Periodontal Management of Palatogingival Groove – Case Report

Jaishree Tukaram Kshirsagar, Kokhila S., Vidya Albert
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Abstract

Periodontal and endodontic infections are interrelated and most common during routine dental practice. Palatogingival groove, a morphological anomaly usually reported on the palatal aspect of maxillary incisors, cause periodontal attachment loss and alveolar bone destruction and finally tooth loss. Unknown etiology was reported for the developmental defect, develops in to pathological condition only when the there is a discontinuity in the epithelial attachment. Early diagnosis and proper selection of therapeutic modalities helps in preservation of involved tooth. Milder cases were treated by saucerization, odontoplasty and strict oral hygiene maintenance protocol. Moderate case was treated by open flap debridement, regenerative applications such as bone graft and membrane placement. PGG restored using various restorative material and seal the morphology. Clinical diagnosis become unnoticed in most cases, hence proper diagnosis and therapeutic interventions are of prime importance in PGG management.
腭龈沟牙周管理1例报告
牙周和牙髓感染是相互关联的,在日常牙科治疗中最常见。腭龈沟是上颌切牙腭侧的一种形态异常,可导致牙周附着体丧失和牙槽骨破坏,最终导致牙齿脱落。据报道,这种发育缺陷的病因不明,只有当上皮附着不连续性时才会发展到病理状态。早期诊断和正确选择治疗方式有助于保存受累的牙齿。轻症患者均行牙碟化、牙成形术及严格的口腔卫生维护。中度病例采用开瓣清创、骨移植、膜置入术等再生应用。PGG采用各种修复材料进行修复,并密封形态。在大多数情况下,临床诊断被忽视,因此正确的诊断和治疗干预在PGG管理中至关重要。
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