Palatoradicular groove and periodontal disease- A case report

Palatoradicular groove is an important anatomic factor that presents accessibility problems and worsens the prognosis of periodontal disease. Palato-radicular groove is a rare developmental anomaly with prevalence rate of 2.8-8.5%. Most commonly affected tooth is the maxillary lateral incisor (93.8%). Palatoradicular groove may present as a radiolucent para pulpal line, radiographically. Treatment of radicular groove presents a clinical challenge to the operator. Removal of local predisposing factor is of prime importance. This case report presents the management of the periodontal defect associated with palatoradicular groove incorporating periodontal flap surgery with bone graft and GTR.