Successful Management of Palatal Developmental Groove–Associated Periodontal Defect Using Palatal Access Flap and Odontoradiculoplasty: A Case Report

This case report discusses the successful management of a deep palatal developmental groove associated with Stage III generalized Grade C periodontitis. Despite prior nonsurgical periodontal therapy, the disease progressed rapidly, necessitating further intervention. A comprehensive evaluation revea...

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Main Authors: Nicola Alberto Valente, Giulia Bardini
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/crid/5562567
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author Nicola Alberto Valente
Giulia Bardini
author_facet Nicola Alberto Valente
Giulia Bardini
author_sort Nicola Alberto Valente
collection DOAJ
description This case report discusses the successful management of a deep palatal developmental groove associated with Stage III generalized Grade C periodontitis. Despite prior nonsurgical periodontal therapy, the disease progressed rapidly, necessitating further intervention. A comprehensive evaluation revealed generalized periodontitis with localized tooth-related predisposing factor due to a developmental groove in the vital upper left lateral incisor. The initial nonsurgical treatment involved scaling and root planing (SRP) coupled with systemic antibiotics. Significant improvement was observed, except for the site with the developmental groove. Surgical intervention was performed using a palatal access flap odontoplasty and radiculoplasty to eliminate the remaining pocket and enhance plaque control. The procedure successfully resolved the condition, with soft tissue healing observed at the 6-month follow-up with a residual probing depth of 3 mm. This case highlights the challenges associated with palatal developmental grooves as localized aggravating factors in periodontitis. The use of surgical techniques like odontoplasty and flap access proved effective in managing periodontal defects associated with developmental grooves, showcasing a successful outcome in this patient.
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spelling doaj-art-acbabc3d4ef446e3a507000945491f6c2025-01-25T05:00:03ZengWileyCase Reports in Dentistry2090-64552025-01-01202510.1155/crid/5562567Successful Management of Palatal Developmental Groove–Associated Periodontal Defect Using Palatal Access Flap and Odontoradiculoplasty: A Case ReportNicola Alberto Valente0Giulia Bardini1Department of Surgical SciencesDepartment of Surgical SciencesThis case report discusses the successful management of a deep palatal developmental groove associated with Stage III generalized Grade C periodontitis. Despite prior nonsurgical periodontal therapy, the disease progressed rapidly, necessitating further intervention. A comprehensive evaluation revealed generalized periodontitis with localized tooth-related predisposing factor due to a developmental groove in the vital upper left lateral incisor. The initial nonsurgical treatment involved scaling and root planing (SRP) coupled with systemic antibiotics. Significant improvement was observed, except for the site with the developmental groove. Surgical intervention was performed using a palatal access flap odontoplasty and radiculoplasty to eliminate the remaining pocket and enhance plaque control. The procedure successfully resolved the condition, with soft tissue healing observed at the 6-month follow-up with a residual probing depth of 3 mm. This case highlights the challenges associated with palatal developmental grooves as localized aggravating factors in periodontitis. The use of surgical techniques like odontoplasty and flap access proved effective in managing periodontal defects associated with developmental grooves, showcasing a successful outcome in this patient.http://dx.doi.org/10.1155/crid/5562567
spellingShingle Nicola Alberto Valente
Giulia Bardini
Successful Management of Palatal Developmental Groove–Associated Periodontal Defect Using Palatal Access Flap and Odontoradiculoplasty: A Case Report
Case Reports in Dentistry
title Successful Management of Palatal Developmental Groove–Associated Periodontal Defect Using Palatal Access Flap and Odontoradiculoplasty: A Case Report
title_full Successful Management of Palatal Developmental Groove–Associated Periodontal Defect Using Palatal Access Flap and Odontoradiculoplasty: A Case Report
title_fullStr Successful Management of Palatal Developmental Groove–Associated Periodontal Defect Using Palatal Access Flap and Odontoradiculoplasty: A Case Report
title_full_unstemmed Successful Management of Palatal Developmental Groove–Associated Periodontal Defect Using Palatal Access Flap and Odontoradiculoplasty: A Case Report
title_short Successful Management of Palatal Developmental Groove–Associated Periodontal Defect Using Palatal Access Flap and Odontoradiculoplasty: A Case Report
title_sort successful management of palatal developmental groove associated periodontal defect using palatal access flap and odontoradiculoplasty a case report
url http://dx.doi.org/10.1155/crid/5562567
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