Work

Cemental tear: a case report with nonsurgical periodontal therapy

Year: 2012

Type: article

Abstract: PURPOSE: To report a case of cemental tear, a rare periodontal condition characterized by total or partial separation of the dental cementum, mainly addressing issues related to its diagnosis and treatment. CASE DESCRIPTION: A 50 years-old man sought dental assistance complaining of pain located in the mandibular left second premolar that showed a 4 mm probing depth with the presence of a foreign body in the distal gingival sulcus. Radiographic examination demonstrated a slight radiopaque fragment detached from the root. The fragment was removed without a periodontal flap. Histopathological examination was performed and evidenced the presence of a cementum fragment with cementum lamellae, cementocytes, and adhered periodontal ligament fibers, confirming the diagnosis of cemental tear. CONCLUSION: After a follow-up of 2 years, the nonsurgical periodontal therapy showed satisfactory clinical and radiographic outcome. Therefore, this approach should be a suitable and predictable treatment modality for the cemental tear.

Source: Revista Odonto Ciência

DOI: 10.1590/s1980-65232012000100014

Authors: Leonardo Silveira Damasceno, Walderez Ornelas Dutra, Eder Gonçalves Melgaço, Paulo Eduardo Alencar de Souza, Elton Gonçalves Zenóbio, Martinho Campolina Rebello Horta

Institutions: Universidade Federal de Minas Gerais, Pontifícia Universidade Católica de Minas Gerais

Language: English

Topic: Endodontics and Root Canal Treatments

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funders: Pontifícia Universidade Católica de Minas Gerais, Conselho Nacional de Desenvolvimento Científico e Tecnológico, Fundação de Amparo à Pesquisa do Estado de Minas Gerais