显微根管治疗结合意向性牙再植术治疗双根管上颌侧切牙畸形根面沟1例

doi:10.13591/j.cnki.kqyx.2026.03.008

Abstract

Abstract:

Palatogingival groove (PGG) is a developmental anatomical defect located on the lingual root surface, frequently observed in maxillary lateral incisors. The periodontal attachment in this region is delicate, which makes it vulnerable to plaque accumulation and increases the risk of periodontal inflammation, leading to combined periodontal-endodontic lesions. This article reports a case of a combined periodontal-endodontic lesion in a left maxillary lateral incisor caused by PGG. The tooth was successfully preserved through microscopic root canal therapy combined with intentional replantation. Additionally, a literature review was performed to highlight the key diagnostic features and treatment strategies for PGG.

Key words: intentional replantation, palatogingival groove, double root canals, maxillary lateral incisor

CLC Number:

R781.2

CHEN Wanjing, LI Chengxi, WEI Xin, MA Ming. Microscopic root canal therapy combined with intentional replantation for the treatment of palatogingival groove in the maxillary lateral incisor with two root canals: A case report[J]. Stomatology, 2026, 46(3): 206-209.

Figures/Tables 4

References 22

[1]	史瑞棠, 侯本祥. 畸形根面沟的临床治疗难点与对策[J]. 中华口腔医学杂志, 2025, 60(1): 17-25.
[2]	Ansari I, Miglani S, Yadav V, et al. Management of palatogingival groove in maxillary lateral incisor: A report of a rare case with a brief review of literature[J]. Cureus, 2023, 15(10): e46479.
[3]	Neves FL, Silveira CA, Faig-Leite H. Anatomical study of palato-gingival groove in maxillary central incisors[J]. Braz Dent Sci, 2015, 18(3): 59-67.
[4]	花婷, 吴娟, 汤旭娜, 等. 畸形舌侧沟临床诊疗进展[J]. 东南大学学报(医学版), 2020, 39(2): 215-220.
[5]	Cho YD, Lee JE, Chung Y, et al. Collaborative management of combined periodontal-endodontic lesions with a palatogingival groove: A case series[J]. J Endod, 2017, 43(2): 332-337. doi: 10.1016/j.joen.2016.10.003
[6]	Biswas M, Mazumdar D, Saha B, et al. Cone-beam computed tomographic evaluation to estimate the prevalence of palatogingival groove in the maxillary anterior teeth and its radiographic characteristics: An institutional retrospective study[J]. J Conserv Dent Endod, 2024, 27(3): 233-239. doi: 10.4103/JCDE.JCDE_347_23 pmid: 38634028
[7]	Aljuailan AI, Aljuailan R, Gaikwad RN, et al. Prevalence of palatogingival groove affecting maxillary anterior teeth in Saudi subpopulation: A cone-beam computed tomographic study with literature review[J]. Saudi Dent J, 2023, 35(8): 1039-1047. doi: 10.1016/j.sdentj.2023.09.002
[8]	Gu YC. A micro-computed tomographic analysis of maxillary lateral incisors with radicular grooves[J]. J Endod, 2011, 37(6): 789-792. doi: 10.1016/j.joen.2011.03.002
[9]	Kottoor J, Murugesan R, Albuquerque DV. A maxillary lateral incisor with four root canals[J]. Int Endod J, 2012, 45(4): 393-397. doi: 10.1111/j.1365-2591.2011.01984.x pmid: 22050710
[10]	Lee MH, Ha JH, Jin MU, et al. Endodontic treatment of maxillary lateral incisors with anatomical variations[J]. Restor Dent Endod, 2013, 38(4): 253. doi: 10.5395/rde.2013.38.4.253
[11]	Arora S, Gill GS, Saquib SA, et al. Non-surgical management of dens invaginatus type ⅢB in maxillary lateral incisor with three root canals and 6-year follow-up: A case report and review of literature[J]. World J Clin Cases, 2022, 10(33): 12240-12246. doi: 10.12998/wjcc.v10.i33.12240
[12]	Gaudex Y, Gandillot V, Fontanille I, et al. Palatal groove associated with periodontal lesions: A systematic review illustrated by a decisional tree for management[J]. BMC Oral Health, 2024, 24(1): 1037. doi: 10.1186/s12903-024-04771-z pmid: 39232693
[13]	王芳, 杨锦波. 意向性牙再植术治疗畸形根面沟的预后及相关因素分析[J]. 牙体牙髓牙周病学杂志, 2017, 27(12): 706-712.
[14]	Zhang BT, Cheng LD, Deng XJ, et al. Prognosis of intentional replantation for periapical periodontitis teeth: A systematic review and meta-analysis[J]. BMC Oral Health, 2025, 25(1): 1258. doi: 10.1186/s12903-025-06583-1
[15]	张潇月, 周婕妤, 叶畅畅, 等. 重度牙周炎患者行意向性牙再植术保存天然牙1例[J]. 中华口腔医学杂志, 2025, 60(5): 553-557.
[16]	陈威, 陈志方. 牙周炎患牙意向性再植的研究进展[J]. 北京口腔医学, 2022, 30(4): 296-299.
[17]	孟楠, 王丙娜, 米仲乾, 等. 意向性再植治疗单颗重度牙周破坏患牙的研究现状[J]. 口腔医学, 2024, 44(9): 715-720.
[18]	黄定明, 李继遥, 徐欣, 等. 意向性牙再植术的临床管理[J]. 中华口腔医学杂志, 2018, 53(6): 392-397.
[19]	Li T, He WX, Jiang WK, et al. Interdisciplinary management of combined periodontal-endodontic lesions with palatogingival grooves of the maxillary lateral incisors: A case report[J]. Br Dent J, 2023, 234(1): 27-33. doi: 10.1038/s41415-022-5370-8
[20]	Yan H, Xu N, Wang HG, et al. Intentional replantation with a 2-segment restoration method to treat severe palatogingival grooves in the maxillary lateral incisor: A report of 3 cases[J]. J Endod, 2019, 45(12): 1543-1549. doi: S0099-2399(19)30695-8 pmid: 31676043
[21]	Silva RAB, Borges ATN, Hernandéz-Gatón P, et al. Histopathological, histoenzymological, immunohistochemical and immunofluorescence analysis of tissue response to sealing materials after furcation perforation[J]. Int Endodontic J, 2019, 52(10): 1489-1500. doi: 10.1111/iej.v52.10
[22]	Sculean A, Nikolidakis D, Schwarz F. Regeneration of periodontal tissues: Combinations of barrier membranes and grafting materials-biological foundation and preclinical evidence: A systematic review[J]. J Clin Periodontol, 2008, 35(8 Suppl): 106-116. doi: 10.1111/j.1600-051X.2008.01263.x pmid: 18724845

Microscopic root canal therapy combined with intentional replantation for the treatment of palatogingival groove in the maxillary lateral incisor with two root canals: A case report

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 4

References 22

Related Articles 5

Recommended Articles

Metrics

Comments

[1]	ZHANG Jingchen, WU Wenzhi, CHEN Zhuo. Clinical application progress of intentional replantation [J]. Stomatology, 2025, 45(3): 223-228.
[2]	MENG Nan, WANG Bingna, MI Zhongqian, REN Xiuyun. Research status of intentional replantation fora single tooth with severe periodontal destruction [J]. Stomatology, 2024, 44(9): 715-720.
[3]	HAN Furong, FAN Wei. Combined treatment using composite resin and iRoot BP Plus for vertical root fractures of maxillary premolar: A case report [J]. Stomatology, 2023, 43(8): 726-729.
[4]	XU Wen, FANG Shanbao, FAN Xuemin, MO Shuixue. A study on the association between sella turcica and congenital absence of maxillary lateral incisors [J]. Stomatology, 2022, 42(4): 323-326.
[5]	. Intentional replantation for a mandibular molar of refractory periapical periodontitis: a case report [J]. , 2018, 38(7): 636-638.