A Combined Approach for Treatment of Developmental Groove Associated Periodontal Defect. A Case Report

Developmental grooves are not rare and often appear on maxillary lateral incisors. This may represent a challenge and sometimes tooth extraction is inevitable. This case report describes a combined technique of regenerative and antimicrobial/root conditioning used to treat a maxillary lateral inciso...

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Vydáno v:Journal of periodontology (1970) Ročník 69; číslo 5; s. 601 - 607
Hlavní autor: Andreana, Sebastiano
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.05.1998
Témata:
Adult
Alveolar Bone Loss - surgery
Anti-Bacterial Agents - therapeutic use
Bone Regeneration
Calcium Sulfate
Female
Guided tissue regeneration
Guided Tissue Regeneration, Periodontal - methods
Humans
Incisor - abnormalities
Maxilla
Periapical Abscess - drug therapy
Periapical Abscess - etiology
Periapical Abscess - surgery
periodontal diseases/therapy
Subgingival Curettage
Tetracycline - therapeutic use
Tooth Abnormalities - complications
Tooth Abnormalities - surgery
tooth abnormalities/adverse effects
tooth root
Tooth Root - abnormalities
Ultrasonic Therapy
ISSN:0022-3492, 1943-3670
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Popis
Shrnutí:Developmental grooves are not rare and often appear on maxillary lateral incisors. This may represent a challenge and sometimes tooth extraction is inevitable. This case report describes a combined technique of regenerative and antimicrobial/root conditioning used to treat a maxillary lateral incisor in a 32‐year‐old woman. Tooth #10 presented a periodontal probing depth, of 8 mm below the cingulum, associated with a developmental groove. The tooth was vital. After initial preparation, a palatal miniflap was raised, granulation tissue was eliminated by means of ultrasonic bactericidal curettage and radicoloplasty performed. The surface was then treated for 3 minutes with tetracycline‐HCl solution (100mg/ml), and the defect filled with sterile, medical grade, calcium sulfate. Clinical measurements were retaken at 6, 12, and 18 months. The results indicated a reduction of probing depth to 2 mm, reestablishment of the lamina dura, and radiographical evidence of bone growth. This combined treatment allowed the tooth to be saved, the palatal surgical approach did not alter the esthetics of the area, and its simplicity is recommended. J Periodontol 1998;69:601–607.
Bibliografie:Department of Periodontology, School of Dental Medicine, State University of New York, Buffalo, NY.
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ObjectType-Feature-4
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ISSN:0022-3492
1943-3670
DOI:10.1902/jop.1998.69.5.601