Odovtos - International Journal of Dental Sciences ISSN Impreso: 1659-1046 ISSN electrónico: 2215-3411

OAI: https://revistas.ucr.ac.cr/index.php/Odontos/oai
CBCT Diagnosis of Palatogingival Groove in the Maxillary Central Incisor: A Case-Based Review
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Keywords

Cone-Beam computed tomography; Tooth abnormalities; Anatomy.
Tomografía computarizada de haz cónico; Anomalías dentarias; Anatomía.

How to Cite

Fischborn, A. R., Pedroso, C. M., Rigo, N. M., de Oliveira, F. B., Zavarez, L. B., Claudino, M., & Nobre Franco, G. C. (2023). CBCT Diagnosis of Palatogingival Groove in the Maxillary Central Incisor: A Case-Based Review. Odovtos - International Journal of Dental Sciences, 194–204. https://doi.org/10.15517/ijds.2023.55147

Abstract

The palato-gingival groove (PGG) is a variation of normality characterized by a fissure along the root of the anterior-superior teeth, in which late detection could result in clinical-related complications. A 16-year-old female underwent a cone-beam computed tomography (CBCT) for an orthodontic evaluation to assess the presence and position of impacted maxillary canines. CBCT revealed the presence of a PGG in the upper right central incisor. Clinically, a sulcus was detected in the cingulum region, accompanied by gingival inflammation. In tomographic sections, the extension of the sulcus from the cingulum to the apical third was observed. A periodontal approach was performed, followed by an 18-month follow-up. At this follow-up, no clinical evidence of gingival inflammation was observed, characterizing a favourable prognosis. PGG is an unusual variation that affects maxillary anterior incisors. The early detection of this sulcus, performed only by CBCT, is associated with a favourable prognosis.

https://doi.org/10.15517/ijds.2023.55147
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References

Brook A.H., Jernvall J., Smith R.N., Hughes T.E., Townsend G.C. The dentition: the outcomes of morphogenesis leading to variations of tooth number, size and shape. Aust Dent J 2014; 59: 131-42.

Sharma S., Deepak P., Vivek S., Ranjan Dutta S. Palatogingival Groove: Recognizing and Managing the Hidden Tract in a Maxillary Incisor: A Case Report. J Int Oral Health 2015; 7 (6): 110-4.

Ahmed H.M.A., Dummer P.M.H. A new system for classifying tooth, root and canal anomalies. Int Endod J 2018; 51 (4): 389-404.

Everett F.G., Kramer G.M. The disto-lingual groove in the maxillary lateral incisor; a periodontal hazard. J Periodontol 1972; 43 (6): 352-61.

Storrer C.M., Sanchez P.L., Romito G.A., Pustiglioni F.E. Morphometric study of length and grooves of maxillary lateral incisor roots. Arch Oral Biol 2006; 51 (8): 649-54.

Iqbal N., Tirmazi S.M., Majeed H.A., Munir M.B. Prevalence of palato gingival groove in maxillary lateral incisors. Pak Oral Dent J 2011; 31: 424-426.

Kim H.J., Choi Y., Yu M.K., Lee K.W., Min K.S. Recognition and management of palatogingival groove for tooth survival: a literature review. Restor Dent Endod 2017; 42 (2): 77-86.

Fabra-Campos H. Failure of endodontic treatment due to a palatal gingival groove in a maxillary lateral incisor with talon cusp and two root canals. J Endod 1990; 16 (7): 342-5.

Kerezoudis N.P., Siskos G.J., Tsatsas V. Bilateral buccal radicular groove in maxillary incisors: Case report. Int Endod J 2003; 36: 898-906.

Tan X.L., Chen X., Fu Y.J., Ye L., Zhang L., Huang D.M. Diverse microbiota in palatal radicular groove analyzed by Illumina sequencing: Four case reports. World J Clin Cases 2021; 9 (23): 6846-6857.

Giner-Lluesma T., Micó-Muñoz P., Prada I., Micó-Martínez P., Collado-Castellanos N., Manzano-Saiz A., Albero-Monteagudo A. Role of cone-beam computed tomography (CBCT) in diagnosis and treatment planning of two-rooted maxillary lateral incisor with palatogingival groove. Case report. J Clin Exp Dent 2020; 12 (7): e704-e707.

Lekshmi M.S., Sharma S., Gupta S.R., Sharma S., Kumar V., Chawla A., Logani A. Prevalence and radiological characteristics of palatogingival groove: A retrospective cone-beam computed tomography study in an Indian cohort. J Conserv Dent 2021; 24 (4): 359-363.

Rajput A., Talwar S., Chaudhary S., Khetarpal A. Successful management of pulpo-periodontal lesion in maxillary lateral incisor with palatogingival groove using CBCT scan. Indian J Dent Res 2012; 23 (3): 415-8.

Gu Y.C. A micro-computed tomographic analysis of maxillary lateral incisors with radicular grooves. J Endod 2011; 37: 789-92.

Arslan H., Ertas E.T., Topçuoğlu H.S., Şekerci A.E., Atici M.Y., Ertas H., et al. Radicular grooves of maxillary anterior teeth in a Turkish population: A cone-beam computed tomographic study. Arch Oral Biol 2014; 59: 297-301.

Aksoy U., Kermeoğlu F., Kalender A., Eren H., Kolsuz M.E., Orhan K. Cone-beam computed tomography evaluation of palatogingival grooves: A retrospective study with literature review. Oral Radiol 2017; 33: 193-8.

Zhang R., Xiong J., Haapasalo M., Shen Y., Meng L. Palatogingival grooves associated with periodontal bone Loss of maxillary incisors in a Chinese population. Aust Endod J 2022; 48 (2): 313-321.

Castelo-Baz P., Ramos-Barbosa I., Martín-Biedma B., Dablanca-Blanco A.B., Varela-Patiño P., Blanco-Carrión J. Combined Endodontic-Periodontal Treatment of a Palatogingival Groove. J Endod 2015; 41 (11): 1918-22.

Katwal D., Fiorica J.K., Bleuel J., Clark S.J. Successful Multidisciplinary Management of an Endodontic-Periodontal Lesion Associated With a Palato-Radicular Groove: A Case Report. Clin Adv Periodontics 2020; 10 (2): 88-93.

Han B., Liu Y.Y., Liu K.N., Gao M., Wang Z.H., Wang X.Y. Is Intentional Replantation Appropriate for Treatment of Extensive Endodontic-periodontal Lesions Related to Palatogingival Groove? Chin J Dent Res 2020; 23 (3): 205-214.

Forero-López J., Gamboa-Martinez L., Pico-Porras L., Niño-Barrera J.L. Surgical management with intentional replantation on a tooth with palato-radicular groove. Restor Dent Endod 2015; 40: 166-171.

Tan D., Li S.T., Feng H., Wang Z.C., Wen C., Nie M.H. Intentional replantation combined root resection therapy for the treatment of type III radicular groove with two roots: A case report. World J Clin Cases 2022; 10 (20): 6991-6998.

Yao L., Liu J., Cao Z., Sheng L. Study of the intentional replantation procedure used to treat a tooth with a palatogingival groove: A case report. J Clin Exp Dent 2022; 14 (2): e205-e210.

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