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The region of maxillary lateral incisor is an area of embryological importance with major and minor malformations like, gemination, fusion, cysts, dens in dente, peg-shaped laterals, talon cusps, supernumerary roots, and palatogingival groove (PGG). Palatogingival groove is a developmental groove usually found on the lingual aspect of maxillary incisors. It can be simple or complex on the basis of its connection to the pulp. These grooves act as a nidus for plaque accumulation which destroys the sulcular epithelium and later deeper parts of the periodontium. Since proper cleaning of this region is difficult by patient himself, it can lead to serious localized periodontal lesion or can communicate with endodontic lesion. Suggested treatment modalities are curettage of the affected tissues, elimination of the groove by grinding (saucerization), or by sealing with a variety of filling materials. If the groove extends beyond the middle-third of the root apex, surgical procedures are required, including use of barriers and intraosseous alloplastic graft to correct the defect.

Palatoradicular Groove Associated Defect Resolved with GIC, Alloplastic Graft and GTR Membrane