Palatogingival grooves (PGG) are developmental malformations which predispose to endo-perio lesions. Owing to their occurrence, funnel-shaped morphology and vacillating extent on tooth root, they advocate plaque and bacterial adherence to levels significant for the development of pathology. Several treatment approaches have been recognized in literature for the management of PGG. In this report, a 32 year old patient reported with the complaint of pain in maxillary left central incisor. Clinical examination confirmed an endo- perio lesion in relation to PGG. The aim of this case report is to provide treatment strategies for PGG which includes eradication of microbes, sealing the PGG to eliminate bacterial colonization and to regenerate the attachment apparatus. Combined endo - perio approach will be successful in resolving the pathology with complete healing clinically and radiographically. Prompt diagnosis, prevention and management is required to prevent tooth loss due to complications arising secondary to their presence.
KEYWORDS: Palatogingival groove, mineral tri-oxide aggregate, platelet rich fibrin.
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