scholarly journals Stumbling upon Palatogingival Groove: A Case Report

2021 ◽  
Vol 9 (02) ◽  
pp. 94-96
Author(s):  
Sujan Thapa ◽  
Vanita Gautam ◽  
Snigdha Shubham ◽  
Manisha Nepal ◽  
Kriti Shrestha

Palatogingival grooves (PGG) are developmental malformations infamous for precipitating endodontic-periodontal lesions. Pertaining to their discreet occurrence, variation in groove depth and funnel like shape, adherence of plaque and calculus is apparent thereby jeopardizing the periodontium and pulp. A case of palatogingival groove in maxillary left lateral incisor was diagnosed and managed with endodontic treatment followed by open flap debridement to seal the groove with biodentine and fill the defect with bone graft. On follow up, the periapical lesion and the periodontal pocket were successfully resolved.

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Claudio Maniglia-Ferreira ◽  
Fabio de Almeida Gomes ◽  
Marcelo de Morais Vitoriano ◽  
Francisco de Assis Silva Lima

This case report described the endodontic treatment and decompression of an extensive lesion in the anterior region of the mandible, detected during clinical and radiographic examination, in a patient with a complaint of slight tenderness to palpation in the area of mandibular right lateral incisor and canine. These teeth had been accessed without proper clinical evaluation, and their pulp tissues were exposed. The periodontal tissues were healthy, with no signs of inflammation or fistula. On radiographic examination, a radiolucent lesion with well-defined borders was seen extending from the distal root of mandibular left second premolar to the mesial root of mandibular right second premolar. Central and lateral mandibular left incisors were unresponsive to thermal pulp testing and exhibited coronal discoloration, consistent with a diagnosis of pulp necrosis. Due to persistent discharge from the root canal system during endodontic procedures despite application of intracanal medicament (calcium hydroxide paste), the decision was made to biopsy and decompress the lesion and conclude endodontic treatment. Histopathologic examination revealed a periapical granuloma. After endodontic treatment of the involved teeth, at 4-year clinical and radiographic follow-up, the affected region was almost completely repaired.


2015 ◽  
Vol 18 (1) ◽  
pp. 17 ◽  
Author(s):  
Cari Maristela Pieper ◽  
Eliseu Aldrighi Münchow ◽  
Evandro Piva

<span>Periradicular lesions occur in non-vital teeth as the result of a chronic aggression by the presence of microorganisms into the root canal, which may appear as a radiolucent lesion in the radiographic exam; treatment varies according to surgical or nonsurgical methods. This case report describes the regression of a periradicular lesion using a nonsurgical endodontic treatment in association with intracanal calcium hydroxide-based medicament. After patient examination and radiographic analysis, a 13 mm (in maximum diameter) radiolucent lesion was observed in tooth number 12. The endodontic treatment was done and Calen-CMCP (S.S. White Artigos Dentários Ltda., Rio de Janeiro, RJ, Brazil) was placed into the root canal, which was changed after every two weeks during two months. It was observed a progressive centrifugal regression of the lesion after every renewing of the medicament. In addition, after six-year follow-up the tooth was still free of re-infection and bone tissue was completely regenerated. In conclusion, calcium hydroxide therapy can conservatively stimulate the regression of large periradicular lesions.</span>


2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Qingan Xu ◽  
Zhou Li

Regenerative endodontic treatment was performed on a mature maxillary premolar diagnosed as chronic pulpitis. The root canals were chemomechanically prepared and placed intracanal medicaments at the first appointment. Then 2 weeks later, a blood clot was created in the canals, over which mineral trioxide aggregate was placed. At 6-month follow-up, cementum-like tissue seemed to be formed in the root canal along with nearly recovered pulp vitality. At 12-month recall, the radiographic results revealed evidence of root wall thickening. At 30-month recall, no periapical lesion was found. This case report indicates that regenerative endodontic treatment for the mature premolar is feasible. More cases are needed for further validation.


2016 ◽  
Vol 7 (2) ◽  
pp. 66-69
Author(s):  
Ashkan Salari ◽  
Maosumeh Faramarzi ◽  
Seyedeh Fereshteh Naser alavi

The palate-gingival grooves are an anatomical anomaly in maxillary incisors, which might result in local periodontal pocket formation, bone loss and sometimes pulpal necrosis. In the present case, there was a groove on the palatal side of a maxillary lateral incisor with vital pulp. The periodontal problem of the tooth was treated and the 6-month postoperative follow-up showed attachment gain and decreased pocket depth.


2021 ◽  
Vol 10 (8) ◽  
pp. 1272-1276
Author(s):  
Jéssica Daniela Andreis ◽  
Dayane Jaqueline Gross ◽  
Amanda Regina Fischborn ◽  
Leomar Emanuel Almeida Mecca ◽  
Lea Rosa Chioca ◽  
...  

This case report showed an AOT in a 12-year-old female patient referred for orthodontic-surgical of both impacted right mandibular canine and lateral incisor. Cone beam computed tomography revealed a well-defined mixed hyperdense/hypodense lesion, involving the crown of the mandibular lateral incisor. The surgery consisted in surgical exposure of the mandibular right canine and lateral incisor, bonding of the lateral incisor for orthodontic traction and curettage of the mandibular lesion. Histopathological examination revealed several columnar epithelial cells with minimal stromal connective tissue, lobular pattern and rosettes and duct-like structures, confirming the diagnosis of AOT. After, the patient was referred for orthodontic traction of the impacted teeth. At 1 and 3-year postoperatively, follow-ups examinations showed extensive bone repair, resolution of the tooth-retention and absence of recurrence. Although AOT is an uncommon lesion in the mandible, it should be considered in the differential diagnosis of the mixed profile lesions in this region.


2020 ◽  
Vol 5 (4) ◽  
pp. 200-202
Author(s):  
R AnithaKumari ◽  
◽  
Sneha Jeetendra ◽  
Siddharth Rai ◽  
Sudhanva Eregowda ◽  
...  

2017 ◽  
Vol 43 (3) ◽  
pp. 232-236
Author(s):  
Se-Lim Oh

This case report presents a treatment of peri-implantitis associated with a pre-existing pathology. Peri-implantitis around implant #19 was detected from pus discharge upon probing. Guided bone regeneration was performed to treat the peri-implantitis with the administration of antibiotics. The histopathologic evaluation of soft tissue taken from the circumferential defect around the implant exhibited a cyst. The postsurgical CBCT and the follow-up radiograph confirmed the maturing bone graft and a reduced size of the defect around the implant.


Author(s):  
Divesh Sardana ◽  
Vidya Rattan ◽  
Krishan Gauba ◽  
Ashima Goyal ◽  
Satnam Singh ◽  
...  

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