The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 11 , ISSUE 5 ( October, 2010 ) > List of Articles

RESEARCH ARTICLE

Palato-Radicular Groove and Localized Periodontitis: A Series of Case Reports

Shital Hungund, Magesh Kumar

Citation Information : Hungund S, Kumar M. Palato-Radicular Groove and Localized Periodontitis: A Series of Case Reports. J Contemp Dent Pract 2010; 11 (5):56-62.

DOI: 10.5005/jcdp-11-5-56

License: CC BY-NC 3.0

Published Online: 01-01-2008

Copyright Statement:  Copyright © 2010; The Author(s).


Abstract

Aim

The aim of this report is to present the management of three cases of different magnitude affecting the periodontal attachment apparatus due to the presence of a palato-radicular groove (PRG).

Background

The palato-radicular groove is a developmental anomaly often associated with localized periodontitis and pulpal necrosis.

Case description

The authors present three cases involving the management of teeth with a palato-radicular groove. In the first case, a 20-year-old woman presented with a 5 mm periodontal pocket associated with the maxillary right central incisor but no evidence of pulpal involvement. In the second case, there was extensive bone loss and pulpal necrosis of the maxillary right lateral incisor in a 35-year-old man. The third case involved severe localized periodontitis of the right and left maxillary lateral incisors of a 47-year-old man. This report describes the diagnosis and periodontal management of these three clinical situations.

Summary

Periodontal complications due to a palatal-radicular groove are relatively rare. However, when they do occur, the diagnosis of a pulpal or localized periodontal lesion can sometimes present a dilemma for the general dentist, particularly if a palato-radicular groove is the etiologic factor. This is because a radicular groove can act like a “funnel,” aiding microbial plaque accumulation, and lead to gingivitis, localized periodontitis, and even pulpal necrosis. But with a timely diagnosis and proper clinical management, the tooth or teeth involved can be treated and often retained.

Clinical Significance

Thorough examination of the morphological anomalies associated with the lateral and central incisors, in particular, aided by appropriate diagnostic aids, can lead to accurate diagnosis and management of a tooth or teeth with a palato-radicular groove.

Citation

Hungund S, Kumar M. Palato-Radicular Groove and Localized Periodontitis: A Series of Case Reports. J Contemp Dent Pract [Internet]. 2010 October; 11(5):056-062. Available from: http://www.thejcdp.com/journal/view/volume11- issue5-hungund


PDF Share
  1. The role of the host response in periodontal disease progression: implications for the future treatment strategies. J Periodontol. 1993; 64(8 Suppl):792-806.
  2. Periodontal diseases: pathogenesis. Ann Periodontol. 1996; 1(1):821-78.
  3. Detection of localized tooth-related factors that predispose to periodontal infections. Periodontol. 2000; 34:136-50.
  4. Principles and practice of endodontics. 3rd ed. Philadelphia: Saunders; 2002. p. 499.
  5. Predictable endodontic and periodontic failures as a result of radicular anomalies. Oral Surg Oral Med Oral Pathol. 1971; 31(6):823-6.
  6. The disto-lingual groove in the maxillary lateral incisor; a periodontal hazard. J Periodontol. 1972; 43(6):357-61.
  7. Scanning electron microscopic investigation of maxillary lateral incisors with a radicular lingual groove. Oral Surg Oral Med Oral Pathol. 1989; 68(4):432-6.
  8. A systematic description of dental roots. In: Dahlberg AA, editor. Dental morphology and evolution. Chicago: University of Chicago Press; 1971. p. 223-5.
  9. Treatment options for the radicular lingual groove: a review and discussion. Pract Periodontics Aesthet Dent. 1998; 10(3):369-75.
  10. The prevalence, location and conformation of palato-radicular grooves in maxillary incisors. J Periodontol. 1986; 57(4):231-4.
  11. Systemic antibiotics in periodontics. J Periodontol. 2004; 75(11):1553-65.
  12. Advances in glassionomer cements. Berlin: Quintessence; 1999. p. 137-48.
  13. Milestones in adhesion: glassionomer cements. J Adhes Dent. 2003; 5(4):259-66.
  14. Surface antibacterial properties of glass ionomer cements used in atraumatic restorative treatment. J Am Dent Assoc. 2007; 138(10):1347-52.
  15. Relationship between palato-radicular grooves and localized periodontitis. J Clin Periodontol. 1993; 20(9):678-82.
  16. The association between palatal grooves in upper incisors and periodontal complications. J Periodontol. 1990; 61(3):197-9.
  17. Management of a periodontal lesion associated with a lingual groove. Oral Health 1984; 74:23-5.
  18. The radicular groove. J Am Dent Assoc. 1978; 97:441-4.
  19. Palato-gingival grooves in maxillary incisors. A possible predisposing factor to localised periodontal disease. Br Dent J. 1968; 124(1):14-8.
  20. Endodontic applications of guided tissue regeneration in endodontic surgery. J Endod. 1996; 22(1): 34-43.
  21. Malformations in maxillary incisors: case report of radicular palatal groove. Endod Dent Traumatol. 2000; 16(3):132-7.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.