A Retrospective Study of the Prevalence of Cemental Tear in a Sample of the Adult Population Applied Ondokuz Mayis University Faculty of Dentistry

Keskin, Cangül; Güler, Duygu

doi:10.4274/meandros.39974

Cited by 4 publications

(7 citation statements)

References 13 publications

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“…However, this was in disagreement with earlier studies that reported the association of anterior teeth with increased cemental tears (Leknes et al, 1996;Lin et al, 2011). Moreover, maxillary central incisors have been shown to be more frequently affected amongst the anterior teeth (Keskin & Güler, 2017;Qari et al, 2019), even though others did not report any significant difference between the maxillary and mandibular central incisors (Lin et al, 2011). A summary of the case reports reviewed on 41 patients and 58 teeth revealed that cemental tears occurred in 34 (59%) anterior teeth, 17 (29%) premolars and 7 (12%) molars (Table 1).…”

Section: Tooth Typecontrasting

confidence: 64%

“…Tooth type was not reported to be a significant risk factor in two recent observational studies (Keskin & Güler, 2017;Özkan & Özkan, 2020). However, this was in disagreement with earlier studies that reported the association of anterior teeth with increased cemental tears (Leknes et al, 1996;Lin et al, 2011).…”

Section: Tooth Typementioning

confidence: 73%

“…Lin et al (2011) conducted a retrospective clinical study on 71 teeth with cemental tears and documented that male and female subjects contributed 77.5% and 22.5% to the total specimens studied respectively. Other clinical studies failed to reveal any significant difference between genders (Keskin & Güler, 2017;Özkan & Özkan, 2020), but this might be due to the detection of cemental tears in only a very small number of samples in relation to the total sample size.…”

Section: Gendermentioning

confidence: 84%

“…Lin et al (2011) also reported that cemental tears were found more frequently in persons older than 60 years of age compared to their younger counterparts. However, others did not find age as a significant risk factor (Keskin & Güler, 2017;Özkan & Özkan, 2020) (Table 1).…”

Section: Agementioning

confidence: 99%

“…To date, only two articles have studied the prevalence of cemental tears. In a Turkish dental school, Keskin and Güler (2017) conducted a retrospective observational clinical study on a sample population of 1451 adult patients and 4629 permanent teeth using periapical radiographs taken using the bisecting angle technique, and reported the prevalence of cemental tears as 0.89%. Özkan and Özkan (2020) conducted a similar study based on the assessment of 813 cone-beam computed tomography images and reported a similarly low frequency of 1.9%.…”

Section: Epidemiology and Predisposing Factors Of Cemental Tearsmentioning

confidence: 99%

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Cemental tear: Literature review, proposed classification and recommendations for treatment

et al. 2021

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Cemental tears are an important condition of relevance to Endodontics but are often overlooked. A cemental tear is the partial or complete detachment of the cementum from the cemento-dentinal junction or along the incremental line within the body of cementum. The limited attention received is most likely due to the limited awareness amongst dental professionals and challenges in accurately diagnosing them, resulting in misdiagnosis and erroneous treatment. The aim of this review is to describe the: (i) epidemiology and predisposing factors; (ii) clinical, radiographic and histological features and (iii) the clinical management and treatment outcomes of cemental tear. The review included 37 articles published in English that comprised eight observational studies and 29 case reports. The prevalence of cemental tears was reported to be lower than 2%; whilst the incidence remains unknown. Internal factors due to the inherent structural weakness of cementum and its interface with the dentine, and external factors that are associated with stress have been proposed as the two mechanisms responsible for the development and propagation of cemental tears. Predisposing factors that have been implicated were tooth type, gender, age, previous root canal treatment, history of dental trauma, occlusal trauma and excessive occlusal force; however, evidence is limited. Common clinical and radiographic manifestations of cemental tears resemble the presentations of primary endodontic diseases, primary periodontal diseases and combined endodontic-periodontal lesions. Clinical management tended to focus on complete removal of the torn fragments and periodontal treatment, often combined with regenerative treatment. In this article, a new classification for cemental tears is developed that consists of classes 0 to 6 and stages A, B, C and D based on the: (i) location and accessibility of the torn cemental fragment; (ii) the pattern and extension of the associated bony defect in relation to the root length and (iii) the number of root surface/s affected by the cemental tear/s and the associated bony defect. Recommendations for treatment strategies are also provided and linked to the classification to aid in streamlining the process of treatment decision making.

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Section: Tooth Typecontrasting

confidence: 64%

Section: Tooth Typementioning

confidence: 73%

Section: Gendermentioning

confidence: 84%

Section: Agementioning

confidence: 99%

Section: Epidemiology and Predisposing Factors Of Cemental Tearsmentioning

confidence: 99%

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Cemental tear: Literature review, proposed classification and recommendations for treatment

et al. 2021

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The Periodontic-Endodontic Interface

Eliyas

2024

The Periodontic-Endodontic Interface

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Unusual imaging appearance of cemental tear in the maxillary first molar on cone‐beam computed tomography: A case report

Kuwada,

Kikuchi,

Kato

et al. 2023

Aust Endodontic J

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A cemental tear (CeT) is a definitive clinical entity and its radiographic appearance is well known in single‐rooted teeth. However, the imaging features of CeT in multi‐rooted teeth have not been clarified. We report a case of CeT which arose in the maxillary first molar and exhibited an unusual appearance in cone‐beam computed tomography images. The torn structure was verified as cementum by micro‐computed tomography and histological analysis. The hypercementosis, most likely induced by occlusal force, might have been torn from the root by a stronger occlusal force caused by the mandibular implant. An unusual bridging structure was created between the two buccal roots. These features may occur in multi‐rooted teeth with long‐standing deep pockets and abscesses that are resistant to treatment.

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A Retrospective Study of the Prevalence of Cemental Tear in a Sample of the Adult Population Applied Ondokuz Mayis University Faculty of Dentistry

Abstract: Anah tarKe li me ler Radyografi, prevalans, semental ayrılma

Cited by 4 publications

References 13 publications

Cemental tear: Literature review, proposed classification and recommendations for treatment

Cemental tear: Literature review, proposed classification and recommendations for treatment

The Periodontic-Endodontic Interface

Unusual imaging appearance of cemental tear in the maxillary first molar on cone‐beam computed tomography: A case report

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