背景:腭沟代表一种相对罕见的发育根异常,通常在上颌切牙的腭面上发现。虽然它的起源是有争议的,它的存在容易导致严重的牙周缺陷。
目的:本研究旨在对文献进行系统的综述,重点关注因存在腭沟引起的牙周病的各种诊断技术和治疗方式。根据现有的证据和知识,该研究还提供了一个全面的决策树,指导临床医生在具有挑战性的决策过程中面对腭沟。
方法:在Medline和Cochrane数据库上进行了文献检索,他还进行了筛选和选择过程,寻找有关与腭沟相关的牙周病的诊断和管理(所有治疗方法)的英文书面文章。基于这些文献,一个全面的决策树,包括标准化的腭沟评估和量身定制的治疗方法,是提议的。此外,描述了一个临床案例,以证明开发的决策树的实际应用。
结果:最初确定的共451篇文章,34人被选中,描述40例患者,其中40例牙周病变与腭沟相关。案例报告说明了一个深刻的,大,牙齿#22腭侧的周围骨内缺损与浅层相关,一名18岁男性患者的中度长腭沟。重新评估后,单皮瓣手术被认为是必要的,结合再生程序。治疗后2年,牙齿#22是健康的,在功能和审美的位置。决策过程,根据局部和全身患者的情况,应允许早期和精确的诊断,以防止进一步的并发症,并采取适当的治疗。
结论:腭沟相对罕见;然而,它们通常与严重的牙周缺陷有关。身份证明,诊断,提示,对相关病变进行量身定制的处理对于减轻与腭沟相关的潜在牙周和牙髓并发症至关重要。
背景:[https://www.crd.约克。AC.英国/普华永道/],标识符[CCRD42022363194]。
BACKGROUND: Palatal groove represents a relatively uncommon developmental root anomaly, usually found on the palatal aspect of maxillary incisors. While its origin is controversial, its presence predisposes to severe periodontal defects.
OBJECTIVE: This study aimed to provide a systematic review of the literature focusing on the varied diagnostic techniques and treatment modalities for periodontal lesions arising from the presence of palatal groove. Based on the existing evidence and knowledge, the study also provides a comprehensive decisional tree, guiding clinicians in the challenging decision-making process face to a palatal groove.
METHODS: The literature search was conducted on Medline and Cochrane databases by two independent reviewers, who also performed the screening and selection process, looking for English written articles reporting on diagnosis and management (all treatment approaches) of periodontal lesion(s) associated with a palatal groove. Based on this literature, a comprehensive decisional tree, including a standardized palatal groove evaluation and tailored treatment approaches, is proposed. Moreover, a clinical case is described to demonstrate the practical application of the developed decisional tree.
RESULTS: Over a total of 451 articles initially identified, 34 were selected, describing 40 patients with 40 periodontal lesions associated with palatal grooves. The case report illustrates a deep, large, circumferential intra-bony defect on the palatal side of the tooth #22 associated with a shallow, moderately long palatal groove in an 18-year-old male patient. Following reevaluation, a single flap surgery was deemed necessary, combined with a regenerative procedure. At 2 years post-treatment, the tooth #22 is healthy, in a functional and esthetic position. The decision-making process, based on local and systemic patient\'s conditions, should allow an early and precise diagnosis to prevent further complications and undertake an adequate treatment.
CONCLUSIONS: Palatal grooves are relatively rare; however, they are frequently associated with severe periodontal defects. The identification, diagnosis, prompt, and tailored management of the associated lesion is essential to mitigate potential periodontal and endodontic complications related to the presence of palatal groove.
BACKGROUND: [ https://www.crd.york.ac.uk/prospero/ ], identifier [C CRD42022363194].