Conservative management of a periradicular lesion associated with a palatogingival grooveHakan Arslan1, Serhat Köseo?lu2, Hazal Ergün3, Elif Tar?m Erta?41Department Of Endodontics, Faculty Of Dentistry, Ataturk University, Erzurum, Turkey.
2Department Of Periodontology, Faculty Of Dentistry, Izmir Katip Celebi University, Izmir, Turkey.
3Department Of Endodontics, Faculty Of Dentistry, Izmir Katip Celebi University, Izmir, Turkey.
4Department Of Oral Diagnosis And Radiology, Faculty Of Dentistry, Izmir Katip Celebi University, Izmir, Turkey.
Aim: The aim of this case report was to present the management of a periradicular lesion and the maintenance of pulp vitality following surgical odontoplasty in a maxillary lateral incisor with a palatogingival groove (PGG).
Summary: A case of PGG in the maxillary left lateral incisor with vital pulp and a large periradicular lesion is reported. Surgical odontoplasty of the PGG and restoration of the coronal part of the PGG were performed without root canal treatment. Follow-up revealed that the pulp responded to cold test in the same manner as prior to treatment and the periradicular lesion was resolved.
Conclusion: In cases where the apical pathosis includes the apical part of the root, the tooth should be evaluated using pulp vitality tests to determine whether the pulp is healthy. A tooth with vital pulp and periapical radiolucency should raise the suspicion of morphological changes, such as a PGG, in the tooth. A detailed examination of the tooth should be performed. Cone-beam computed tomography could be beneficial in making a definitive diagnosis. Keywords: Odontoplasty, palatogingival groove, periradicular lesion, vital pulp.
Palatogingival oluktan kaynakl? periradiküler lezyonun konservatif tedavisiHakan Arslan1, Serhat Köseo?lu2, Hazal Ergün3, Elif Tar?m Erta?41Atatürk Üniversitesi, Di? Hekimli?i Fakültesi, Endodonti Ana Bilim Dal?, Erzurum
2?zmir Katip Çelebi Üniversitesi, Di? Hekimli?i Fakültesi, Periodontoloji Ana Bilim Dal?, ?zmir
3?zmir Katip Çelebi Üniversitesi, Di? Hekimli?i Fakültesi, Endodonti Ana Bilim Dal?, ?zmir
4?zmir Katip Çelebi Üniversitesi, Di? Hekimli?i Fakültesi, Oral Diagnoz ve Radyoloji Ana Bilim Dal?, ?zmir
Amaç: Bu vaka raporunun amac? palatogingival olu?a (PGO) sahip üst çene lateral kesici di?te cerrahi odontoplastiyi takiben pulpa vitalitesinin devam etmesini ve periradiküler lezyonun tedavisini sunmakt?r.
Yöntemler: Vital pulpaya ve periradiküler lezyona sahip üst çene lateral kesici di?teki PGO rapor edilmektedir. Cerrahi odontoplasti yap?ld? ve PGO’nun koronal k?sm?na restorasyon yap?ld?. Kontrol seanslar?nda periradiküler lezyonun iyile?ti?i ve pulpan?n tedaviden önceki gibi vitalite testine cevap verdi?i tespit edildi.
Sonuç: Kökün apikal k?sm?n? içine alan lezyon vakalar?nda, pulpan?n canl? olup olmad???n?n tespiti için di? pulpa Vitalite testleri kullan?larak de?erlendirilmelidir. Vital pulpaya sahip periradiküler lezyona di?ler PGO gibi morfolojik farkl?l?klara sahip olup olmad??? hususunda dikkatli bir ?ekilde muayene edilmelidir. Konik ???nl? bilgisayarl? tomografi kesin te?histe yararl? olabilir. Anahtar Kelimeler: Odontoplasti, palatogingival oluk, periradiküler lezyon, vital pulpa.
Hakan Arslan, Serhat Köseo?lu, Hazal Ergün, Elif Tar?m Erta?. Conservative management of a periradicular lesion associated with a palatogingival groove. Turk Endod J. 2016; 1(1): 47-51
Corresponding Author: Hakan Arslan, Türkiye |
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