Aim: This case report aims to describe the management of a maxillary lateral incisor with a palatogingival groove (PGG) associated with a complex lesion.
Background: The PGG is a rare developmental anomaly that involves the lingual surface of the maxillary incisors and extends for varying distances and depths on the root surface. This anomaly is usually inconspicuous and funnel-shaped, which forms a niche where bacterial plaque and calculus can accumulate to levels significant for pathological changes resulting in endodontic and periodontal lesions. These grooves are easily overlooked as etiologic factors, as they are concealed by the periodontal tissues.
Case Description: This paper describes the successful management of a rare case of maxillary lateral incisor with an accessory root, two canals, and a complex or type III PGG with a endodontic-periodontic lesion using a multidisciplinary approach.
Conclusion: Recognizing PGG as the initiator of pathology is critical for the successful treatment and favorable prognosis of the affected tooth.
Clinical Significance: This case report highlights the importance of three-dimensional (3D) imaging using cone beam computed tomography (CBCT) that can provide accurate and sensitive information to assess and plan the treatment of the teeth with PGG. It also emphasizes that with the development of newer materials and diagnostic tools, clinicians need a detailed understanding of the characteristics, treatment, and prognosis of PGG to successfully manage the condition.
How To Cite This Article: Gupta S, Tandon S, Rathore AS, Palatogingival Groove: The Known-unknown Devourer. Int J Clin Pediatr Dent 2024;17(S-1):S95-S99.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11343988 | PMC |
| http://dx.doi.org/10.5005/jp-journals-10005-2786 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Palatogingival Groove: The Known-unknown Devourer.
Int J Clin Pediatr Dent
April 2024
Department of Pediatric and Preventive Dentistry, RUHS College of Dental Science, Rajasthan University of Health Sciences (RUHS), Jaipur, Rajasthan, India.
Aim: This case report aims to describe the management of a maxillary lateral incisor with a palatogingival groove (PGG) associated with a complex lesion.
Background: The PGG is a rare developmental anomaly that involves the lingual surface of the maxillary incisors and extends for varying distances and depths on the root surface. This anomaly is usually inconspicuous and funnel-shaped, which forms a niche where bacterial plaque and calculus can accumulate to levels significant for pathological changes resulting in endodontic and periodontal lesions.
A Three-Dimensional Assessment of a Type I Shallow Palatogingival Groove by Cone Beam Computed Tomography: A Case Report.
Cureus
May 2024
Oral Medicine and Radiology, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation (VMRF-DU), Salem, IND.
The palatogingival groove is a developmental anomaly on the palatal surface of the maxillary anterior teeth. The shallow groove, often less than 1 mm, is challenging to diagnose, particularly in radiographic examinations. Such grooves are mistaken for root fractures.
View Article and Find Full Text PDFCone-beam computed tomographic evaluation to estimate the prevalence of palatogingival groove in the maxillary anterior teeth and its radiographic characteristics: An institutional retrospective study.
J Conserv Dent Endod
March 2024
Department of Conservative Dentistry and Endodontics, Dr. R. Ahmed Dental College and Hospital, Kolkata, West Bengal, India.
Aim: The purpose of the study was to radiographically evaluate the prevalence of palatogingival groove (PG) in the East Indian population in the maxillary anterior teeth in different genders, its unilateral/bilateral presentation, classified based on its radiographic characteristics, to determine the prevalence of different types, which could help in future treatment planning.
Study Design: The design of the study was a retrospective study.
Materials And Methods: Analysis of 429 maxillary anterior teeth (144 central incisors, 145 lateral incisors, and 139 canines) in 72 cone-beam computed tomography scans was done (31 males and 41 females, mean age 27.
Prevalence of palatogingival groove affecting maxillary anterior teeth in Saudi subpopulation: A cone-beam computed tomographic study with literature review.
Saudi Dent J
December 2023
Dental Intern, College of Dentistry, Qassim University, Buraydah, Saudi Arabia.
Aim: To investigate the prevalence of palatogingival groove (PGG) affecting maxillary anterior teeth, bilateral occurrence, and distribution among sex in the Saudi subpopulation and to review the literature on the prevalence of PGG.
Introduction: Palatogingival groove (PGG) primarily affects maxillary lateral incisors and, when present, may contribute to the pathogenesis of periodontal and endodontic lesions.
Materials & Methods: A total of 509 CBCT scans of Saudi patients with 2747 maxillary anterior teeth were included in the study.
Management of Palatogingival Groove in Maxillary Lateral Incisor: A Report of a Rare Case With a Brief Review of Literature.
Cureus
October 2023
Oral Medicine and Radiology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, IND.
Several morphological abnormalities may occur during tooth development and may be a predisposing factor for periodontal destruction. Palatogingival groove (PGG) is a developmental deformity that may cause localized periodontitis and endodontic complexities. The groove usually originates as a root indentation in the central fossa of the palatal root of maxillary lateral incisors.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!