Treatment of an intrabony osseous lesion associated with a palatoradicular groove
Autor: | Suchetha A, Darshan B Mundinamane, Ashit Bharwani, Rashmi Heralgi |
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Rok vydání: | 2012 |
Předmět: |
medicine.diagnostic_test
palatoradicular groove business.industry Osseous lesion Radiodensity Radiography medicine.medical_treatment Dentistry Case Report Orthodontics Physical examination osseous defects Grafts lcsh:RK1-715 medicine.anatomical_structure Incisor lcsh:Dentistry medicine Periodontics Oral Surgery medicine.symptom business Groove (joinery) Gingival recession Reduction (orthopedic surgery) |
Zdroj: | Contemporary Clinical Dentistry Contemporary Clinical Dentistry, Vol 3, Iss 6, Pp 260-263 (2012) |
ISSN: | 0976-237X |
Popis: | Various root developmental anomalies like palatoradicular groove (PRG) have been associated with worsening of periodontal condition. The aim of the present case report is to describe the regenerative surgical treatment of periodontal and osseous lesion associated with the subgingival extension of PRG. A 23-year-old female patient reported with pain in upper incisor teeth region. On clinical and radiological examination, a deep endosseous defect was found distal to maxillary right lateral incisor that was etiologically associated with the presence of a PRG. Treatment procedures consisted of: Regenerative periodontal therapy using Guided tissue regeneration (GTR) and hydroxyapatite (HA) bone graft and 2) flattening of the radicular portion of the palatal groove. The clinical examination at 1 year revealed shallow residual probing depth (3 mm) and no increase in gingival recession. The radiographic examination showed reduction in the radiolucency suggesting bone fill. A PRG may serve as a pathway for the development of a periodontal osseous defect. The combination of GTR and HA may be clinically and radiographically efficacious in the treatment of such a defect. |
Databáze: | OpenAIRE |
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