Root amputation and autologous platelet concentrate application in treating endo-periodontal lesion caused by root groove malformation: a case report

Mohd Noh, Nur Zety and Mohamed Khazin, Sobrina (2026) Root amputation and autologous platelet concentrate application in treating endo-periodontal lesion caused by root groove malformation: a case report. Archives of Orofacial Sciences, 21 (1). pp. 69-77. ISSN 1823-8602 E-ISSN 2231-7163

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Abstract

Root groove malformation can pose significant challenges in dental treatment, including endoperiodontal lesions (EPLs). This case report presents the management of such a lesion via root amputation and the application of autologous platelet concentrate. The patient is a 63-year-old female with a persistent deep pocket in the maxillary first molar due to a developmental root groove. Based on clinical examination, a localised deep periodontal pocket depth was identified on the mesio-buccal site of the tooth, with radiographic evidence of bone loss. Root amputation was performed on the affected root post-endodontic therapy. To enhance healing and tissue regeneration, an autologous platelet concentrate was prepared and applied to the surgical site. Complete resolution of the lesion was demonstrated through post-operative evaluations over a 12-month period, with significant periodontal healing. The patient remained asymptomatic and was satisfied with the current clinical outcome. Overall, combining root amputation with autologous platelet concentrate is instrumental in treating EPL caused by root groove malformations

Item Type:	Article (Case Report)
Uncontrolled Keywords:	Developmental root anomaly, Endo-periodontal lesion, Platelet rich fibrin, Root amputation, Root groove malformation
Subjects:	R Medicine > RK Dentistry
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Dentistry > Department of Restorative Dentistry
Depositing User:	NUR ZETY MOHD NOH
Date Deposited:	20 Jul 2026 15:48
Last Update:	20 Jul 2026 15:48
Queue Number:	2026-07-Q4123
URI:	http://irep.iium.edu.my/id/eprint/130008

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