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Bilateral buccal radicular groove in maxillary incisors: case report
Aim To present the rare localization of a radicular groove on the buccal aspect of a tooth and to discuss the pathology and management of the concomitant endo‐periodontal defect. Summary Bilateral buccal radicular grooves were found on the maxillary central incisors of a 60‐year‐old female Caucasi...
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Published in: | International endodontic journal 2003-12, Vol.36 (12), p.898-906 |
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container_title | International endodontic journal |
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creator | Kerezoudis, N. P. Siskos, G. J. Tsatsas, V. |
description | Aim To present the rare localization of a radicular groove on the buccal aspect of a tooth and to discuss the pathology and management of the concomitant endo‐periodontal defect.
Summary Bilateral buccal radicular grooves were found on the maxillary central incisors of a 60‐year‐old female Caucasian. One groove was associated with deep local pocketing resulting in pulp necrosis and the formation of a periodontal–endodontic lesion. After endodontic treatment of the affected tooth, periodontal surgery was performed during which an apicoectomy was carried out on the root‐filled tooth. Both the buccal grooves were removed by grinding, the roots were planed with curettes and a guided‐tissue regeneration technique applied using amelogenin (Emdogain, Biora, Sweden). Following a period of 2 years, re‐examination showed excellent healing with the complete elimination of the periodontal pocket on both incisors and significant radiographic evidence of bone regeneration.
Key learning points
•
Deep radicular grooves can predispose to pulp necrosis and the establishment of combined periodontal–endodontic lesions.
•
Evaluation of clinical signs and appropriate diagnostic tests are of paramount importance in order to prevent incorrect diagnosis and treatment.
•
Endodontists must be capable of performing advanced periodontal regeneration techniques during endodontic surgery. |
doi_str_mv | 10.1111/j.1365-2591.2003.00695.x |
format | article |
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Summary Bilateral buccal radicular grooves were found on the maxillary central incisors of a 60‐year‐old female Caucasian. One groove was associated with deep local pocketing resulting in pulp necrosis and the formation of a periodontal–endodontic lesion. After endodontic treatment of the affected tooth, periodontal surgery was performed during which an apicoectomy was carried out on the root‐filled tooth. Both the buccal grooves were removed by grinding, the roots were planed with curettes and a guided‐tissue regeneration technique applied using amelogenin (Emdogain, Biora, Sweden). Following a period of 2 years, re‐examination showed excellent healing with the complete elimination of the periodontal pocket on both incisors and significant radiographic evidence of bone regeneration.
Key learning points
•
Deep radicular grooves can predispose to pulp necrosis and the establishment of combined periodontal–endodontic lesions.
•
Evaluation of clinical signs and appropriate diagnostic tests are of paramount importance in order to prevent incorrect diagnosis and treatment.
•
Endodontists must be capable of performing advanced periodontal regeneration techniques during endodontic surgery.</description><identifier>ISSN: 0143-2885</identifier><identifier>EISSN: 1365-2591</identifier><identifier>DOI: 10.1111/j.1365-2591.2003.00695.x</identifier><identifier>PMID: 14689959</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Alveolar Bone Loss - etiology ; Alveolar Bone Loss - surgery ; Apicoectomy ; Dental Pulp Necrosis - etiology ; Dental Pulp Necrosis - therapy ; Dentistry ; facial radicular groove ; Female ; Guided Tissue Regeneration, Periodontal ; Humans ; Incisor - abnormalities ; Maxilla ; Middle Aged ; Periodontal Pocket - etiology ; Periodontal Pocket - therapy ; periodontal regeneration ; periodontal–endodontic lesions ; Root Canal Therapy ; Root Planing ; Tooth Abnormalities - complications ; Tooth Abnormalities - therapy ; Tooth Root - abnormalities ; Tooth Root - surgery</subject><ispartof>International endodontic journal, 2003-12, Vol.36 (12), p.898-906</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3645-321fe6dc73366f96724766c84268412686ad59f31b38fa45c2ad1eff761324783</citedby><cites>FETCH-LOGICAL-c3645-321fe6dc73366f96724766c84268412686ad59f31b38fa45c2ad1eff761324783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14689959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kerezoudis, N. P.</creatorcontrib><creatorcontrib>Siskos, G. J.</creatorcontrib><creatorcontrib>Tsatsas, V.</creatorcontrib><title>Bilateral buccal radicular groove in maxillary incisors: case report</title><title>International endodontic journal</title><addtitle>Int Endod J</addtitle><description>Aim To present the rare localization of a radicular groove on the buccal aspect of a tooth and to discuss the pathology and management of the concomitant endo‐periodontal defect.
Summary Bilateral buccal radicular grooves were found on the maxillary central incisors of a 60‐year‐old female Caucasian. One groove was associated with deep local pocketing resulting in pulp necrosis and the formation of a periodontal–endodontic lesion. After endodontic treatment of the affected tooth, periodontal surgery was performed during which an apicoectomy was carried out on the root‐filled tooth. Both the buccal grooves were removed by grinding, the roots were planed with curettes and a guided‐tissue regeneration technique applied using amelogenin (Emdogain, Biora, Sweden). Following a period of 2 years, re‐examination showed excellent healing with the complete elimination of the periodontal pocket on both incisors and significant radiographic evidence of bone regeneration.
Key learning points
•
Deep radicular grooves can predispose to pulp necrosis and the establishment of combined periodontal–endodontic lesions.
•
Evaluation of clinical signs and appropriate diagnostic tests are of paramount importance in order to prevent incorrect diagnosis and treatment.
•
Endodontists must be capable of performing advanced periodontal regeneration techniques during endodontic surgery.</description><subject>Alveolar Bone Loss - etiology</subject><subject>Alveolar Bone Loss - surgery</subject><subject>Apicoectomy</subject><subject>Dental Pulp Necrosis - etiology</subject><subject>Dental Pulp Necrosis - therapy</subject><subject>Dentistry</subject><subject>facial radicular groove</subject><subject>Female</subject><subject>Guided Tissue Regeneration, Periodontal</subject><subject>Humans</subject><subject>Incisor - abnormalities</subject><subject>Maxilla</subject><subject>Middle Aged</subject><subject>Periodontal Pocket - etiology</subject><subject>Periodontal Pocket - therapy</subject><subject>periodontal regeneration</subject><subject>periodontal–endodontic lesions</subject><subject>Root Canal Therapy</subject><subject>Root Planing</subject><subject>Tooth Abnormalities - complications</subject><subject>Tooth Abnormalities - therapy</subject><subject>Tooth Root - abnormalities</subject><subject>Tooth Root - surgery</subject><issn>0143-2885</issn><issn>1365-2591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNqNkE1PAyEQQInR2Fr9C2ZP3nble8F40Vq1pokXPRPKgqHZ7Vbo2vbfy9pGr3JgBngzTB4AGYIFSut6USDCWY6ZRAWGkBQQcsmK7REY_j4cgyFElORYCDYAZzEuIIQMEnQKBohyISWTQ_Bw72u9tkHX2bwzJoWgK2-6WofsI7Ttl838Mmv01tfpapcOxsc2xJvM6GizYFdtWJ-DE6fraC8OcQTeHydv4-d89vo0Hd_NckM4ZTnByFlemZIQzp3kJaYl50ZQzAVFaeO6YtIRNCfCacoM1hWyzpUckYQKMgJX-76r0H52Nq5V46OxabKlbbuoSkQFSyYSKPagCW2MwTq1Cr5J8ysEVW9QLVQvSvWiVG9Q_RhU21R6efijmze2-is8KEvA7R7Y-Nru_t1YTScvKSHfDZJ94w</recordid><startdate>200312</startdate><enddate>200312</enddate><creator>Kerezoudis, N. P.</creator><creator>Siskos, G. J.</creator><creator>Tsatsas, V.</creator><general>Blackwell Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200312</creationdate><title>Bilateral buccal radicular groove in maxillary incisors: case report</title><author>Kerezoudis, N. P. ; Siskos, G. J. ; Tsatsas, V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3645-321fe6dc73366f96724766c84268412686ad59f31b38fa45c2ad1eff761324783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Alveolar Bone Loss - etiology</topic><topic>Alveolar Bone Loss - surgery</topic><topic>Apicoectomy</topic><topic>Dental Pulp Necrosis - etiology</topic><topic>Dental Pulp Necrosis - therapy</topic><topic>Dentistry</topic><topic>facial radicular groove</topic><topic>Female</topic><topic>Guided Tissue Regeneration, Periodontal</topic><topic>Humans</topic><topic>Incisor - abnormalities</topic><topic>Maxilla</topic><topic>Middle Aged</topic><topic>Periodontal Pocket - etiology</topic><topic>Periodontal Pocket - therapy</topic><topic>periodontal regeneration</topic><topic>periodontal–endodontic lesions</topic><topic>Root Canal Therapy</topic><topic>Root Planing</topic><topic>Tooth Abnormalities - complications</topic><topic>Tooth Abnormalities - therapy</topic><topic>Tooth Root - abnormalities</topic><topic>Tooth Root - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kerezoudis, N. P.</creatorcontrib><creatorcontrib>Siskos, G. J.</creatorcontrib><creatorcontrib>Tsatsas, V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International endodontic journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kerezoudis, N. P.</au><au>Siskos, G. J.</au><au>Tsatsas, V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral buccal radicular groove in maxillary incisors: case report</atitle><jtitle>International endodontic journal</jtitle><addtitle>Int Endod J</addtitle><date>2003-12</date><risdate>2003</risdate><volume>36</volume><issue>12</issue><spage>898</spage><epage>906</epage><pages>898-906</pages><issn>0143-2885</issn><eissn>1365-2591</eissn><abstract>Aim To present the rare localization of a radicular groove on the buccal aspect of a tooth and to discuss the pathology and management of the concomitant endo‐periodontal defect.
Summary Bilateral buccal radicular grooves were found on the maxillary central incisors of a 60‐year‐old female Caucasian. One groove was associated with deep local pocketing resulting in pulp necrosis and the formation of a periodontal–endodontic lesion. After endodontic treatment of the affected tooth, periodontal surgery was performed during which an apicoectomy was carried out on the root‐filled tooth. Both the buccal grooves were removed by grinding, the roots were planed with curettes and a guided‐tissue regeneration technique applied using amelogenin (Emdogain, Biora, Sweden). Following a period of 2 years, re‐examination showed excellent healing with the complete elimination of the periodontal pocket on both incisors and significant radiographic evidence of bone regeneration.
Key learning points
•
Deep radicular grooves can predispose to pulp necrosis and the establishment of combined periodontal–endodontic lesions.
•
Evaluation of clinical signs and appropriate diagnostic tests are of paramount importance in order to prevent incorrect diagnosis and treatment.
•
Endodontists must be capable of performing advanced periodontal regeneration techniques during endodontic surgery.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>14689959</pmid><doi>10.1111/j.1365-2591.2003.00695.x</doi><tpages>9</tpages></addata></record> |
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ispartof | International endodontic journal, 2003-12, Vol.36 (12), p.898-906 |
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language | eng |
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source | Wiley-Blackwell Read & Publish Collection |
subjects | Alveolar Bone Loss - etiology Alveolar Bone Loss - surgery Apicoectomy Dental Pulp Necrosis - etiology Dental Pulp Necrosis - therapy Dentistry facial radicular groove Female Guided Tissue Regeneration, Periodontal Humans Incisor - abnormalities Maxilla Middle Aged Periodontal Pocket - etiology Periodontal Pocket - therapy periodontal regeneration periodontal–endodontic lesions Root Canal Therapy Root Planing Tooth Abnormalities - complications Tooth Abnormalities - therapy Tooth Root - abnormalities Tooth Root - surgery |
title | Bilateral buccal radicular groove in maxillary incisors: case report |
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