges faced by periodontists and the maxillary lateral incisors are the most frequently. Palatoradicular groove associated with a birooted maxillary. Pdf palatoradicular groove and localized periodontitis. 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. Often this condition predisposes periodontal defects and severe bone destruction, which have been considered untreatable, and extraction has been recommended as a solution.
Palatogingival groove pgg is an anatomic malformation of developmental origin usually found on the lingual aspect of the roots of maxillary incisor teeth. Treatment of an osseous lesion associated with a severe. It is an important predisposing factor to localized periodontal disease. Surgical management with intentional replantation on a tooth. Mar 31, 2019 palatogingival groove pgg is another anatomical aberration occurring in the maxillary incisor area. Pdf 482kb international journal of applied dental sciences. 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. The palatogingival groove anatomical anomaly occurred in maxillary lateral incisors. The patient presented with pain, gingival swelling, and a 10 mm periodontal pocket on the distopalatal aspect of the right.
Palato gingival grooves, also called palatoradicular grooves or radicular lingual grooves are developmental anomalies in which an infolding of the inner enamel epithelium and hertwigs epithelial root sheath create a groove that passes from the cingulam and extend varying distances apically on to the root. Abstract a radicular palatal groove may be present in about 8. Palatoradicular groove prg is an anatomical malformation often predisposing to a severe periodontal defect. Palato radicular grooves prgs are developmental anomalies of maxillary incisors that are a site for plaque accumulation and periodontal infection, contributing to localized periodontitis. The prevalence, location and conformation of palato. The radicular palatal groove a therapeutic modality, dental. In diagnosis, think easy first palato radicular grooves prgs are developmental anomalies of maxillary incisors that are a site for plaque. 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 endoperiodontal defect. It is therefore reasonable to suggest that when an apicalradicular groove is found associated with a primary endodontic lesion removal of. Combined treatment of a lateral incisor with palatoradicular.
The presence of a concomitant palatoradicular groove prg on a maxillary lateral incisor is not a common developmental anomaly. We report on the successful treatment of this condition through endodontic and periodontal therapy. 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. Management of palato radicular groove in a maxillary lateral. 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. Platelet rich plasma in management of palato gingival groove. This study examined 3168 extracted maxillary lateral and central incisors. Palatoradicular groove is a developmental anomaly which is. Management of lateral incisor with palatal radicular groove. Palato radicular groove prg is a developmental anomaly in tooth morphology and its characterized by a depression or concavity. Treatment of a rare retrograde lesion a case report.
The palatogingival groove anatomical anomaly occurred. The labiogingival notch seen on the central incisors was first described by brin and benbassat in 1989 with 6. Management of an endodonticperiodontal lesion in a. Pdf management of palato radicular groove in a maxillary. 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. The full text of this article hosted at is unavailable due to technical difficulties. Palato radicular groove prg is one of the rare developmental anomalies of maxillary incisor teeth, primarily maxillary lateral incisor.
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