Atypical localized deep pocket due to a cemental tear: case report.

作者: Barbara J. Marquam

DOI: 10.5005/JCDP-4-3-52

关键词: Root planingClinical attachment lossResorbable membranesCementumMaxillary central incisorTearsMedicineAbscessDentistrySurgical FlapsSurgery

摘要: A 71-year old patient with a history of minimal periodontal attachment loss presented an asymptomatic, non-bleeding, isolated deep pocket on the mesio-facial central incisor. Such localized, pockets are most frequently associated root fracture or abscess, but in this case atypical ledge-like projection determined to be cemental tear was detected at base 6 mm pocket. Periodontal flap surgery revealed partial detachment cementum. Uneventful resolution achieved following planing remove fragment and placement bone graft resorbable membrane. This article reviews nature, predisposing factors, causes, clinical significance, treatment tears.

参考文章(15)
Müller Hp, Cemental tear treated with guided tissue regeneration: a case report 3 years after initial treatment. Quintessence International. ,vol. 30, pp. 111- 115 ,(1999)
Knut A. Selvig, Helmut A. Zander, Chemical Analysis and Microradiography of Cementum and Dentin from Periodontally Diseased Human Teeth Journal of Periodontology. ,vol. 33, pp. 303- 310 ,(1962) , 10.1902/JOP.1962.33.4.303
Thomas G. Wilson, Kenneth S. Kornman, James A. Craig, Fundamentals of periodontics Implant Dentistry. ,vol. 6, pp. 68- ,(1997) , 10.1097/00008505-199700610-00049
B.L.C. Harvey, H.A. Zander, Root surface resorption of periodontally diseased teeth Oral Surgery, Oral Medicine, Oral Pathology. ,vol. 12, pp. 1439- 1443 ,(1959) , 10.1016/0030-4220(59)90264-6
Knut N. Leknes, Tryggve Lie, Knut A. Selvig, Cemental tear: a risk factor in periodontal attachment loss. Journal of Periodontology. ,vol. 67, pp. 583- 588 ,(1996) , 10.1902/JOP.1996.67.6.583
Kurt H. Thoma, Henry M. Goldman, The Pathology of Dental Cementum The Journal of the American Dental Association. ,vol. 26, pp. 1943- 1953 ,(1939) , 10.14219/JADA.ARCHIVE.1939.0370
O.J. Mikola, Wm.H. Bauer, “Cementicles” and fragments of cementum in the periodontal membrane Oral Surgery, Oral Medicine, Oral Pathology. ,vol. 2, pp. 1063- 1074 ,(1949) , 10.1016/0030-4220(49)90220-0
Bernard S. Moskow, Calculus attachment in cemental separations. Journal of Periodontology. ,vol. 40, pp. 125- 130 ,(1969) , 10.1902/JOP.1969.40.3.125
Tsuneyuki Yamamoto, Minoru Wakita, Initial attachment of principal fibers to the root dentin surface in rat molars. Journal of Periodontal Research. ,vol. 25, pp. 113- 119 ,(1990) , 10.1111/J.1600-0765.1990.TB00901.X
Isao Ishikawa, Shigeru Oda, Joichiro Hayashi, Shinichi Arakawa, Cervical Cemental Tears in Older Patients With Adult Periodontitis. Case Reports Journal of Periodontology. ,vol. 67, pp. 15- 20 ,(1996) , 10.1902/JOP.1996.67.1.15