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Abstract
Palatoradicular groove is an anomaly which is found more frequently in upper lateral and central incisors. This condition may lead to endo-perio lesions. A 19- year- old female presented with chief complaint of swelling and pus discharge from the gums of the right side of the upper front teeth and she also complained of loose tooth and intermittent pain. On clinical examination, probing pocket depth of 10 mm, grade II mobility and extrusion of the tooth was found. A combined endo-perio treatment was performed and elimination of the groove, pain and reduction in probing pocket depth and mobility was achieved. The purpose of this case is to highlight an interdisciplinary approach towards the management of an anomaly which may affect the endodontic status of the tooth and periodontal health of the patient. DOI: http://dx.doi.org/10.3329/bjms.v13i3.15216 Bangladesh Journal of Medical Science Vol.13(3) 2014 p.345-349
Highlights
Dental plaque is an adherent biofilm of bacteria and their products that forms on all tooth surfaces and dental prosthesis[1]
This palatoradicular groove (PRG) is a locus of plaque and calculus accumulation, which acts as a secondary local etiologic factor encouraging the development of periodontitis[5]
In a case of combined endo-perio lesion, an adequate endodontic therapy would result in healing of the endodontic component, and the prognosis would depend on the efficacy of periodontal repair/regeneration initiated by either of the treatment procedures
Summary
Dental plaque is an adherent biofilm of bacteria and their products that forms on all tooth surfaces and dental prosthesis[1]. The palatoradicular groove (PRG) is a developmental anomaly, when present acts as a site for plaque accumulation, often associated with localized periodontitis and pulpal necrosis[2]. P. Koirala Institute of Health Sciences, with chief complaint of swelling and pus discharge from the gums of the right side of the upper front teeth and she complained of loose tooth and intermittent pain. 1. Dhirendra k Giri, Assistant Professor, Department of Periodontology, College of Dental Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal. 2. Mannu Vikram, Assistant Professor, Department of Conservative and Endodontics, College of Dental Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal. 3. Alok Sagtani, Additional Professor, Department of Oral and maxillofacial Surgery, College of Dental Surgery, B P Koirala Institute of Health Sciences, Dharan, Nepal.
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