کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3150059 | 1197492 | 2016 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Combined Endodontic Therapy and Intentional Replantation for the Treatment of Palatogingival Groove Combined Endodontic Therapy and Intentional Replantation for the Treatment of Palatogingival Groove](/preview/png/3150059.png)
A palatogingival groove is an anatomic malformation that predisposes the involved tooth to a severe periodontal defect. When the condition is complicated by pulpal necrosis, affected teeth often present a dilemma in terms of diagnosis and treatment planning. In this report, we describe the case of a patient with a maxillary lateral incisor with a deep palatogingival groove extending to the root apex and severe periodontal destruction (local pocketing). 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 combined treatment approach, involving both endodontic therapy and intentional replantation after restoration with a self-etching flowable composite, resulted in periodontal healing and significant healing of the periradicular radiolucency at 12 months. In short, intentional replantation offers a predictable procedure and should be considered a viable treatment modality for the management of palatogingival grooves, especially for single-rooted teeth.
Journal: Journal of Endodontics - Volume 42, Issue 2, February 2016, Pages 324–328