Gupta Sumedha, Tandon Sandeep, Rathore Ambika S, Mathur Rinku, Rai Tripti S, Dhaker Kanchan Kumari
Department of Pediatric and Preventive Dentistry, RUHS College of Dental Science, Rajasthan University of Health Sciences (RUHS), Jaipur, Rajasthan, India.
Department of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Jaipur, Rajasthan, India.
Int J Clin Pediatr Dent. 2024 Apr;17(Suppl 1):S95-S99. doi: 10.5005/jp-journals-10005-2786.
This case report aims to describe the management of a maxillary lateral incisor with a palatogingival groove (PGG) associated with a complex lesion.
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.
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.
Recognizing PGG as the initiator of pathology is critical for the successful treatment and favorable prognosis of the affected tooth.
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.
Gupta S, Tandon S, Rathore AS, Palatogingival Groove: The Known-unknown Devourer. Int J Clin Pediatr Dent 2024;17(S-1):S95-S99.
本病例报告旨在描述一颗伴有腭龈沟（PGG）及复杂病变的上颌侧切牙的治疗情况。
腭龈沟是一种罕见的发育异常，累及上颌切牙的舌面，并在牙根表面延伸不同的距离和深度。这种异常通常不明显且呈漏斗状，形成一个菌斑和牙石可积聚到足以导致病理改变从而引发牙髓和牙周病变的龛。这些沟作为病因很容易被忽视，因为它们被牙周组织掩盖。
本文描述了一例罕见的上颌侧切牙病例的成功治疗，该牙有副根管、两个根管以及复杂的III型腭龈沟并伴有牙髓牙周联合病变，采用了多学科治疗方法。
认识到腭龈沟是病变的起始因素对于患牙的成功治疗和良好预后至关重要。
本病例报告强调了使用锥形束计算机断层扫描（CBCT）进行三维（3D）成像的重要性，其可为评估和规划腭龈沟患牙的治疗提供准确且敏感的信息。它还强调，随着新材料和诊断工具的发展，临床医生需要详细了解腭龈沟的特征、治疗方法和预后，以便成功处理该病症。
Gupta S, Tandon S, Rathore AS, 腭龈沟：已知的未知破坏者。《国际临床儿科牙科学杂志》2024年；17（增刊1）：S95 - S99。
