Treatment of periodontal lesion caused by palatogingival groove in maxillary lateral incisor: case reports

Sun-Ha Kim; Jin-Woo Park; Jo-Young Suh; Jae-Mok Lee

doi:10.5051/jkape.2009.39.4.425

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Kim, Park, Suh, and Lee: Treatment of periodontal lesion caused by palatogingival groove in maxillary lateral incisor: case reports

Case Report

The Journal of the Korean Academy of Periodontology

The Journal of the Korean Academy of Periodontology 2009; 39(4): 425-429.

Published online: 31 December 2009

DOI: https://doi.org/10.5051/jkape.2009.39.4.425

Treatment of periodontal lesion caused by palatogingival groove in maxillary lateral incisor: case reports

Sun-Ha Kim, Jin-Woo Park, Jo-Young Suh, Jae-Mok Lee

Department of Periodontology, School of Dentistry, Kyungpook National University, Korea.

Correspondence: Dr. Jae-Mok Lee. Department of Periodontology, School of Dentistry, Kyungpook national University, 188-1, Samduk- dong 2ga, Jung-gu Daegu, 700-412, Korea. leejm@knu.ac.kr, Tel: 82-53-600-7511, Fax: 82-53-427-3263

Received 28 October 2009 Accepted 25 November 2009

Abstract

Purpose

The palatogingival groove is a developmental anomaly of the incisor teeth, which often presents severe localized periodontal disease. The purpose of this study was to evaluate the clinical outcome of palatogingival groove-associated periodontal lesion following flap operation with glass ionomer filling.

Methods

Four patients with periodontal lesion associated with the palatogingival groove were chosen for this case study. Clinical indices were taken and radiographic exam was performed at the baseline of the study and four patients were treated by flap operation with GI filling. Post-surgical visits were scheduled at regular intervals to check clinical and radiographic changes.

Results

Symptoms and signs of periodontal lesion were almost completely resolved with improvement of periodontal indices

Conclusions

Flap operation with direct glass ionomer restoration is thought to be an acceptable method which can produce favorable results in the treatment of periodontal lesion caused by palatogingival groove on the maxillary lateral incisor.

Keywords: glass ionomer cement, tooth abnormality

Figures and Tables

Figure 1

Clinical photograph of first patient. a: Preoperative, #22. b: Flap reflection & debridement. c: Glass ionomer filling. d: Suture. e: Postoperative, 1w eek. f: Postoperative, 11 months.

Figure 2

Clinical photograph of second patient. a: Preoperative, #12. b: Flap reflection & debridement. c: Glass ionomer filling. d: Suture. e: Postoperative, 1w eek. f: Postoperative, 4 months.

Figure 3

Clinical photograph of third patient. a: Initial. b: Flap reflection. c: #22 Debridement. d: Glass ionomer filling. e: Suture. f: Postoperative, 5 years.

Figure 4

Clinical photograph of fourth patient. a: Initial, #12. b: Flap reflection. c: Debridement & groove enlargement. d: Emdogain application.

Table 1

Clinical outcome of flap operation with glass ionomer filling

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