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Cemental tear on a mandibular second molar: a case report
Hsueh-Jen Lin1, Chiu-Po Chan, Chen-Tsai Wu
1Dental Department, Show Chwan Memorial Hospital, Changhua, Taiwan, ROC.
Odontology
|July 24, 2010
Summary
Cemental tears, a type of root fracture, can cause rapid periodontal destruction. This case highlights their occurrence in molars, emphasizing early diagnosis for better treatment outcomes.
Area of Science:
- Dentistry
- Periodontology
- Oral Pathology
Background:
- Cemental tears are root fractures often affecting anterior teeth.
- They can lead to localized periodontal destruction.
Observation:
- A 72-year-old male presented with gingival swelling and deep periodontal pockets on mandibular molars.
- Surgical exploration revealed detached root fragments on the first and second molars.
Findings:
- Histopathological examination confirmed the root fragments as cemental tears.
- The patient underwent osseous grafting and guided tissue regeneration.
Implications:
- Cemental tears should be considered in molar teeth with significant bone loss.
- Early diagnosis and treatment of cemental tears can improve periodontal prognosis.