Palatinal Oluk Tedavisi ve 1 Yıllık Takibi: Vaka Raporu

Year 2024, Volume: 5 Issue: 1, 32 - 39, 05.07.2024

Büşra Sümeyye Kavut Aslı Zeynep Kapoğlu Kılıç

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

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

References

• 1. Lara VS, Consolaro A, Bruce RS. Macroscopic and microscopic analysis of the palato-gingival groove. J. Endod. 2000;26(6):345-350.
• 2. Gu YC. A micro–computed tomographic analysis of maxillary lateral incisors with radicular grooves. J. Endod. 2011;37(6):789-792.
• 3. Levitan ME, Himel VT. Dens evaginatus: literature review, pathophysiology, and comprehensive treatment regimen. J. Endod. 2006;32(1):1-9.
• 4. Lee KW, Lee EC, Poon KY. Palato-gingival grooves in maxillary incisors. A possible predisposing factor to localised periodontal disease. Br. Dent. J. 1968;124(1):14-18.
• 5. Simon JH, Dogan H, Ceresa LM, Silver GK. The radicular groove: its potential clinical significance. J. Endod. 2000;26(5):295-298.
• 6. Kishan KV, Hegde V, Ponnappa KC, Girish TN, Ponappa MC. Management of palato radicular groove in a maxillary lateral incisor. J. Nat. Sci. Biol. Med. 2014;5(1):178.
• 7. Matthews DC, Tabesh M. Detection of localized tooth-related factors that predispose to periodontal infections. Periodontol. 2000. 2004;34(1):136-50.
• 8. Zucchelli G, Mele M, Checchi L. The papilla amplification flap for the treatment of a localized periodontal defect associated with a palatal groove. J Periodontol. 2006;77(10):1788-1796.
• 9.Castelo-Baz P, Ramos-Barbosa I, Martín-Biedma B, Dablanca-Blanco AB, Varela-Patiño P, Blanco-Carrión J. Combined endodontic-periodontal treatment of a palatogingival groove. J. Endod. 2015;41(11):1918-922.
• 10. Mittal M, Vashisth P, Arora R, Dwivedi S. Combined endodontic therapy and periapical surgery with MTA and bone graft in treating palatogingival groove. BMJ Case Rep. 2013;2013:bcr2013009056.
• 11. Garrido I, Abella F, Ordinola-Zapata R, Duran-Sindreu F, Roig M. Combined endodontic therapy and intentional replantation for the treatment of palatogingival groove. J. Endod. 2016;42(2):324-328.
• 12. Ballal NV, Jothi V, Bhat KS, Bhat KM. Salvaging a tooth with a deep palatogingival groove: an endo‐perio treatment–a case report. Int. Endod. J. 2007;40(10):808-817.
• 13. Afify AR, Zawawi KH. The prevalence of dental anomalies in the Western region of Saudi Arabia. Int. Sch. Res. Notices. 2012;2012(1):837270.
• 14. Mahmood A, Sajid M, Jamil M, Tahir MW. Palato gingival groove; frequency of palato gıngıval groove ın maxıllary lateral ıncısors. Professional Med J. 2019 Apr 10;26(04):559-562.
• 15. Tan X, Zhang L, Zhou W, Li Y, Ning J, Chen X, Song D, Zhou X, Huang D. Palatal radicular groove morphology of the maxillary incisors: a case series report. J. Endod. 2017;43(5):827-833. 16. Fischborn AR, Pedroso CM, Rigo NM, de Oliveira FB, Zavarez LB, Claudino M, Franco GC. CBCT Diagnosis of Palatogingival Groove in the Maxillary Central Incisor: A Case-Based Review. Odovtos-Int J Dent Sc. 2023;16:194-204.
• 17. Kim HJ, Choi Y, Yu MK, Lee KW, Min KS. Recognition and management of palatogingival groove for tooth survival: a literature review. Restor dent & endod. 2017;1;42(2):77-86.
• 18. Rajasekharan S, Martens LC, Cauwels RG, Anthonappa RP. Biodentine™ material characteristics and clinical applications: a 3 year literature review and update. Eur. Arch. Paediatr. Dent. 2018;19:1-22.
• 19. Yoldaş SE, Bani M, Atabek D, Bodur H. Comparison of the potential discoloration effect of bioaggregate, biodentine, and white mineral trioxide aggregate on bovine teeth: in vitro research. J. Endod. 2016;42(12):1815-1818.
• 20. Shokouhinejad N, Nekoofar MH, Pirmoazen S, Shamshiri AR, Dummer PM. Evaluation and comparison of occurrence of tooth discoloration after the application of various calcium silicate–based cements: an ex vivo study. J. Endod. 2016;42(1):140-144.
• 21. Dawood AE, Parashos P, Wong RH, Reynolds EC, Manton DJ. Calcium silicate‐based cements: composition, properties, and clinical applications. J. Investig. Clin. Dent. 2017;8(2):e12195.
• 22. Malkondu Ö, Kazandağ MK, Kazazoğlu E. A review on biodentine, a contemporary dentine replacement and repair material. BioMed Res. Int. 2014;2014(1):160951.
• 23. Narmatha VJ, Thakur S, Shetty S, Bali PK. The complex radicular groove: interdisciplinary management with mineral trioxide aggregate and bone substitute. J. Contemp. Dent. Pract. 2014;15(6):792-796.
• 24. Miao H, Chen M, Otgonbayar T, Zhang SS, Hou MH, Wu Z, Wang YL, Wu LG. Papillary reconstruction and guided tissue regeneration for combined periodontal–endodontic lesions caused by palatogingival groove and additional root: a case report. Clin. Case Rep. 2015;3(12):1042.
• 25. Naik M, de Ataide ID, Fernandes M, Lambor R. Treatment of combined endodontic: periodontic lesion by sealing of palato-radicular groove using biodentine. J. Conserv. Dent: JCD. 2014;17(6):594.
• 26. Nadig PP, Agrawal IS, Agrawal VS, Srinivasan SC. Palato-radicular groove: a rare entity in maxillary central incisor leading to endo-perio lesion. J. Clin. Diagn. Res: JCDR. 2016;10(8):ZJ14. 27. Sharma S, Deepak P, Vivek S, Dutta SR. Palatogingival groove: recognizing and managing the hidden tract in a maxillary incisor: a case report. J. Int. Oral Health: JIOH. 2015;7(6):110.
• 28. Johns DA, Shivashankar VY, Shobha K, Johns M. An innovative approach in the management of palatogingival groove using Biodentine™ and platelet-rich fibrin membrane. J. Conserv. Dent: JCD. 2014;17(1):75. 29. Kaup M, Schäfer E, Dammaschke T. An in vitro study of different material properties of Biodentine compared to ProRoot MTA. Head Face Med. 2015;11(1):1-8.
• 30. Sismanoglu S, Ercal P. Effects of calcium silicate‐based cements on odonto/osteogenic differentiation potential in mesenchymal stem cells. Aust. Endod. J. 2023;49(1):66-74.
• 31. Millan C, Vivanco JF, Benjumeda-Wijnhoven IM, Bjelica S, Santibanez JF. Mesenchymal stem cells and calcium phosphate bioceramics: implications in periodontal bone regeneration. Cell Biology and Translational Medicine, Volume 3: Stem Cells, Bio-materials and Tissue Engineering. 2018:91-112.