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Surgical management with intentional replantation on a tooth with palato-radicular groove

Restorative Dentistry & Endodontics 2015³â 40±Ç 2È£ p.166 ~ 171
Forero-Lopez Jorge, Gamboa-Martinez Luis, Pico-Porras Laura, Nino-Barrera Javier Laureano,
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 ( Forero-Lopez Jorge ) - Universidad El Bosque School of Dentistry Department of Endodontics
 ( Gamboa-Martinez Luis ) - Universidad El Bosque School of Dentistry Department of Endodontics
 ( Pico-Porras Laura ) - Universidad El Bosque School of Dentistry Department of Endodontics
 ( Nino-Barrera Javier Laureano ) - Universidad El Bosque School of Dentistry Department of Endodontics

Abstract


A palato-radicular groove (PRG) is a developmental anomaly primarily found in the maxillary lateral incisors. It is a potential communication path between the root canal and the periodontium that decreases the survival prognosis of the affected tooth, therefore compromising the stability of the dental structure in the oral cavity. The aim of this case report is to present an original technique where a PRG was treated by means of intracanal disinfection, PRG sealing with glass ionomer, replantation with intentional horizontal 180 degree rotation of the tooth, and an aesthetic veneer placed to provide adequate tooth morphology. The clinical and biological benefits of this novel technique are presented and discussed.

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Intentional replantation; Intracanal medication; Palato-radicular groove; Tooth rotation

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