IJCRR - 5(4), February, 2013
Pages: 85-92
PALATO-RADICULAR GROOVE - HIDDEN ROUTE TO DESTRUCTION - CASE REPORT
Author: Maheaswari Rajendran, Kiruthika Sivasankar
Category: Healthcare
[Download PDF]
Abstract:
Aim: To treat cases of palato-radicular groove associated with localised periodontitis using conservative and/or regenerative approach based on the depth and extent of the groove.
Objective: To utilise various regenerative approaches in the management of palato-radicular groove with associated periodontitis in order to enhance the regeneration of the lost periodontium.
Case description: Three cases of unilateral PRG with localised periodontitis involving the maxillary lateral incisor in 2 cases and central incisor in 1 case has been discussed. The article showcases the result of conservative and /or regenerative approach used in the management of these cases. Bone graft, platelet rich fibrin and guided tissue regeneration using resorbable membrane has been used in the treatment depending on morphology and depth of intrabony defect.
Conclusion: Thorough examination by the clinician helps in early detection of palato-radicular groove and prevents the loss of the periodontium. Palato-radicular groove associated with severe localised periodontitis can be successfully managed using various regenerative approaches.
Keywords: Palato-radicular groove, localised periodontitis, guided tissue regeneration, platelet rich fibrin, bone graft.
Citation:
Maheaswari Rajendran, Kiruthika Sivasankar. PALATO-RADICULAR GROOVE - HIDDEN ROUTE TO DESTRUCTION - CASE REPORT International Journal of Current Research and Review. 5(4), February, 85-92
References:
1. Lee K.W, Lee E.C, Poon K.Y. Palatogingival grooves in maxillary incisors. A possible predisposing factor to localized periodontal disease. Br. Dent J 1968; 124: 14-18.
2. Pecora. J.D, Sousa Neto M.D, Santos T.C., Saquay P.L. In vitro study of the incidence of the radicular groove in maxillary incisors. Braz Dent J 1991; 2: 69-73. 3. Glossary of periodontal terms, edn.
3, Chicago: American Academy of Periodontology, 1992: 22
4. Kogan S.L, The prevalence, location and confirmation of palate-radicular grooves in maxillary incisors. J Periodontal 1986; 57: 231-234
5. Albaricci MF, de Toledo, Zuza EP, Gomes DA, Rossetti EP, Prevalence and features of Palato radicular grooves: An in vitro study . J Int Academy of Periodontology; 2008; 10: 2-5.
6. Everett F.G, and Kramer G.M. The Distolingual groove in the maxillary lateral incisor; a periodontal hazard. J Periodontal 1972; 43: 352-361.
7. Friedman S, Goultschin J. The radicular palatal groove. A therapeutic modality. Endod Dent Traumatol 1988; 4: 282-286.
8. Huumonen S, Kvist T, Grondahl K, Molander A Diagnostic value of computed tomography in re-treatment of root fillings in maxillary molars. Int Endo J 2006; 39: 827-833.
9. J. H, Glick D.H, and Frank A.L, Predictable endodontic and periodontal failures as a result of radicular anomalies. Oral Surg.1971; 31: 823-827.
10. Maldonado A, Swartz ML, Phillips RW. An in vitro study of certain properties of a glass ionomer cement. J Am DentAssoc 1978; 96: 785-791.
11. Vermeersch G, Leloup G, Delmee M, Vreven J Antibacterial activity of glassIonomer cements, compomers and resin composites: relationship between acidity and material setting phase. J Oral Rehabil 2005; 32: 368-374.
12. Dragoo MR. Resin Ionomer and Hybrid ionomer cements: Part II. Human clinical and histologic wound healing responses n specific periodontal lesions. International Journal of Periodontics and Restorative Dentistry 1997; 17: 75-87.
13. Elanchezhian S., Harikaran J, Boris Bhim. Platelet rich plasma in the management of palatogingival groove 2011; 1(2): 125-128.
14. Rethman MP. Treatment of palatogingival groove using enamel matrix derivative. Compend Contin Educ Dent. 2001; 22(9): 792.
15. Joseph Choukroun, Antoine Diss, Steve L. Dohan, Anthony J. J. Dohan, Jaafar Mouhyi et al. Platelet-rich Fibrin (PRF): A Second generation platelet concentrate. Part IV: Clinical effects on tissue healing. Oral Surg, Oral Med, Oral Pathol, Oral Radiol 2006; 101: E56-60.
16. Anderegg CR, Meltzer DG.: Treatment of the palato-gingival groove with guided tissue regeneration. Report of 10 cases. J Periodontol 1993 ; 64: 72-74.
LIST OF FIGURES

|