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[Cemental Tear].

Gioia Michelotti1, Philipp Sahrmann1, Tobias T Tauböck1

  • 1Klinik für Zahnerhaltung und Präventivzahnmedizin, Zentrum für Zahnmedizin der Universität Zürich, Schweiz.

Swiss Dental Journal
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Summary

Cementum shearing can lead to localized periodontal attachment loss. This summary details treatment approaches for this dental issue, illustrated through two case studies.

Keywords:
AttachmentverlustHartgewebeabspaltungWurzelfrakturZementabscherungZementscherbelokale Parodontitis

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Area of Science:

  • Dental Medicine
  • Periodontology
  • Oral Surgery

Background:

  • Cementum shearing is a recognized cause of localized periodontal attachment loss.
  • Clinical signs include isolated periodontal pockets, gingival swelling, and positive CO2 tests.
  • Radiographic evidence often reveals a radio-opaque fragment adjacent to the root surface.

Purpose of the Study:

  • To illustrate the clinical presentation and treatment of cementum shearing.
  • To provide insights into managing periodontal complications arising from dental procedures.

Main Methods:

  • Case report methodology was employed.
  • Two distinct clinical cases of cementum shearing were documented.
  • Treatment strategies were applied and outcomes observed.

Main Results:

  • Both cases demonstrated characteristic signs of localized periodontal attachment loss.
  • Successful management of the cementum fragments and periodontal defects was achieved.
  • The presented treatments highlight effective interventions for this specific condition.

Conclusions:

  • Cementum shearing requires prompt recognition and appropriate management.
  • Treatment strategies can effectively address the periodontal consequences of cementum shearing.
  • These cases offer valuable clinical guidance for dental practitioners.