Cemental Tear Associated With Upper Left Canine – Case Report

Camila Longo; Carine Bertotto Broilo; Luiza Bonezi Boff

doi:doi:10.11648/j.ijdm.20230901.12

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Cemental Tear Associated With Upper Left Canine – Case Report

Camila Longo, Carine Bertotto Broilo, Luiza Bonezi Boff

Published in International Journal of Dental Medicine (Volume 9, Issue 1)

Received: 2 February 2023 Accepted: 7 March 2023 Published: 31 March 2023

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Abstract

This study aims to report an unusual clinical case of cemental tear in the upper left canine, presenting the clinical and radiographic characteristics of the lesion, predisposing factors, differential diagnosis, treatment and 12-month postoperative control. A 73-year-old male patient was referred for an apicectomy of the left maxillary lateral incisor. After the procedure the patient still had a capsulated intraosseous lesion at the apex communicating with the left maxillary canine. It was decided to place an immediate implant in that same region, which was later lost, and even so, the fistulated lesion continued to recur. After several attempts of curettage and total removal of the lesion the patient still presented it frequently. Through a Cone Beam Tomography, the diagnosis of cemental tear in the upper left canine was defined and its extraction was then performed. After the extraction, maintenance consultations were carried out in the subsequent periods of 3 months, 6 months and 12 months, where good bone healing was found and there was no more sign of infection. After 12 months of clinical follow-up, the surgical treatment proved to be quite efficient and, even without the placement of any type of biomaterial, bone neoformation could be observed in the region and there was no recurrence of the lesion.

Published in	International Journal of Dental Medicine (Volume 9, Issue 1)
DOI	10.11648/j.ijdm.20230901.12
Page(s)	6-10
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Cemental Tear, Dental Cementum, Periodontal Pocket, Radicular Cyst, Root Surface Fracture

References

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[2]	Pilloni A, Nardo F, Rojas MA. (2019). Surgical treatment of a cemental tear-associated bony defect using hyaluronic acid and a resorbable collagen membrane: a 2-year follow-up. Clinical Advances in Periodontics, 9 (2), 64-69. doi: 10.1002/cap.10053.
[3]	Chawla A, Kumar V. (2019). Cemental tear: an unusual cause for persisting endodontic periodontal lesion. Indian Journal of Dental Research, 30, 140–143. doi: 10.4103/ijdr.IJDR_746_17.
[4]	Harrel SK, Wright JM. (2000). Treatment of periodontal destruction associated with a cemental tear using minimally invasive surgery. Journal of Periodontology, 71 (11), 1761-1766.
[5]	Lin H-J, Chan C-P, Wu C-T, Jeng J-H. (2010). Cemental tear on a mandibular second molar: a case report. Odontology, 98, 173-176. doi: 10.1007/s10266-010-0121-8.
[6]	Chou J, Rawal YB, O’Neil JR, Tatakis DN. (2004). Cementodentinal tear: a case report with 7-year follow-up. Journal of Periodontology, 75 (12), 1708-1713.
[7]	Jeng P-Y, Luzi AL, Pitarch RM, Chang M-C, Wu Y-H, Jeng J-H. (2018). Cemental tear: to know what we have neglected in dental practice. Journal of the Formosan Medical Association, 117, 261-267. doi: 10.1016/j.jfma.2017.09.001.
[8]	Damasceno LS, Dutra WO, Melgaço EG, Souza PEA, Zenóbio EG, Horta MCR. (2012). Cemental tear: a case report with nonsurgical periodontal therapy. Rev Odonto Cienc, 27 (1), 74-77.
[9]	Xie C, Wang L, Yang P, Ge S. (2017). Cemental tears: a report of four cases and literature review. Oral Health & Preventive Dentistry, 15 (4), 337-345. doi: 10.3290/j.ohpd.a38745.
[10]	Stewart ML, McClanahan SB. (2006). Cemental tear: a case report. International Endodontic Journal, 39, 81-86.
[11]	Borkar SA, Ataide IN. (2019). Management and 5-year follow-up of tooth with bilateral cemental tear and complete pulp canal obliteration. Journal of Conservative Dentistry, 22 (2), 213-214. doi: 10.4103/JCD.JCD_370_18.
[12]	Camargo PM, Pirih FQM, Wolinsky LE, Lekovic V, Kamrath H, White SN. (2003). Clinical repair of an osseous defect associated with a cemental tear: a case report. The International Journal of Periodontics & Restorative Dentistry, 23 (1), 79-85.
[13]	Kaur S, Kumar S, Mishra R, Gupta H, Gera A. (2012). Cemental tear: an un-usual case report. Indian Journal of Dental Sciences, 4 (4), 84-86.
[14]	Ong TK, Harun N, Lim TW. (2019). Cemental tear on maxillary anterior incisors: a description of clinical, radiographic, and histopathological features of two clinical cases. European Endodontic Journal, 4, 90-95. doi: 10.14744/eej.2019.13007.
[15]	Schmidlin PR. (2012). Regenerative treatment of a cemental tear using enamel matrix derivatives: a ten-year follow-up. The Open Dentistry Journal, 6, 148-152.

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APA Style

Camila Longo, Carine Bertotto Broilo, Luiza Bonezi Boff. (2023). Cemental Tear Associated With Upper Left Canine – Case Report. International Journal of Dental Medicine, 9(1), 6-10. https://doi.org/10.11648/j.ijdm.20230901.12

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ACS Style

Camila Longo; Carine Bertotto Broilo; Luiza Bonezi Boff. Cemental Tear Associated With Upper Left Canine – Case Report. Int. J. Dent. Med. 2023, 9(1), 6-10. doi: 10.11648/j.ijdm.20230901.12

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AMA Style

Camila Longo, Carine Bertotto Broilo, Luiza Bonezi Boff. Cemental Tear Associated With Upper Left Canine – Case Report. Int J Dent Med. 2023;9(1):6-10. doi: 10.11648/j.ijdm.20230901.12

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@article{10.11648/j.ijdm.20230901.12,
  author = {Camila Longo and Carine Bertotto Broilo and Luiza Bonezi Boff},
  title = {Cemental Tear Associated With Upper Left Canine – Case Report},
  journal = {International Journal of Dental Medicine},
  volume = {9},
  number = {1},
  pages = {6-10},
  doi = {10.11648/j.ijdm.20230901.12},
  url = {https://doi.org/10.11648/j.ijdm.20230901.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20230901.12},
  abstract = {This study aims to report an unusual clinical case of cemental tear in the upper left canine, presenting the clinical and radiographic characteristics of the lesion, predisposing factors, differential diagnosis, treatment and 12-month postoperative control. A 73-year-old male patient was referred for an apicectomy of the left maxillary lateral incisor. After the procedure the patient still had a capsulated intraosseous lesion at the apex communicating with the left maxillary canine. It was decided to place an immediate implant in that same region, which was later lost, and even so, the fistulated lesion continued to recur. After several attempts of curettage and total removal of the lesion the patient still presented it frequently. Through a Cone Beam Tomography, the diagnosis of cemental tear in the upper left canine was defined and its extraction was then performed. After the extraction, maintenance consultations were carried out in the subsequent periods of 3 months, 6 months and 12 months, where good bone healing was found and there was no more sign of infection. After 12 months of clinical follow-up, the surgical treatment proved to be quite efficient and, even without the placement of any type of biomaterial, bone neoformation could be observed in the region and there was no recurrence of the lesion.},
 year = {2023}
}

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TY  - JOUR
T1  - Cemental Tear Associated With Upper Left Canine – Case Report
AU  - Camila Longo
AU  - Carine Bertotto Broilo
AU  - Luiza Bonezi Boff
Y1  - 2023/03/31
PY  - 2023
N1  - https://doi.org/10.11648/j.ijdm.20230901.12
DO  - 10.11648/j.ijdm.20230901.12
T2  - International Journal of Dental Medicine
JF  - International Journal of Dental Medicine
JO  - International Journal of Dental Medicine
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2472-1387
UR  - https://doi.org/10.11648/j.ijdm.20230901.12
AB  - This study aims to report an unusual clinical case of cemental tear in the upper left canine, presenting the clinical and radiographic characteristics of the lesion, predisposing factors, differential diagnosis, treatment and 12-month postoperative control. A 73-year-old male patient was referred for an apicectomy of the left maxillary lateral incisor. After the procedure the patient still had a capsulated intraosseous lesion at the apex communicating with the left maxillary canine. It was decided to place an immediate implant in that same region, which was later lost, and even so, the fistulated lesion continued to recur. After several attempts of curettage and total removal of the lesion the patient still presented it frequently. Through a Cone Beam Tomography, the diagnosis of cemental tear in the upper left canine was defined and its extraction was then performed. After the extraction, maintenance consultations were carried out in the subsequent periods of 3 months, 6 months and 12 months, where good bone healing was found and there was no more sign of infection. After 12 months of clinical follow-up, the surgical treatment proved to be quite efficient and, even without the placement of any type of biomaterial, bone neoformation could be observed in the region and there was no recurrence of the lesion.
VL  - 9
IS  - 1
ER  -

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Author Information

Camila Longo

Dentistry School, Serra Gaucha University Center – FSG, Caxias do Sul, Brazil
Carine Bertotto Broilo

Department of Oral and Maxillofacial Surgery and Traumatology, Serra Gaucha University Center – FSG, Caxias do Sul, Brazil
Luiza Bonezi Boff

Department of Endodontics, Serra Gaucha University Center – FSG, Caxias do Sul, Brazil

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Plain Text BibTeX RIS

APA Style

Camila Longo, Carine Bertotto Broilo, Luiza Bonezi Boff. (2023). Cemental Tear Associated With Upper Left Canine – Case Report. International Journal of Dental Medicine, 9(1), 6-10. https://doi.org/10.11648/j.ijdm.20230901.12

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ACS Style

Camila Longo; Carine Bertotto Broilo; Luiza Bonezi Boff. Cemental Tear Associated With Upper Left Canine – Case Report. Int. J. Dent. Med. 2023, 9(1), 6-10. doi: 10.11648/j.ijdm.20230901.12

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AMA Style

Camila Longo, Carine Bertotto Broilo, Luiza Bonezi Boff. Cemental Tear Associated With Upper Left Canine – Case Report. Int J Dent Med. 2023;9(1):6-10. doi: 10.11648/j.ijdm.20230901.12

Copy | Download

@article{10.11648/j.ijdm.20230901.12,
  author = {Camila Longo and Carine Bertotto Broilo and Luiza Bonezi Boff},
  title = {Cemental Tear Associated With Upper Left Canine – Case Report},
  journal = {International Journal of Dental Medicine},
  volume = {9},
  number = {1},
  pages = {6-10},
  doi = {10.11648/j.ijdm.20230901.12},
  url = {https://doi.org/10.11648/j.ijdm.20230901.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijdm.20230901.12},
  abstract = {This study aims to report an unusual clinical case of cemental tear in the upper left canine, presenting the clinical and radiographic characteristics of the lesion, predisposing factors, differential diagnosis, treatment and 12-month postoperative control. A 73-year-old male patient was referred for an apicectomy of the left maxillary lateral incisor. After the procedure the patient still had a capsulated intraosseous lesion at the apex communicating with the left maxillary canine. It was decided to place an immediate implant in that same region, which was later lost, and even so, the fistulated lesion continued to recur. After several attempts of curettage and total removal of the lesion the patient still presented it frequently. Through a Cone Beam Tomography, the diagnosis of cemental tear in the upper left canine was defined and its extraction was then performed. After the extraction, maintenance consultations were carried out in the subsequent periods of 3 months, 6 months and 12 months, where good bone healing was found and there was no more sign of infection. After 12 months of clinical follow-up, the surgical treatment proved to be quite efficient and, even without the placement of any type of biomaterial, bone neoformation could be observed in the region and there was no recurrence of the lesion.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Cemental Tear Associated With Upper Left Canine – Case Report
AU  - Camila Longo
AU  - Carine Bertotto Broilo
AU  - Luiza Bonezi Boff
Y1  - 2023/03/31
PY  - 2023
N1  - https://doi.org/10.11648/j.ijdm.20230901.12
DO  - 10.11648/j.ijdm.20230901.12
T2  - International Journal of Dental Medicine
JF  - International Journal of Dental Medicine
JO  - International Journal of Dental Medicine
SP  - 6
EP  - 10
PB  - Science Publishing Group
SN  - 2472-1387
UR  - https://doi.org/10.11648/j.ijdm.20230901.12
AB  - This study aims to report an unusual clinical case of cemental tear in the upper left canine, presenting the clinical and radiographic characteristics of the lesion, predisposing factors, differential diagnosis, treatment and 12-month postoperative control. A 73-year-old male patient was referred for an apicectomy of the left maxillary lateral incisor. After the procedure the patient still had a capsulated intraosseous lesion at the apex communicating with the left maxillary canine. It was decided to place an immediate implant in that same region, which was later lost, and even so, the fistulated lesion continued to recur. After several attempts of curettage and total removal of the lesion the patient still presented it frequently. Through a Cone Beam Tomography, the diagnosis of cemental tear in the upper left canine was defined and its extraction was then performed. After the extraction, maintenance consultations were carried out in the subsequent periods of 3 months, 6 months and 12 months, where good bone healing was found and there was no more sign of infection. After 12 months of clinical follow-up, the surgical treatment proved to be quite efficient and, even without the placement of any type of biomaterial, bone neoformation could be observed in the region and there was no recurrence of the lesion.
VL  - 9
IS  - 1
ER  -

Copy | Download