Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Jan;17(1):75-9.
doi: 10.4103/0972-0707.124156.

An innovative approach in the management of palatogingival groove using Biodentine™ and platelet-rich fibrin membrane

Affiliations
Case Reports

An innovative approach in the management of palatogingival groove using Biodentine™ and platelet-rich fibrin membrane

Dexton Antony Johns et al. J Conserv Dent. 2014 Jan.

Abstract

Palatogingival groove is an anatomical malformation that often causes severe periodontal defects. Treatments of such an anomaly present a clinical challenge to the operator. Careful endodontic and periodontal procedures may restore the form and function. In the present case; root canal therapy, apicectomy, and sealing of the groove with Biodentine™ were done. Bone graft was placed followed by platelet-rich fibrin (PRF) membrane. This treatment modality resulted in gain in attachment, reduction in pocket depth, and deposition of bone in the osseous defect. A 24 month follow-up is included.

Keywords: Biodentine; palatogingival groove; platelet-rich fibrin membrane.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Preoperative clinical
Figure 2
Figure 2
Preoperative clinical palatal view
Figure 3
Figure 3
Preoperative occlusal view
Figure 4
Figure 4
Palatogingival groove exposed after elevating a full thickness flap
Figure 5
Figure 5
Sealing of the PGG with biodentin
Figure 6
Figure 6
Removal of the granulation tissue and debriding the defect
Figure 7
Figure 7
Placement of bone graft
Figure 8
Figure 8
Placement of platelet-rich fibrin membrane
Figure 9
Figure 9
Twenty-four month follow-up

References

    1. 7th ed. Chicago: 2003. American Association of Endodontists, Glossary of Endodontic Terms.
    1. Goon WW, Carpenter WM, Brace NM, Ahlfeld RJ. Complex facial radicular groove in a maxillary lateral incisor. J Endod. 1991;17:244–8. - PubMed
    1. Dexton AJ, Arundas D, Rameshkumar M, Shoba K. Retreatodontics in maxillary lateral incisor with supernumerary root. J Conserv Dent. 2011;14:322–4. - PMC - PubMed
    1. Lee KW, Lee EC, Poon KY. Palato-gingival grooves in maxillary incisors. A possible predisposing factor to localised periodontal disease. Br Dent J. 1968;124:14–8. - PubMed
    1. Peikoff MD, Perry JB, Chapnick LA. Endodontic failure attributable to a complex radicular lingual groove. J Endod. 1985;11:573–7. - PubMed

Publication types