Journal of Pierre Fauchard Academy (India Section)

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Periodontal Management of Palatogingival Groove – Case Report


Affiliations
1 Department of Periodontics and Implantology, Tamil Nadu Government Dental College and Hospital, Chennai – 600003, Tamil Nadu, India
     

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Periodontal and endodontic infections are interrelated and most common during routine dental practice. Palatogingival groove, a morphological anomaly usually reported on the palatal aspect of maxillary incisors, cause periodontal attachment loss and alveolar bone destruction and finally tooth loss. Unknown etiology was reported for the developmental defect, develops in to pathological condition only when the there is a discontinuity in the epithelial attachment. Early diagnosis and proper selection of therapeutic modalities helps in preservation of involved tooth. Milder cases were treated by saucerization, odontoplasty and strict oral hygiene maintenance protocol. Moderate case was treated by open flap debridement, regenerative applications such as bone graft and membrane placement. PGG restored using various restorative material and seal the morphology. Clinical diagnosis become unnoticed in most cases, hence proper diagnosis and therapeutic interventions are of prime importance in PGG management.

Keywords

Hertwig’s Epithelial Root Sheath, Interruption Groove, Para-pulpal Line, Saucerization
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  • Periodontal Management of Palatogingival Groove – Case Report

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Authors

Jaishree Tukaram Kshirsagar
Department of Periodontics and Implantology, Tamil Nadu Government Dental College and Hospital, Chennai – 600003, Tamil Nadu, India

Abstract


Periodontal and endodontic infections are interrelated and most common during routine dental practice. Palatogingival groove, a morphological anomaly usually reported on the palatal aspect of maxillary incisors, cause periodontal attachment loss and alveolar bone destruction and finally tooth loss. Unknown etiology was reported for the developmental defect, develops in to pathological condition only when the there is a discontinuity in the epithelial attachment. Early diagnosis and proper selection of therapeutic modalities helps in preservation of involved tooth. Milder cases were treated by saucerization, odontoplasty and strict oral hygiene maintenance protocol. Moderate case was treated by open flap debridement, regenerative applications such as bone graft and membrane placement. PGG restored using various restorative material and seal the morphology. Clinical diagnosis become unnoticed in most cases, hence proper diagnosis and therapeutic interventions are of prime importance in PGG management.

Keywords


Hertwig’s Epithelial Root Sheath, Interruption Groove, Para-pulpal Line, Saucerization

References