title: Palatogingival Groove: Recognizing and Managing the Hidden Tract in a Maxillary Incisor: A Case Report.
abstract: Palatogingival grooves are developmental malformations quite notorious for precipitating endodontic - periodontal lesions. Owing to their inconspicuous occurrence, funnel-shaped morphology and variable extent on tooth root, they promote adherence of plaque and bacteria to levels significant for the development of pathology. Several treatment approaches have been recognized in literature for the management of this anomaly. Here in this report, a 25-year-old patient reported with the complaint of pain and swelling in maxillary right lateral incisor. Clinical examination confirmed an endodontic - periodontal lesion in relation to palatogingival groove. Endodontic treatment was instituted, followed by odontoplasty of the groove and restoration with newer calcium silicate cement, Biodentine. Combined endodontic - periodontal approach was successful in resolving the pathology with complete healing seen both clinically and radiographically. Timely diagnosis, prevention and management are highly recommended to prevent tooth loss due to complications arising secondary to their presence.
authors.affiliation: Associate Professor, Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Delhi, India.
authors.forename: Sarang
authors.initials: S
authors.lastname: Sharma
authors.affiliation: Tutor, Department of Oral and Maxillofacial Surgery, ESIC Dental College and Hospital, Delhi, India.
authors.forename: Passi
authors.initials: P
authors.lastname: Deepak
authors.affiliation: Assistant professor, Department of Conservative Dentistry and Endodontics, ESIC Dental College and Hospital, Delhi, India.
authors.forename: Sharma
authors.initials: S
authors.lastname: Vivek
authors.affiliation: Assistant professor, Department of Oral and Maxillofacial Surgery, MB Kedia Dental College, Birgunj, Nepal.
authors.forename: Shubha
authors.initials: S
authors.lastname: Ranjan Dutta
keywords: Biodentine; developmental malformation; groove; incisor; lesion