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Treatment of the cemental tear

Oral Biology Research 2018³â 42±Ç 4È£ p.248 ~ 253
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¹Ú¿¹¼Ö ( Park Ye-Sol ) - Wonkwang University College of Dentistry Wonkwang University Daejeon Dental Hospital Department of Periodontology
ÀÌÀçÈ« ( Lee Jae-Hong ) - Wonkwang University College of Dentistry Wonkwang University Daejeon Dental Hospital Department of Periodontology
Á¤¼º³ä ( Jeong Seong-Nyum ) - Wonkwang University College of Dentistry Wonkwang University Daejeon Dental Hospital Department of Periodontology

Abstract


Cemental tears are uncommon form of root fracture that can lead to rapid localized periodontal attachment loss. Studies havedescribed periodontal breakdown as being associated with the separation of the cementum from the underlying tooth structure. The aim of this case report is to assess the outcome of treatment of cemental tear with several surgical treatment regimens. Threepatients with cemental tear were treated with different surgical method. In all three cases, the cemental tear occurred on maxillaryright central incisors. In each case, the root fragment were removed, the localized defect was treated using different surgical methodsincluding guided tissue regeneration and bone graft followed by scaling and root planting. In all three cases, symptoms subsided afterthe treatment and clinical attachment level was improved up to 2 mm at 3 month after surgery. Both conventional and regenerativeperiodontal surgery could achieve successful outcomes.

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Dental cementum; Periodontal attachment loss; Periodontal pocket; Tooth fractures

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