title: Combined Endodontic-Periodontal Treatment of a Palatogingival Groove.
abstract: A palatogingival groove is a developmental anomaly that predisposes the involved tooth to develop a severe periodontal lesion. These grooves often present a clinical challenge because diagnosis and treatment planning require an interdisciplinary approach. This case report describes the successful management of a right maxillary lateral incisor with a deep palatogingival groove in combination with an extensive periodontal pocket and pulp necrosis of the involved tooth. Collaborative management used a combination of endodontic treatment, periodontal therapy, odontoplasty, and a periodontal regenerative procedure using protein complex derived from enamel matrix (Emdogain; Straumann, Basel, Switzerland). Despite a predicted poor prognosis, the tooth lesion healed. This report also discusses the rationale behind the treatment modalities.
authors.affiliation: University of Santiago de Compostela, Santiago de Compostela, Spain. Electronic address: pablocastelobaz@hotmail.com.
authors.forename: Pablo
authors.initials: P
authors.lastname: Castelo-Baz
authors.affiliation: University of Santiago de Compostela, Santiago de Compostela, Spain.
authors.forename: Isabel
authors.initials: I
authors.lastname: Ramos-Barbosa
authors.affiliation: University of Santiago de Compostela, Santiago de Compostela, Spain.
authors.forename: Benjamín
authors.initials: B
authors.lastname: Martín-Biedma
authors.affiliation: University of Santiago de Compostela, Santiago de Compostela, Spain.
authors.forename: Ana Belén
authors.initials: AB
authors.lastname: Dablanca-Blanco
authors.affiliation: University of Santiago de Compostela, Santiago de Compostela, Spain.
authors.forename: Purificación
authors.initials: P
authors.lastname: Varela-Patiño
authors.affiliation: University of Santiago de Compostela, Santiago de Compostela, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Blanco-Carrión
mesh_terms: D000328:Adult; D003790:Dental Pulp Necrosis / Q000628:therapy*; D005260:Female; D005881:Gingiva / Q000002:abnormalities*; D006801:Humans; D007180:Incisor / Q000473:pathology*; D010159:Palate / Q000002:abnormalities*; D010518:Periodontitis / Q000628:therapy*; D016896:Treatment Outcome
keywords: Interdisciplinary approach; palatal groove; periodontal regenerative techniques