Multi-disciplinary treatment of severe palatal radicular groove of maxillary lateral incisor: A case report and literature review.
10.11817/j.issn.1672-7347.2023.220104
- Author:
Jun CHEN
1
,
2
,
3
,
4
;
Zhiwei LUO
1
,
2
,
3
,
5
;
Hsinyi TSENG
1
,
2
,
3
,
5
;
Lefan WANG
6
;
Binjie LIU
1
,
2
,
3
,
5
;
Wenjie LI
1
,
2
,
3
,
7
Author Information
1. Xiangya School of Stomatology, Central South University
2. Hunan Key Laboratory of Oral Health Research
3. Hunan 3D Printing Engineering Research Center of Oral Care
4. Hunan Clinical Research Center of Oral Major Diseases and Oral Health, Changsha 410008. chenjun1222@csu.edu.cn.
5. Hunan Clinical Research Center of Oral Major Diseases and Oral Health, Changsha 410008.
6. Department of Stomatology, Yiyang Medical College, Yiyang Hunan 413000, China.
7. Hunan Clinical Research Center of Oral Major Diseases and Oral Health, Changsha 410008. liwenj@csu.edu.cn.
- Publication Type:Journal Article
- Keywords:
combined periodontal-endodontic lesions;
dental implant;
guide bone tissue regeneration;
palatal radicular groove;
periapical cysts;
periodontal abscess
- MeSH:
Humans;
Incisor;
Radicular Cyst;
Abscess;
Tooth Root/abnormalities*;
Root Canal Therapy;
Maxilla;
Cysts
- From:
Journal of Central South University(Medical Sciences)
2023;48(2):302-310
- CountryChina
- Language:English
-
Abstract:
Palatal radicular groove is a developmental malformation of maxillary incisors, lateral incisors in particular, which often causes periodontal destruction. This paper reports a case of combined periodontal-endodontic lesions induced by palatal radicular groove, which was initially misdiagnosed as a simple periapical cyst. After root canal therapy and periapical cyst curettage, the course of disease was prolonged, resulting in the absence of buccal and maxillary bone plates in the affected tooth area. After the etiology was determined, the affected tooth was extracted and guide bone tissue regeneration was performed at the same time, followed by implantation and restoration at the later stage, leading to clinical cure. The palatal radicular groove is highly occult, and the clinical symptoms are not typical. If the abscess of the maxillary lateral incisor occurs repeatedly, and the abscess of the maxillary lateral incisor has not been cured after periodontal and root canal treatment, cone-beam computed tomographic and periodontal flap surgery should be considered.
