Peg Lateral- Whether to Extract or to Preserve?
International Journal of Research and Reports in Dentistry,
Page 16-21
Abstract
Introduction: Cosmetic desires have improved over time and currently, in the modern world, patients not only demand for an assertive smile but also express a desire to save their natural dentition in favour of extraction whenever and wherever possible. Peg lateral, an undersized, tapered, maxillary lateral incisor, not only often presents with periodontal complications but also down-regulates the self-esteem of the patients.
Aim: To restore a fully functional and esthetically pleasant peg lateral.
Methodology: A 17-year old female patient complained of mobility and bleeding from upper front teeth region during brushing since last 6 months. So it was decided to perform thorough scaling and root planing, root canal treatment #12, followed by open flap debridement with alloplastic bone graft placement #12. Surgical area was allowed to heal for 15 days and after that composite build-up of peg lateral was done to give it a proper shape.
Results: Uneventful healing was seen in terms of periodontal consideration. Mobility of teeth #12 was reduced after 4weeks and there was no complaint of bleeding during brushing or mastication.
Conclusion: This case highlights the interdisciplinary approach of root canal treatment, open flap debridement, bone regeneration with composite build-up as an innovative approach providing better results with minimum patient apprehension and long term stability.
Keywords:
- Peg lateral
- open flap debridement
- regeneration
- bone grafts
How to Cite
References
DOI: 10.1111/jcpe.12946
A Mombelli. Periodontitis as an infectious disease: specific features and their implications. Oral Dis. 2003;9 Suppl 1:6-10.
DOI: 10.1034/j.1601-0825.9.s1.2.x
Bhatsange A, Shende A, Deshmukh S, Japatti S. Management of fenestration using bone allograft in conjunction with platelet-rich fibrin. J Indian Soc Periodontol. 2017;21(4) 337–340.
DOI: 10.4103/jisp.jisp_101_17.
Li Shue, Zhang Yufeng, Ullas Mony. Biomaterials for periodontal regeneration: A review of ceramics and polymers. Biomatter 2:4, 271–277; October/November/December 2012; G 2012 Landes Bioscience.
Ali Cekici, Alpdogan Kantarci, Hatice Hasturk, Thomas E. Van Dyke. Inflammatory and immune pathways in the pathogenesis of periodontal disease. Periodontol 2000. 2014;64(1):57–80.
DOI: 10.1111/prd.12002
L Heijl, B R Rifkin, H A Zander. Conversion of chronic gingivitis to periodontitis in squirrel monkeys. J Periodontol. 1976;47(12):710-6.
DOI: 10.1902/jop.1976.47.12.710.
Jingyuan Fan, Jack G. Caton. Occlusal trauma and excessive occlusal forces: Narrative review, case definitions, and diagnostic considerations. 2018 American Academy of Periodontology and European Federation of Periodontology. J Periodontol. 2018;89(Suppl1):S214–S222.
https://doi.org/10.1002/JPER.16-0581.
George Hajishengallis & Triantafyllos Chavakis. Local and systemic mechanisms linking periodontal disease and inflammatory comorbidities. Nature Reviews Immunology 2021; 21:426– 40.
Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol. 2011;38:661– 666.
DOI: 10.1111/j.1600-051X.2011.01732.x
Takei HH, TJ Han, Carranza Jr FA, Kenney EB, Lekovic V. Flap technique for periodontal bone implants. Papilla preservation technique. J Periodontol. 1985;56(4):204-10.
DOI: 10.1902/jop.1985.56.4.204.
Rohit Kulshrestha. Interdisciplinary Approach in the Treatment of Peg Lateral Incisors. J Orthod Endod. 2016,2:1.
Linda Greenwall. Treatment options for peg-shaped laterals using direct composite bonding. International Dentistry SA. 12(1).
Celikoglu M, Akdag MS, Karatas M. Investigation of the peg-shaped maxillary lateral incisors in a Turkish orthodontic subpopulation. Journal of Orthodontic Research 2014;2(3):125.
DOI:10.4103/2321-3825.140675.
Ashwin Devasya and Mythri Sarpangala. Dracula tooth: A very rare case report of peg-shaped mandibular incisors. J Forensic Dent Sci. 2016;8(3):164–166.
DOI: 10.4103/0975-1475.195123.
Conrad HJ, Seong WJ, Pesun IJ. Current ceramic materials and systems with clinical recommendations: A systematic review. J Prosthet Dent. 2007;98:389-404.
Chaturvedi A, Singh A. A reasonable smile with componeers–a case repot. Annals Dent Spec. 2015;3:33.
Giargia M, Lindhe J. Tooth mobility and periodontal disease. J Clin Periodontol. 1997; 24(11):785-95.
DOI: 10.1111/j.1600-051x.1997.tb01190.x.
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