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Clinical case reports of cemental tear  

Park, Jung-Chul (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University)
Baek, Do-Young (Department of Operative Dentistry, College of Dentistry, Yonsei University)
Kim, Chang-Sung (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University)
Cho, Kyoo-Sung (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University)
Chai, Jung-Kiu (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University)
Kim, Chong-Kwan (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University)
Choi, Seong-Ho (Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University)
Publication Information
Journal of Periodontal and Implant Science / v.38, no.3, 2008 , pp. 551-556 More about this Journal
Abstract
Purpose: Cemental tear is an uncommon form of root fracture that can lead to rapid localized attachment loss. When it is exposed in the periodontal pocket, it should be removed to prevent accumulation of dental plaque and calculus. Material and Methods: 2 patients were diagnosed as a cemental tear and they were treated with conventional flap operation and subgingival curettage. Additional treatments such as bone graft or guided tissue regeneration were not performed. Result: Symptoms subsided after the treatment. Periodontal pocket has been reduced but no gain of clinical attachment was observed. Remnant of cemental fragment remained after curettage. However, periodontal pocket was stably maintained and there was no recurrence. Conclusion: Periodontal attachment loss associated with cemental tear can be successfully treated with conventional periodontal surgical and nonsurgical procedures.
Keywords
Cemental tear; Cementum;
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1 Schuluger S, Youdelis R, Page R, Johnson R. Periodontal Diseases. Philadelphia: Lea & Febiger, 1990
2 Moskow BS. Calculus attachment in cemental separations. J Periodontol 1969;40:125-130   DOI   PUBMED
3 Muller HP. Cemental tear treated with guided tissue regeneration: a case report 3 years after initial treatment. Quintessence Int 1999;30:111-115   PUBMED
4 Carranza FJ. Glickman's Clinical Periodontology. 7th edition. Philadelphia, 1990;60-61
5 Chou J, Rawal YB, O'Neil JR, Tatakis DN. Cementodentinal tear: a case report with 7-year follow-up. J Periodontol 2004;75:1708-1713   DOI   ScienceOn
6 Ishikawa I, Oda S, Hayashi J, Arakawa S. Cervical cemental tears in older patients with adult periodontitis. Case reports. J Periodontol 1996;67:15-20   DOI   PUBMED
7 Williams D, Odell FHE, Farthing P. Pathology of Periodontal Disease. The Oxford University Press 1992:17-31
8 Haney JM, Leknes KN, Lie T, et al. Cemental tear related to rapid periodontal breakdown: a case report. J Periodontol 1992;63:220-224
9 Leknes KN, Lie T, Selvig KA. Cemental tear: a risk factor in periodontal attachment loss. J Periodontol 1996;67:583-588   DOI   PUBMED   ScienceOn
10 Ramfjord S, Ash M. Periodontology and Periodontics: Modern Theory and Practice. 1 ed. St. Louis: Ishiyaku EuroAmerica, 1989
11 Leknes KN. The influence of anatomic and iatrogenic root surface characteristics on bacterial colonization and periodontal destruction: a review. J Periodontol 1997;68:507-516   DOI   PUBMED   ScienceOn