Management of palato radicular groove in a maxillary lateral incisor
An 18-year-old female patient reported to the Department of Conservative Dentistry and Endodontics with a chief complaint of intermittent pain and discharge in the upper front tooth region since 6 months. No history of trauma was given. The patient medical and family histories were non-contributory, and the results of the extra oral examination were unremarkable.\nIntraoral examination revealed, discolored right lateral incisor with presence of grade I mobility. Examination on palatal aspect revealed a localized pocket of 8 mm depth with pus discharge from the pocket. On careful examination, a deep palatogingival groove was observed, which was extending deep into the apical region [].\nThe tooth did not respond to vitality testing using Electronic Pulp Tester (Parkell Electronics Division, New York, USA). Radiographic examination revealed a well-defined radiolucency in relation to right lateral incisor extending until the apical region of the right central incisor [].\nBased on the history, clinical and radiographic examination the lesion was provisionally diagnosed as pulp necrosis, suppurative periradicular periodontitis and moderate localized periodontitis secondary to the palatoradicular groove.