Document Detail

Atypical localized deep pocket due to a cemental tear: case report.
MedLine Citation:
PMID:  12937596     Owner:  NLM     Status:  MEDLINE    
A 71-year old patient with a history of minimal periodontal attachment loss presented with an asymptomatic, non-bleeding, isolated deep pocket on the mesio-facial of a central incisor. Such localized, deep pockets are most frequently associated with a root fracture or an abscess, but in this case an atypical ledge-like projection determined to be a cemental tear was detected at the base of the 6 mm pocket. Periodontal flap surgery revealed a partial detachment of the cementum. Uneventful resolution of the pocket was achieved following root planing to remove the cemental fragment and placement of a bone graft and resorbable membrane. This article reviews the nature, predisposing factors, causes, clinical significance, and treatment of cemental tears.
Barbara J Marquam
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2003-08-15
Journal Detail:
Title:  The journal of contemporary dental practice     Volume:  4     ISSN:  1526-3711     ISO Abbreviation:  J Contemp Dent Pract     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-08-25     Completed Date:  2003-09-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101090552     Medline TA:  J Contemp Dent Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  52-64     Citation Subset:  D; IM    
Dental Hygiene Department at the Oregon Health & Sciences University School of Dentistry in Portland, Oregon, USA.
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MeSH Terms
Bone Substitutes
Dental Cementum / injuries*
Incisor / injuries
Periodontal Attachment Loss / etiology*,  surgery
Periodontal Pocket / etiology*,  pathology,  surgery
Root Planing
Surgical Flaps
Tooth Injuries / complications*
Reg. No./Substance:
0/Biogran; 0/Bone Substitutes

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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