KV Kishan1, Vani Hegde2, KC Ponnappa1, TN Girish1, MC Ponappa1
1 Department of Conservative Dentistry and Endodontics, Coorg Institute of Dental Sciences, Virajpet, Coorg, Karnataka, India
2 Department of Conservative Dentistry and Endodontics, AME’s Dental College and Hospital, Raichur, India
This study is to report the rare localization of a radicular groove on the palatal aspect of the maxillary lateral incisor and to discuss the pathology and management of the concomitant endo-periodontal defect. Unilateral palato-radicular groove was located on the Maxillary right lateral incisor of an 18-year-old female patient. The groove was associated with deep local periodontal pocket resulting in pulp necrosis and the formation of a large periapical lesion. A collaborative management was carried out using a combination of endodontic therapy, surgical enucleation, odontoplasty, and periodontal regenerative procedure resulting the successful healing of the periapical lesion.
Keywords: Palatogingival groove, periodontal-endodontic lesion, periodontal regeneration