Collaborative Management of Combined Periodontal-endodontic Lesions with a Palatogingival Groove: A Case Series

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• 作者：Young-Dan Cho ; DDS ; PhD^&lowast ; ; Jung-Eun Lee ; DDS ; MSD^&lowast ; ; Yoonjin Chung ; DDS ; MSD^&dagger ; ; Woo-Cheol Lee ; DDS ; PhD^&dagger ; ; Yang-Jo Seol ; DDS ; PhD^&lowast ; ; Yong-Moo Lee ; DDS ; PhD^&lowast ; ; In-Chul Rhyu ; DDS ; PhD^&lowast ; ; Young Ku ; DDS ; PhD^&lowast ; ; ^{guy@snu.ac.kr}
• 关键词：Combined periodontal-endodontic lesion ; gingival tissue regeneration ; odontoplasty ; palatogingival groove
• 刊名：Journal of Endodontics
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：43
• 期：2
• 页码：332-337
• 全文大小：1578 K
• 卷排序：43

文摘

This article reports 3 representative cases of interdisciplinary management of a palatogingival groove in maxillary lateral incisors. The development, pathology, and effectiveness of management approaches in cases involving a combined periodontal-endodontic lesion with a palatogingival groove are discussed.MethodsWe describe 3 patients with a noncontributory medical history presenting with a chief complaint related to a maxillary incisor and diagnosed with a combined periodontal-endodontic lesion with a palatogingival groove at Seoul National University Dental Hospital, Seoul, Korea.ResultsPalatogingival grooves were mostly associated with deep periodontal pockets connected to a periapical lesion. Optional collaborative treatments were performed according to the condition as follows: case 1, root canal treatment (RCT), open flap debridement, odontoplasty, and guided tissue regeneration; case 2, RCT, apicoectomy, open flap debridement, and odontoplasty; and case 3, RCT, crown restoration, root planning, and odontoplasty. After clinical examination and radiographic assessments, the periapical lesion and periodontal deep pocket were successfully resolved with periodontal-endodontic collaborative treatment involving both periodontal surgical procedures (cases 1 and 2) and a nonsurgical procedure (case 3).ConclusionsWithin the limitations of this study, these case reports show that accurate diagnosis of developmental anomalies and elimination of inflammatory irritants are key factors for favorable long-term outcomes.