Cemental tear related to rapid periodontal breakdown: a case report.

J. M. Haney, K. N. Leknes, T. Lie, K. A. Selvig, U. M. Wikesjö

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Abstract

Cemental tears have been described both in exposed and unexposed cementum. The phenomenon is believed to be elicited by overloading or acute trauma from occlusion. In this case report a patient, with a history of periodontal health, presented with an acute periodontal lesion on the distal aspect of a bridge abutment tooth. Periapical radiographs demonstrated an extensive vertical intrabony defect adjacent to the vital abutment tooth containing a radiopaque "foreign body." Histological examination of the surgically removed "foreign body" revealed a piece of dental cementum with some attached soft tissue. The lesion responded well to a surgical approach. Healing was uneventful and periodontal health was restored. This case illustrates that cemental tear should be considered as a differential diagnostic entity in isolated sites with rapid periodontal breakdown.

Original languageEnglish (US)
Pages (from-to)220-224
Number of pages5
JournalJournal of Periodontology
Volume63
Issue number3
Publication statusPublished - Mar 1 1992

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ASJC Scopus subject areas

  • Periodontics

Cite this

Haney, J. M., Leknes, K. N., Lie, T., Selvig, K. A., & Wikesjö, U. M. (1992). Cemental tear related to rapid periodontal breakdown: a case report. Journal of Periodontology, 63(3), 220-224.