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Groove associated periodontitis: classification proposal and clinical. Case report
S Mauro1, L Orlando, R Panzoni
1Department of Odontostomatology, University of Florence, Florence, Italy. s.mauro@odonto.unifi.it
Minerva Stomatologica
|May 20, 2005
Summary
Palatoradicular grooves (PRG) can cause endodontic-periodontal lesions, often leading to missed diagnoses. This study proposes a classification and demonstrates successful treatment of a severe PRG case, improving prognosis.
Area of Science:
- Dentistry
- Endodontics
- Periodontology
Background:
- Palatoradicular grooves (PRG) are developmental anomalies frequently found in maxillary lateral incisors.
- PRGs can lead to complex endodontic-periodontal lesions, compromising tooth prognosis due to diagnostic challenges and treatment complexity.
Observation:
- A severe case of palatoradicular groove (PRG) in a maxillary lateral incisor presented with advanced periodontal destruction and endodontic history.
- The tooth exhibited significant probing depths, clinical attachment loss, and mobility.
Findings:
- A comprehensive treatment approach involving endodontic retreatment, periodontal surgery (radiculoplasty, guided tissue regeneration), and prosthetic rehabilitation was implemented.
- Long-term follow-up (6 years) demonstrated significant reduction in pocket depths, substantial gain in clinical attachment levels, and decreased tooth mobility.
Implications:
- The proposed histopathological and clinical classification aids clinicians in determining appropriate therapeutic strategies for PRG-related pathologies.
- Successful management of even severe PRG cases is achievable through a multidisciplinary approach, including endodontic, periodontal, and prosthetic interventions.
- This approach can positively influence the long-term prognosis of affected teeth, preserving function and aesthetics.