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KMID : 0362720220600110704
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Journal of the Korean Dental Association
2022 Volume.60 No. 11 p.704 ~ p.712
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Multidisciplinary approach for management of cemental tear with apical periodontitis: A case report
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Abstract
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Objectives: Cemental tear is a specific type of root surface fracture that can lead to rapid periodontal attachment loss.
Tooth associated with cemental tear show mobility of tooth, resorption of alveolar bone, and inflammation that persists even after root canal treatment. Cemental tears are difficult to diagnose when characteristic fractures are not observed on radiographs, and often misdiagnosis as periapical or periodontal lesions. refore, an accurate diagnosis is essential for successful treatment of cemental tears and a multidisciplinary approach that involves both endodontic periodontal treatment, and periodontal surgery is required.
The aim of this case report is to present the treatment and outcome of cemental tear which was managed with two different surgical treatment regimes. In the first case, after conventional endodontic treatment, cemental fragment was removed through open flap surgery, and regeneration treatment was performed by guided tissue regeneration (GTR) and bone graft. In the second case, after conventional endodontic treatment, apicoectomy and removal of cemental fragments were performed through replantation of tooth, followed by guided tissue regeneration (GTR) and bone graft. In both cases, follow-up of more than 6 months was performed, symptoms subsided and recovery of periapical alveolar bone was observed on radiographs.
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KEYWORD
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cemental tear, guided tissue regeneration, apical periodontitis, replantation
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