Clinical Evaluation of Collaborative Management in Treating Combined Periodontal-endodontic Lesions with Palatal Radicular Grooves.

doi:10.13701/j.cnki.kqyxyj.2020.01.014

Journal of Oral Science Research ›› 2020, Vol. 36 ›› Issue (1): 56-60.DOI: 10.13701/j.cnki.kqyxyj.2020.01.014

Previous Articles Next Articles

Clinical Evaluation of Collaborative Management in Treating Combined Periodontal-endodontic Lesions with Palatal Radicular Grooves.

ZHANG Rui^1,2, ZHENG Dan^1,2, MENG Liuyan^1,2*

1. The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
2. Department of Endodontics, Stomatological Hospital, Wuhan University. Wuhan 430079, China.

Received:2019-05-23 Online:2020-01-28 Published:2020-01-16

Abstract

Abstract: Objective: To evaluate the effect of combined endodontic microsurgery and periodontic management in treating palatal radicular groove. Methods: 11 teeth diagnosed as combined periodontal-endodontic lesion with palatal radicular grooves were collected. They were treated with root canal treatment under microscope and then combined endodontic microsurgery and periodontal management. Before surgery, 6 months, and one year follow-up after surgery, periodontal probing depth (PD), sulcus bleeding index(SBI), tooth mobility(TM) were measured. The data were statistically analyzed.The results of periapical lesion healing were evaluated by clinical and X-ray examination. Results: PD, SBI, and TM were significantly lowered 6 months and 1 year after surgery than before (P<0.05). The success rate at 6 months follow-up after surgery was 81.82%.The success rate at 1 year after operation was 90.91%. Conclusion: The combination of endodontic microsurgery and periodontal treatment is practical treatment modality in treating combined endodontic-periodontal lesions caused by palatal radicular groove.

Key words: palatal radicular groove, endodontic-periodontal lesion, endodontic microsurgery, GTR

ZHANG Rui, ZHENG Dan, MENG Liuyan. Clinical Evaluation of Collaborative Management in Treating Combined Periodontal-endodontic Lesions with Palatal Radicular Grooves.[J]. Journal of Oral Science Research, 2020, 36(1): 56-60.

References

[1] Attam K, Tiwary R, Talwar S, et al. Palatogingival groove: endodontic-periodontal management-case report [J]. J Endod, 2010, 36(10):1717-1720.
[2] Ballal NV, Jothi V, Bhat KS, et al. Salvaging a tooth with a deep palatogingival groove: an endo-perio treatment-a case report [J]. Int Endod J, 2007, 40(10):808-817.
[3] Rud J, Andreasen J, Moller JJ. Radiographic criteria for the assessment of healing after endodontic surgery [J]. Int J Oral Surg, 1972, 1(4) : 195-214.
[4] Kim HJ, Choi Y, Yu MK, et al. Recognition and management of palatogingival groove for tooth survival: a literature review [J]. Restor Dent Endod, 2017, 42(2):77-86.
[5] Smith BE, Carroll B. Maxillary lateral incisor with two developmental grooves [J]. Oral Surg Oral Med Oral Pathol, 1990,70(4):523-525.
[6] Goon WW, Carpenter WM, Brace NM, et al. Complex facial radicular groove in a maxillary lateral incisor [J]. J Endod, 1991, 17(5):244-248.
[7] Karunakaran JV, Fenn SM, Jayaprakash N, et al. Successful surgical management of palatogingival groove using platelet-rich fibrin and guided tissue regeneration: a novel approach [J]. J Pharm Bioallied Sci, 2017, 9(Suppl 1):S268-S273.
[8] Durack C, Patel S. The use of cone beam computed tomography in the management of dens invaginatus affecting a strategic tooth in a patient affected by hypodontia: a case report [J]. Int Endod J, 2011, 44(5):474-483.
[9] Castelo-Baz P, Ramos-Barbosa I, Martín-Biedma B, et al. Combined endodontic-periodontal treatment of a palatogingivalgroove [J]. J Endod, 2015, 41(11):1918-1922.
[10] Cho YD, Lee JE, Chung Y, et al. Collaborative management of combined periodontal-endodontic lesions with a palatogingival groove: a case series [J]. J Endod, 2017, 43(2):332-337.
[11] Tan X, Zhang L, Zhou W, et al. Palatal radicular groove morphology of the maxillary incisors: a case series report [J]. J Endod, 2017, 43(5):827-833.
[12] Garrido I, Abella F, Ordinola-Zapata R, et al. Combined endodontic therapy and intentional replantation for the treatment of palatogingival groove [J]. J Endod, 2016, 42(2):324-328.
[13] Shi S,Bao ZF,Liu Y,et al. Comparison of in vivo dental pulp responses to capping with iRoot BP Plus and mineral trioxide aggregate [J]. Int Endod J,2015, 49(2) :154-160.
[14] 丁美丽,秦满,郑佳佳,等.新型生物陶瓷材料用于年轻恒牙牙髓切断术的效果评价[J].口腔医学研究,2018, 34(7) :766-770.
[15] Cortellini P, Tonetti MS. Focus on intrabonydefects:guided tissue regeneration [J]. Periodontol 2000, 2000, 22:104-132.

Clinical Evaluation of Collaborative Management in Treating Combined Periodontal-endodontic Lesions with Palatal Radicular Grooves.

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 3

Recommended Articles

Metrics

[1]	YANG Xue-chao , ZHAO Shi-yong, JIANG Qian-zhou, YE Shang-zhu. A New Method for Minimally Invasive Apical Surgery with the Aid of Three-dimensional Printed Template [J]. Journal of Oral Science Research, 2016, 32(9): 944-948.
[2]	CHEN Yao, SHEN Jing.. Clinical Observation of GTR Combined with Bone Grafting in Endodontic Microsurgery. [J]. Journal of Oral Science Research, 2016, 32(12): 1269-1272.
[3]	GAO Jing, SHEN Jing, ZHANG Hai-feng, JIN Shu-feng.. Comparison of Prognosis of Beagle Dogs' Endodontic Microsurgery between Cone Beam CT and Periapical Radiography. [J]. Journal of Oral Science Research, 2016, 32(1): 35-38.