Florid hypercementosis synchronous with periodontitis: a case report.

Area of Science:

• Dentistry
• Oral Pathology
• Periodontology

Background:

• Hypercementosis (HC) is an uncommon nonneoplastic condition characterized by excessive cementum formation, primarily affecting permanent teeth.
• Widespread HC is typically associated with Paget disease of bone.
• The co-occurrence of HC and periodontitis is rarely documented in scientific literature.

Observation:

• This article presents a case of a 44-year-old female patient.
• The patient exhibited moderate to severe periodontitis.
• Twenty-two teeth were diagnosed with hypercementosis.

Findings:

• Clinical, radiographic, and histopathologic findings of the patient are detailed.
• The study documents a synchronous presentation of periodontitis and numerous hypercementosis-affected teeth.
• Differential etiologies for hypercementosis are also discussed.

Implications:

• This case expands the understanding of hypercementosis associations beyond Paget disease.
• It highlights the importance of considering periodontitis as a potential concurrent condition in HC cases.
• Further research may elucidate the specific mechanisms linking periodontitis and hypercementosis.