J Korean Acad Periodontol.
2008 Sep;38(3):551-556.
Clinical case reports of cemental tear
- Affiliations
-
- 1Department of Periodontology, Oral Science Research Center, College of Dentistry, Yonsei University, Korea. shchoi726@yuhc.ac
- 2Department of Operative Dentistry, College of Dentistry, Yonsei University, Korea.
Abstract
- PURPOSE
Cemental tear is an uncommon form of root fracture that can lead to rapid localized attachment loss. When it is exposed in the periodontal pocket, it should be removed to prevent accumulation of dental plaque and calculus. MATERIAL AND METHODS: 2 patients were diagnosed as a cemental tear and they were treated with conventional flap operation and subgingival curettage. Additional treatments such as bone graft or guided tissue regeneration were not performed. RESULT: Symptoms subsided after the treatment. Periodontal pocket has been reduced but no gain of clinical attachment was observed. Remnant of cemental fragment remained after curettage. However, periodontal pocket was stably maintained and there was no recurrence.
CONCLUSION
Periodontal attachment loss associated with cemental tear can be successfully treated with conventional periodontal surgical and nonsurgical procedures.
