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Cemental tear: An overlooked finding associated with rapid periodontal destruction. A case series.
Pedercini, A; Weitz, D F; Heyse, J D; Pedercini, C; Kormas, I; Koutlas, I G; Johnson, D K; McClanahan, S B.
Afiliación
  • Pedercini A; Division of Periodontology, Department of Developmental and Surgical Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.
  • Weitz DF; Division of Endodontics, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.
  • Heyse JD; Division of Endodontics, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.
  • Pedercini C; School of Oral Surgery, Vita-Salute San Raffaele University, Milan, Italy.
  • Kormas I; Division of Periodontology, Department of Developmental and Surgical Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.
  • Koutlas IG; Oral Pathology Laboratories, Department of Diagnostic and Biological Sciences, Division of Oral and Maxillofacial Pathology, University of Minnesota, Minneapolis, MN, USA.
  • Johnson DK; Division of Periodontology, Department of Developmental and Surgical Sciences, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.
  • McClanahan SB; Division of Endodontics, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.
Aust Dent J ; 66 Suppl 1: S82-S87, 2021 03.
Article en En | MEDLINE | ID: mdl-33864270
Cemental tear is defined as cementum fragment completely or partially detached from the root surface, and it has been associated with localized rapid periodontal breakdown. Although history of trauma and/or attrition may be risk factors, the etiopathology of cemental tear remains unknown. This case series aims to discuss the clinical, radiographic and histopathologic features of cemental tears to aid clinicians in making differential diagnosis. Three teeth from three patients presenting a periradicular lesion underwent an exploratory surgery to determine the cause and provide treatment. Soft and hard tissue biopsies were obtained from each lesion and forwarded for histopathologic evaluation. Two patients received a guided tissue regeneration (GTR) procedure, which allowed the tooth to be retained. One patient received an extraction with simultaneous guided bone regeneration (GBR) due to a hopeless prognosis of the tooth. The results after histopathologic evaluation yielded a final diagnosis of cemental tear for all three patients. Cemental tears may be overlooked, and therefore, they should be included in the differential diagnosis of periapical periodontitis, endodontic-periodontal lesion and vertical root fracture (VRF).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de los Dientes / Cemento Dental Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Aust Dent J Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas de los Dientes / Cemento Dental Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Aust Dent J Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Australia