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Article: Volume 45 Number 7 Page 634 - July/August 2018

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  Dent Update 2018; 45: 634-640

Restorative dentistry:  Combined Endodontic-Surgical Management of a Palato-Gingival Groove in a Maxillary Lateral Incisor with Two Canals

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Abstract: Maxillary lateral incisors often exhibit embryological variations and developmental anomalies. The palato-gingival groove (PGG) is a rare anomaly that can pose difficulties in accurate diagnosis and treatment planning. Its presence can predispose to localized periodontal involvement, pulpal necrosis and combined periodontal-endodontic lesions. This case report describes the combined endodontic and surgical management of a complex type of palato-gingival groove in a maxillary right lateral incisor with two canals which was diagnosed with the help of cone beam computed tomography (CBCT) and successfully managed using advanced bioactive materials.

Clinical relevance: Clinicians should be familiar with the diagnosis and treatment planning in cases with a palato-gingival groove. Complex cases require combined endodontic and periodontal therapy. Autologous platelet rich fibrin (PRF) is a simple and cost-effective healing aid which helps in the regeneration of attachment apparatus.

Author notes: Nasil Sakkir, BDS, MDS, PGCOI, Assistant Professor, Department of Conservative Dentistry and Endodontics, Melaka-Manipal Medical College, Malaysia, Mohamed Asifulla, BDS, MDS, Registrar Endodontist, Central Security Hospital, Buryadah Al-Qassim, Saudi Arabia, Khaleel Ahamed Thaha, BDS, MDS, Senior Lecturer, Department of Conservative Dentistry and Endodontics, Government Dental College, Thiruvananthapuram, Kerala and Tony Francis, BDS, MDS, Assistant Professor, Department of Conservative Dentistry and Endodontics, Malaka-Manipal Medical College, Malaysia.

Objective: To outline diagnosis and treatment planning in cases with a palato-gingival groove.

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