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Published on: January 16, 2011

Cemental tear: a case report.

M L Stewart¹, S B McClanahan

¹Endodontics Department, Naval Postgraduate Dental School, National Naval Medical Center, Bethesda, MD, USA.

International Endodontic Journal

|January 18, 2006

Summary

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A cemental tear, the detachment of cementum, is described in a case study. Trauma is highlighted as a potential cause alongside aging and occlusal trauma in periodontal breakdown.

Area of Science:

Endodontics and Periodontics

Background:

Cemental tears are rare periodontal defects characterized by the detachment of a cementum fragment.
They are associated with localized, rapid periodontal breakdown and have been linked to aging and occlusal trauma.

Observation:

This case report details a patient experiencing recurring sinus tracts despite root canal treatment and retreatment.
Exploratory surgery, extraction, and biopsy were performed for diagnosis.

Findings:

The diagnosis was confirmed as a cemental tear.
Trauma, in addition to occlusal traumatism and aging, is considered a potential etiologic factor.

Implications:

This case underscores the importance of considering cemental tears in the differential diagnosis of persistent periodontal issues.

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Understanding the role of trauma in cemental tear etiology may inform future diagnostic and treatment strategies.