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KMID : 0363020080380030551
Journal of Korean Academy of Periodontology
2008 Volume.38 No. 3 p.551 ~ p.555
Clinical case reports of cemental tear
Park Jung-Chul

Baek Do-Young
Kim Chang-Sung
Cho Kyoo-Sung
Chae Jung-Kiu
Kim Chong-Kwan
Choi Seong-Ho
Abstract
Purpose: Cemental tear is an uncommon form of root fracture that can lead to rapid localized attachment loss. When it is exposed in the periodontal pocket, it should be removed to prevent accumulation of dental plaque and calculus.

Material and Methods: 2 patients were diagnosed as a cemental tear and they were treated with conventional flap operation and subgingival curettage. Additional treatments such as bone graft or guided tissue regeneration were not performed.

Result: Symptoms subsided after the treatment. Periodontal pocket has been reduced but no gain of clinical attachment was observed. Remnant of cemental fragment remained after curettage. However, periodontal pocket was stably maintained and there was no recurrence.

Conclusion: Periodontal attachment loss associated with cemental tear can be successfully treated with conventional periodontal surgical and nonsurgical procedures.
KEYWORD
Cemental tear, Cementum
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