Informatics Publishing Limited

Abhaya Chandra Das ¹, Sourav Panda ¹, SaumyaKanta Mohanty ², Nitai Debnath ³, Sital Panda ⁴

Affiliations
1 Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha, IN
2 Department of Conservative and Endodontic, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, Odisha,, IN
3 Department of Prosthetic Dentistry, RIMS, Imphal, IN
4 Department of Public Health, RMRC, Bhubaneswar, Odisha, IN

Abstract

To achieve an ideal smile, anterior maxillary labial gingival margin position plays a vital role. The gingival margin position is sometimes disturbed during or after the orthodontic treatment, which is mainly due to difficulty in plaque control, resulting in gingival enlargement. Anterior surgical crown lengthening may be undertaken to treat the gingival enlargement. A 23-year-old girl came to Department of Periodontics, with a chief complaint of anunaesthetic smile resulting from orthodontictreatment. Under local anesthesia, gingivectomy and frenectomy were carried out in the anterior maxillary arch (13 to 23) and periodontal dressing was given and followed up to 6 months. She was very satisfied with the aesthetic result.

Keywords

Crown Lengthening, Frenectomy, Gingival Enlargement, Gingivectomy, Orthodontic Treatment.

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Anurag Satpathy ¹, Gatha Mohanty ¹, Pratiti Datta ¹, Rinkee Mohanty ¹, Rashmita Nayak ¹, Sourav Panda ²

Affiliations
1 Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Khandagiri Square, Bhubaneswar, Odisha, IN
2 Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan (Deemed to be University), Khandagiri Square, Bhubaneswar, Odisha, IN

Abstract

Palatogingival groove is an anatomic malformation commonly occurring in maxillary lateral incisors. It frequently goes undetected andis often associated with complex Periodontic-endodontic lesions. Palatogingival groove harbour microbial plaque and cause pathological changes thereby resulting in lesions involving the periodonto-pulpal complex. This case report presents a complex perio-endo lesion associated with a palatogingival groove in maxillary lateral incisor which was successfully managed with both endodontic and regenerative periodontal therapy with the use of injectable platelet rich fibrin (iPRF).

Keywords

Palatogingival Groove, Periodontal Regeneration, Perio-Endo Lesion, iPRF.

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