Journal of Conservative Dentistry
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ARTICLE
Year : 2007  |  Volume : 10  |  Issue : 3  |  Page : 83-88

The palatal groove: Application of computed tomography in its detection - a case report


Department of Conservative Dentistry and Endodontics, The Oxford Dental College, Hospital and Research Center, Bangalore, India

Correspondence Address:
D Rachana
Department of Conservative Dentistry and Endodontics, The Oxford Dental College, Hospital and Research Center, Bangalore
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-0707.42266

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Maxillary incisors are very susceptible to developmental anomalies that can lead to periodontal and/or endodontic problems. One such developmental anomaly is the palatal groove which is often associated with incorrect diagnosis, and subsequent treatment failure. This case report describes the use of spiral CT (Computed Tomography) scan to not only to accurately diagnose the groove on the maxillary right lateral incisor but also to confirm the depth and the relation of the groove to the pulp cavity. The management included a combination of endodontic therapy and periodontal regenerative techniques. Root canal therapy was performed followed by flap reflection, removal of granulation tissue and odontoplasty of the groove. Bone graft was placed followed by a resorbable barrier for guided tissue regeneration. Use of bone graft and a resorbable barrier in the treatment of palatal groove showed an improvement in clinical attachment, reduced probing depth and deposition of bone in the osseous defect.


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