Combined Endodontic-Periodontal Treatment of a Palatogingival Groove
Combined Endodontic-Periodontal Treatment of a Palatogingival Groove
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DOI：
10.1016/j.joen.2015.08.008
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发表时间：
2015-11-01
影响因子：
4.2
通讯作者：
Blanco-Carrion, Juan
中科院分区：
文献类型：
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作者：
Castelo-Baz, Pablo;Ramos-Barbosa, Isabel;Blanco-Carrion, Juan
腭龈沟是一种发育异常，使受影响的牙齿容易出现严重的牙周病变。这些凹槽通常会带来临床挑战，因为诊断和治疗计划需要跨学科的方法。本病例报告描述了对右上颌侧切牙的成功治疗，该侧切牙具有深腭龈沟，并伴有广泛的牙周袋和相关牙齿的牙髓坏死。协同治疗结合了牙髓治疗、牙周治疗、牙成形术和使用牙釉质基质衍生的蛋白质复合物的牙周再生手术（Emdogain；Straumann，巴塞尔，瑞士）。尽管预计预后不良，牙齿病变还是愈合了。本报告还讨论了治疗方式背后的基本原理。
A palatogingival groove is a developmental anomaly that predisposes the involved tooth to develop a severe periodontal lesion. These grooves often present a clinical challenge because diagnosis and treatment planning require an interdisciplinary approach. This case report describes the successful management of a right maxillary lateral incisor with a deep palatogingival groove in combination with an extensive periodontal pocket and pulp necrosis of the involved tooth. Collaborative management used a combination of endodontic treatment, periodontal therapy, odontoplasty, and a periodontal regenerative procedure using protein complex derived from enamel matrix (Emdogain; Straumann, Basel, Switzerland). Despite a predicted poor prognosis, the tooth lesion healed. This report also discusses the rationale behind the treatment modalities.