The silent killer caught white handed: An interdisciplinary approach to manage a rare case of PGG associated Perio-endo lesion

Abstract

Palatogingival grooves (PGG) are developmental anomalies quite hazardous for development of periodontal-endodontic lesion. An intact epithelial attachment across the groove ensures a healthy periodontium. However, if the attachment is breached, it acts as a suitable milieu for accumulation of plaque and subsequent pocket formation. It is noticed that localized deep pocket reaching up to or beyond the root apex often lead to combined primary perio secondary endo lesions. This paper reports a case of successful management of PGG associated perio endo lesion with interdisciplinary approach.