Palatinal Groove Treatment and 1-Year Follow-Up: Case Report

Abstract

Palatal groove is a root deformity that mostly affects the maxillary lateral incisors. It can be defined as the root canal not closing completely during development and being connected to the periodontium to varying degrees. It can cause many problems, especially endo-periodontal lesions. In cases where bone loss is common, periodontal surgeries are included in the treatment plan. The main point in treatment is to eliminate the relationship between the root canal and periodontium. A 32-year-old female patient who applied to our faculty was observed to have a fistula that did not heal after root canal treatment and root planing treatments. As a result of detailed examination, the palatal groove was detected. The area where the patient was surgically operated was cleaned of granulations and isolated. The palatal groove is closed with biodentine. The sutures were removed 2 weeks later. A 1-year follow-up was performed. It is thought that working in a multidisciplinary manner and using materials with mechanical and chemical properties suitable for the environment, such as Biodentine, are important for a successful treatment in the treatment of developmental deformities such as palatal groove.

Keywords

• Biodentin
• palatal groove
• periodontal surgery

Palatinal Oluk Tedavisi ve 1 Yıllık Takibi: Vaka Raporu

Abstract

Palatal oluk daha çok maksiller lateral kesicileri etkileyen bir kök deformitesidir. Kök kanalının gelişim esnasında tam kapanmaması ve farklı derecelerde periodonsiyum ile bağlantılı olması şeklinde tanımlanabilir. Endo-perio lezyonlar başta olmak üzere birçok probleme yok açabilir. Kemik kaybının da sık görüldüğü durumlarda periodontal cerrahiler tedavi planına dahil edilir. Tedavideki esas nokta kök kanalı ve periodonsiyum arasındaki ilişkiyi ortadan kaldırmaktır. Fakültemize başvuran 32 yaşındaki kadın hastada, kök kanal tedavisi ve kök yüzeyi düzleştirmesi tedavilerinden sonra iyileşmeyen fistül yolu varlığı gözlenmiştir. Detaylı muayene sonucu 12 nolu dişinde palatal oluk tespit edilmiştir. Hastaya cerrahi olarak müdahale edilmiş alan granülasyonlardan temizlenmiş ve izole edilmiştir. Palatal oluk biodentine ile kapatılmıştır. Süturları 2 hafta sonra alınmıştır. 1 yıllık takibi yapılmıştır. Palatal oluk gibi gelişimsel deformitelerin tedavisinde multidisipliner çalışmak ve Biodentine gibi ortama uygun mekanik ve kimyasal özellikleri olan materyaller kullanmak başarılı bir tedavi için önemli olduğu düşünülmektedir.

Keywords

• biodentin
• palatal oluk
• periodontal cerrahi

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