Cemental tear: To know what we have neglected in dental practice
Cemental tear is a special kind of root surface fracture, contributing to periodontal and periapical breakdown. However, it is a challenge for doctors to diagnose, resulting in delayed or improper treatment. We reviewed the predisposing factors, location, radiographic/clinical characteristics, diagn...
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doaj-7013d73dc0344c3592c9e2f26a2c1fd32020-11-25T00:36:56ZengElsevierJournal of the Formosan Medical Association0929-66462018-04-011174261267Cemental tear: To know what we have neglected in dental practicePo-Yuan Jeng0Arlinda Luzi Luzi1Rocio Marco Pitarch2Mei-Chi Chang3Yu-Hsueh Wu4Jiiang-Huei Jeng5Department of Dentistry, Universidad CEU Cardenal Herrera, Valencia, SpainDepartment of Dentistry, Universidad CEU Cardenal Herrera, Valencia, Spain; Corresponding author. Department of Dentistry, Universidad CEU Cardenal Herrera, Pou de condesa road, Number 5, 46115, Alfara del Patriarca, Valencia, Spain.Department of Dentistry, Universidad CEU Cardenal Herrera, Valencia, Spain; Corresponding author. Department of Dentistry, Universidad CEU Cardenal Herrera, Pou de condesa road, Number 5, 46115, Alfara del Patriarca, Valencia, Spain.Chang Gung University of Science and Technology, Kwei-Shan, Taoyuan City, Taiwan; Department of Dentistry, Chang Gung Memorial Hospital, Taipei, TaiwanDepartment of Dentistry, Far Eastern Memorial Hospital, New Taipei City, TaiwanSchool of Dentistry, National Taiwan University Medical College and Department of Dentistry, National Taiwan University Hospital, Taipei, Taiwan; Corresponding author. School of Dentistry, National Taiwan University Medical College and Department of Dentietry, National Taiwan University Hospital, No 1, Chang-Te Street, Taipei, Taiwan.Cemental tear is a special kind of root surface fracture, contributing to periodontal and periapical breakdown. However, it is a challenge for doctors to diagnose, resulting in delayed or improper treatment. We reviewed the predisposing factors, location, radiographic/clinical characteristics, diagnosis and treatments of cemental tears. From the literature, patients with cemental tear were mainly males, over 60 year-old. Possible predisposing factors include gender, age, tooth type, traumatic occlusal force and vital teeth. Cemental tears were common in upper and lower anterior teeth, single or multiple, and can be present in cervical, middle and apical third of roots. Morphology of cemental tears can be either piece-shaped or U-shaped. Clinically, cemental tear shows a unitary periodontal pocket and signs/symptoms mimicking localized periodontitis, apical periodontitis and vertical root fractures. Treatment of cemental tears include scaling, root planning, root canal treatment, periodontal/periapical surgery, guided tissue regeneration, bone grafting, and intentional replantation. Recurrence of cemental tear is possible especially when the fracture involves root apex. Extraction is recommended for teeth with poor prognosis. In conclusion, cemental tears can involve both periodontal and periapical area. Dentists should understand the predisposing factors and clinical features of cemental tears for early diagnosis/treatment to prevent bone loss/tooth extraction. Keywords: Cemental tear, Clinical characteristics, Surface root fracture, Periodontal/periapical breakdown, Recurrence, Predisposing factorshttp://www.sciencedirect.com/science/article/pii/S0929664617306046 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Po-Yuan Jeng Arlinda Luzi Luzi Rocio Marco Pitarch Mei-Chi Chang Yu-Hsueh Wu Jiiang-Huei Jeng |
spellingShingle |
Po-Yuan Jeng Arlinda Luzi Luzi Rocio Marco Pitarch Mei-Chi Chang Yu-Hsueh Wu Jiiang-Huei Jeng Cemental tear: To know what we have neglected in dental practice Journal of the Formosan Medical Association |
author_facet |
Po-Yuan Jeng Arlinda Luzi Luzi Rocio Marco Pitarch Mei-Chi Chang Yu-Hsueh Wu Jiiang-Huei Jeng |
author_sort |
Po-Yuan Jeng |
title |
Cemental tear: To know what we have neglected in dental practice |
title_short |
Cemental tear: To know what we have neglected in dental practice |
title_full |
Cemental tear: To know what we have neglected in dental practice |
title_fullStr |
Cemental tear: To know what we have neglected in dental practice |
title_full_unstemmed |
Cemental tear: To know what we have neglected in dental practice |
title_sort |
cemental tear: to know what we have neglected in dental practice |
publisher |
Elsevier |
series |
Journal of the Formosan Medical Association |
issn |
0929-6646 |
publishDate |
2018-04-01 |
description |
Cemental tear is a special kind of root surface fracture, contributing to periodontal and periapical breakdown. However, it is a challenge for doctors to diagnose, resulting in delayed or improper treatment. We reviewed the predisposing factors, location, radiographic/clinical characteristics, diagnosis and treatments of cemental tears. From the literature, patients with cemental tear were mainly males, over 60 year-old. Possible predisposing factors include gender, age, tooth type, traumatic occlusal force and vital teeth. Cemental tears were common in upper and lower anterior teeth, single or multiple, and can be present in cervical, middle and apical third of roots. Morphology of cemental tears can be either piece-shaped or U-shaped. Clinically, cemental tear shows a unitary periodontal pocket and signs/symptoms mimicking localized periodontitis, apical periodontitis and vertical root fractures. Treatment of cemental tears include scaling, root planning, root canal treatment, periodontal/periapical surgery, guided tissue regeneration, bone grafting, and intentional replantation. Recurrence of cemental tear is possible especially when the fracture involves root apex. Extraction is recommended for teeth with poor prognosis. In conclusion, cemental tears can involve both periodontal and periapical area. Dentists should understand the predisposing factors and clinical features of cemental tears for early diagnosis/treatment to prevent bone loss/tooth extraction. Keywords: Cemental tear, Clinical characteristics, Surface root fracture, Periodontal/periapical breakdown, Recurrence, Predisposing factors |
url |
http://www.sciencedirect.com/science/article/pii/S0929664617306046 |
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