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Combined Endodontic Therapy and Intentional Replantation for the Treatment of Palatogingival Groove.

Abstract：

:A palatogingival groove is an anatomic malformation that predisposes the involved tooth to a severe periodontal defect. When the condition is complicated by pulpal necrosis, affected teeth often present a dilemma in terms of diagnosis and treatment planning. In this report, we describe the case of a patient with a maxillary lateral incisor with a deep palatogingival groove extending to the root apex and severe periodontal destruction (local pocketing). Suggested treatment modalities included curettage of the affected tissues, elimination of the groove by grinding and/or sealing with a variety of filling materials, and surgical procedures. In this case, a combined treatment approach, involving both endodontic therapy and intentional replantation after restoration with a self-etching flowable composite, resulted in periodontal healing and significant healing of the periradicular radiolucency at 12 months. In short, intentional replantation offers a predictable procedure and should be considered a viable treatment modality for the management of palatogingival grooves, especially for single-rooted teeth.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Garrido I,Abella F,Ordinola-Zapata R,Duran-Sindreu F,Roig M

doi

10.1016/j.joen.2015.10.009

subject

Has Abstract

pub_date

2016-02-01 00:00:00

pages

324-8

issue

2

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(15)00931-0

journal_volume

42

pub_type

杂志文章

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