Cemental Tear: Clinical Characteristics and Its Predisposing Factors

Lin, Huei‐Jeng; Chan, Chiu‐Po; Yang, Chu-Yen; Wu, Chen-Tsai; Tsai, Yi‐Ling; Huang, Chung-Ching; Yang, Kuen-Dah; Lin, Chung Chih; Chang, S. L.; Jeng, Jiiang‐Huei

doi:10.1016/j.joen.2011.02.017

Cited by 48 publications

(96 citation statements)

References 17 publications

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“…The cemental tear is an important however neglected endodontal-periodontal entity due to its uncommon nature (1,4). Most of the cemental tears might reveal the radiological characteristics that mimic periapical and/or lateral lesions (4,9-11).…”

Section: Discussionmentioning

confidence: 99%

“…A cemental tear is defined as an incomplete or complete separation within root surface along the cementodentinal tissue or along an incremental line (1)(2)(3). Development mechanism of cemental tears is not completely elucidated, but several etiologic factors have been attributed to cemental tears such as age, traumatic occlusion, trauma, previous periodontal treatment and attrition (1,4,5). Lin et al (4) reported that age, sex, tooth type and attrition were the major predisposing factors of teeth with cemental tears.…”

Section: Introductionmentioning

confidence: 99%

“…Tissue swelling, pulp vitality and periodontal/periapical bone loss are major diagnostic signs of cemental tears (4,6). Cemental tear diagnosis can be further confirmed by histopathological examination of fractured fragments that are removed by surgically or nonsurgically (6).…”

Section: Introductionmentioning

confidence: 99%

“…Cemental tear diagnosis can be further confirmed by histopathological examination of fractured fragments that are removed by surgically or nonsurgically (6). This entity can be misdiagnosed as periodontal and/ or endodontal lesion and cause progressive bone loss or even tooth loss if left untreated (4). The treatment of cemental tears depends on apicocoronal location of fractured fragments with the aim of regeneration of periodontal tissues and retention of affected tooth (7).…”

Section: Introductionmentioning

confidence: 99%

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A Retrospective Study of the Prevalence of Cemental Tear in a Sample of the Adult Population Applied Ondokuz Mayis University Faculty of Dentistry

Keskin¹,

Güler²

2017

meandros

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Retrospective Study of the Prevalence of Cemental Tear in a Sample of the Adult Population Applied Ondokuz Mayis University Faculty of Dentistry

Keskin¹,

Güler²

2017

meandros

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“…3,5,[9][10][11] In some cases, its clinical features may result in drainage in the sulcus area, swelling, sinus tract, simulating an endodontic-periodontic lesion. 11,12 A thorough examination including pulp vitality tests and careful radiographic examination is necessary to aid in the diagnosis and treatment options. 12 The first description of an EP was recorded in the first half of the 19th century 13 and, since then, it has been referred to as enamel droplet, enamel nodule, enamel globule, enamel knot, enamel exostose, enameloma and adamantoma.…”

Section: Introductionmentioning

confidence: 99%

Enamel pearls in permanent dentition: case report and micro-CT evaluation

Versiani

Cristescu²,

Saquy³

et al. 2013

Dentomaxillofacial Radiology

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Objectives: To investigate the frequency, position, number and morphology of enamel pearls (EPs) using micro-CT (mCT) and to report a case of an EP mimicking an endodonticperiodontic lesion. Methods: Cone beam CT (CBCT) was performed in a patient to evaluate a radio-opaque nodule observed on the left maxillary first molar during the radiographic examination. Additionally, 23 EPs were evaluated regarding frequency, position, number and morphology by means of mCT. The results were statistically compared using the Student's t-test for independent samples. Results: 1 pearl was presented in 13 specimens, while 5 specimens presented 2 pearls. The most frequent location of the EPs was the furcation between the disto-buccal and the palatal roots of the maxillary molars. Overall, the mean major diameter, volume and surface area were 1.98 6 0.85 mm, 1.76 6 1.36 mm 3 and 11.40 6 7.59 mm 2 , respectively, with no statistical difference between maxillary second and third molars (p . 0.05). In the case report, CBCT revealed an EP between the disto-buccal and the palatal roots of the maxillary first left molar associated with advanced localized periodontitis. The tooth was referred for extraction. Conclusions: EPs, located generally in the furcation area, were observed in 0.74% of the sample. The majority was an enamel-dentin pearl type and no difference was found in maxillary second and third molars regarding diameter, volume and surface area of the pearls. In this report, the EP mimicked an endodontic-periodontic lesion and was a secondary aetiological factor in the periodontal breakdown.

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Surgical Treatment of a Cemental Tear‐Associated Bony Defect Using Hyaluronic Acid and a Resorbable Collagen Membrane: A 2‐Year Follow‐Up

Pilloni

Nardo

Rojas

2019

Clin Adv Periodontics

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Introduction:A cemental tear (CeT) is a special type of surface root fracture that may cause periodontal and even periapical tissue destruction. Unfortunately, there is limited knowledge as to how these rare cases can effectively be treated. The present case is believed to be the first reported in the literature treating a bony defect caused by a cemental tear with hyaluronic acid (HA) and a collagen membrane. The aim of this case report is to present a regenerative surgical approach with clinical and tomographic success and stability at 2-year follow-up. Case Presentation:A 61-year-old patient presented with spontaneous pain and gingival swelling over his right central maxillary incisor. Radiographically, a radiolucent area was observed in the medial third between both central incisors. The tomographic evaluation showed a buccal bone dehiscence and a bony defect. Once the differential diagnosis with an endodontic-periodontal lesion and root fracture was performed, CeT was the presumptive diagnosis. During the exploratory flap surgery, a small root fragment (CeT) on the mesial side of the tooth was founded and removed. The bony lesion was treated with hyaluronic acid (HA) and a resorbable collagen membrane. At 2-year follow-up clinical, radiographic, and tomographic success was observed. Conclusion:A CeT-associated bony defect could be successfully treated after removing cemental fragments and performing a regenerative approach using HA and a resorbable collagen membrane. Clin Adv Periodontics 2019;9:64-69.

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Cemental Tear: Clinical Characteristics and Its Predisposing Factors

Cited by 48 publications

References 17 publications

A Retrospective Study of the Prevalence of Cemental Tear in a Sample of the Adult Population Applied Ondokuz Mayis University Faculty of Dentistry

A Retrospective Study of the Prevalence of Cemental Tear in a Sample of the Adult Population Applied Ondokuz Mayis University Faculty of Dentistry

Enamel pearls in permanent dentition: case report and micro-CT evaluation

Surgical Treatment of a Cemental Tear‐Associated Bony Defect Using Hyaluronic Acid and a Resorbable Collagen Membrane: A 2‐Year Follow‐Up

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