Cemental tear: a case report with nonsurgical periodontal therapy

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.

Bibliographic Details

Main Authors:	Damasceno,Leonardo Silveira, Dutra,Walderez Ornelas, Melgaço,Eder Gonçalves, Souza,Paulo Eduardo Alencar de, Zenóbio,Elton Gonçalves, Horta,Martinho Campolina Rebello
Format:	Digital revista
Language:	English
Published:	Pontifícia Universidade Católica do Rio Grande do Sul 2012
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1980-65232012000100014
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