Management of a maxillary lateral incisor with a type III palatogingival groove and 2 roots: A case report.

BACKGROUND

The palatogingival groove is a developmental anomaly that originates in the central fossa and extends along the root surface, often resulting in periodontal, endodontic, or combined endodontic and periodontal involvement. The authors present a case of a type III palatogingival groove associated with a periodontal defect and a sinus tract managed successfully through surgical and regenerative treatment.

CASE DESCRIPTION: A woman sought treatment at Clínica Dental ZOE in Zaragoza, Spain, with the chief symptoms of pain and swelling associated with tooth no. 7. Clinical and radiographic findings supported the diagnosis of type III palatogingival groove in the presence of a normal pulp. The additional root was resected, the periradicular lesion was curetted, and guided bone regeneration procedures were carried out. Long-term recall visits through 3 years confirmed successful retention of the tooth and periodontal regeneration in the absence of pathosis.

PRACTICAL IMPLICATIONS: The authors describe an unusual clinical manifestation and emphasize the role of accurate diagnosis leading to avoidance of unnecessary endodontic treatment, providing a reference for similar clinical situations. Considering the broad spectrum of manifestations of palatogingival grooves, a case-by-case multidisciplinary approach to management is recommended.