title: Combined endodontic therapy and periapical surgery with MTA and bone graft in treating palatogingival groove.
abstract: A 37-year-old male patient reported to our department with chief complaint of pain and pus discharge from the labial marginal gingiva in the maxillary right lateral incisor region since last 4 months. Clinically, the tooth was hypersensitive to percussion and palpation but failed to respond to pulp sensitivity testing. After periodontal probing, a palatal groove was observed which started at the cingulum and travelled apically and laterally, associated with a pocket depth of 8 mm. Occlusal radiograph showed circumscribed radiolucency measuring 5 mm×7 mm in diameter at the apex of the tooth. A clinical diagnosis of chronic apical abscess was established. The case was treated with a combination of mineral trioxide aggregate and bone graft. At the 6-month follow-up visit, the tooth showed progressive healing without sinus track and sulcular bleeding.
authors.affiliation: Department of Periodontics and Implantology, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.
authors.forename: Mudit
authors.initials: M
authors.lastname: Mittal
authors.forename: Pallavi
authors.initials: P
authors.lastname: Vashisth
authors.forename: Rachita
authors.initials: R
authors.lastname: Arora
authors.forename: Swati
authors.initials: S
authors.lastname: Dwivedi
mesh_terms: D000328:Adult; D017607:Aluminum Compounds / Q000627:therapeutic use*; D016025:Bone Transplantation; D017610:Calcium Compounds / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D004338:Drug Combinations; D006801:Humans; D007180:Incisor; D008297:Male; D008437:Maxilla; D010087:Oxides / Q000627:therapeutic use*; D010482:Periapical Abscess / Q000175:diagnosis* / Q000628:therapy*; D012387:Root Canal Filling Materials / Q000627:therapeutic use*; D012390:Root Canal Therapy; D017640:Silicates / Q000627:therapeutic use*
chemical_list: D017607:Aluminum Compounds; D017610:Calcium Compounds; D004338:Drug Combinations; D010087:Oxides; D012387:Root Canal Filling Materials; D017640:Silicates; C086631:mineral trioxide aggregate