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Severe localized periodontal destruction associated with cervical cemental separation
Collins T Lyons1, Mark E Peacock, Michael F Cuenin
1US Army Dental Corps, Ft. Bragg, USA.
General Dentistry
|June 18, 2005
Summary
Cemental tears can cause rapid periodontal destruction. This case highlights successful surgical correction of a difficult-to-diagnose lingual cemental separation using an osseous graft.
Area of Science:
- Periodontology
- Oral Surgery
Background:
- Cemental tears and separations are secondary causes of periodontal destruction, especially when communicating with the oral cavity.
- Radiographic diagnosis of proximal cemental tears is common, but facial or lingual tears pose a diagnostic challenge.
Observation:
- A case of a lingual cemental separation on a maxillary incisor is presented.
- This type of separation was not detectable via standard radiography.
Findings:
- Successful surgical correction of the lingual cemental separation was achieved.
- The treatment involved the use of an osseous graft.
Implications:
- This case demonstrates a viable surgical approach for treating challenging cemental separations.
- Osseous grafting can be an effective method for managing periodontal defects resulting from cemental tears.