Insights into the aetiologies of hypercementosis: A systematic review and a scoring system

Massé, Léa; Garot, Elsa; Maureille, Bruno; Cabec, Adeline Le

doi:10.1016/j.archoralbio.2022.105599

Cited by 7 publications

(12 citation statements)

References 64 publications

(13 reference statements)

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“…A pesar de que el factor idiopático fue el más común (36,4%), es importante destacar que se observó un número importante de OD impactados con presencia de HPC (23,3%), lo que coincide con la teoría de Massé et al . 28 , la cual señala que la presencia de HPC no solo se limita a OD ya erupcionados, de modo que establece una posible asociación con fuerzas de erupción presentes en OD sin erupcionar y con la presencia de alguna barrera física que dificulte su erupción. En el estudio, se observaron también OD con facetamiento en el 16,7%; extrusión, con un 11%; presencia de tratamiento endodóntico en el OD, con un 8,2%, e inflamación apical, con el 4,4%.…”

Section: Discussionunclassified

Patrones de hipercementosis y su relación con posibles factores etiológicos locales en radiografías de individuos de una población mexicana

Bernal Ruiz,

Fiori Chíncaro

2023

Rev Cient Odontol (Lima)

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Objetivo: La hipercementosis (HPC) es una patología asintomática que, según la literatura existente, presenta una prevalencia baja, por lo que poco se ha investigado sobre ella; entre estos estudios, son pocos los elaborados para grupos étnicos. El objetivo de esta investigación fue determinar la prevalencia y los patrones radiográficos de dicha condición, así como el análisis de la relación de la patología con algunos de los que son considerados posibles factores locales desencadenantes (FDL) en individuos mexicanos. Metodología: Se analizaron 1193 ortopantomografías (OPG), seleccionadas de manera aleatoria de pacientes de ambos sexos, con un rango edad cronológica entre los 18 y 90 años, identificando la prevalencia de HPC, así como su relación entre grupos etarios, sus patrones morfológicos (focal, difuso y en forma de manga), su distribución por región anatómica y órgano dental (ODs), y la asociación de su presencia con posibles factores desencadenantes locales. Resultados: Se encontraron 348 OD con HPC en un total de 194 pacientes (16,30%), sin diferencias relevantes entre género (p > 0,05). Se registró un aumento significativo respecto de la presencia de HPC en relación con el incremento de la edad de los pacientes (p = 0,001), encontrándola presente en el 10% del grupo etario < 40 años, en un 20;30 % en el grupo de 40 a 60 años y en un 30.20% en > 60. Se encontró con mayor frecuencia de forma difusa (75,28 %), seguida por el patrón focal (19,54%) y fue menos común la morfología en forma de manga (5,17 %). La mandíbula presentó la mayor cantidad de OD con presencia de HPC, 136 (39,08%), y el lado izquierdo fue el más afectado, con 86 OD. El grupo dentario con mayor afectación fue el de molares y premolares. Conclusiones: La prevalencia de hipercementosis fue del 16,30% en los individuos mexicanos evaluados. Su presencia aumenta al incrementar la edad de los pacientes. Su localización principal es la región mandibular con predilección de premolares y molares. A pesar de que el origen idiopático es el más frecuente, se observó que la impactación dental es un posible factor local desencadenante.

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Section: Discussionunclassified

Patrones de hipercementosis y su relación con posibles factores etiológicos locales en radiografías de individuos de una población mexicana

Bernal Ruiz,

Fiori Chíncaro

2023

Rev Cient Odontol (Lima)

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“…Hypercementosis refers to the excessive formation of cementum on tooth roots. 19 While its cause remains multifactorial, potential contributions include periodontitis, periapical infection, bone disease, trauma, functional adaptation, and idiopathic causes. 19 Typically asymptomatic, hypercementosis is often discovered incidentally during routine x-rays.…”

Section: Lee Et Almentioning

confidence: 99%

“…19 While its cause remains multifactorial, potential contributions include periodontitis, periapical infection, bone disease, trauma, functional adaptation, and idiopathic causes. 19 Typically asymptomatic, hypercementosis is often discovered incidentally during routine x-rays. Radiographically, it appears as an increased radiopacity around the root area.…”

Section: Lee Et Almentioning

confidence: 99%

Management of Early Implant Failure Associated with A Remnant: A Case Report

Lee,

et al. 2023

J Implantol Appl Sci

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Implant restoration, a predictive procedure for edentulous areas, can suffer from early failure due to several factors. While thorough debridement of the extraction socket is standard practice for implant placement, unintentional remnant can occur. This case report presents an early implant failure following placement and guided bone regeneration. Radiological examination revealed radiopaque material around the implant, prompting material removal and subsequent biopsy. The histological analysis identified the area surrounding the bone material as granulation tissue containing chronic inflammatory cells, while the hard tissue area exhibited hypercementosis or periapical cemento-osseoeous dysplasia. These findings suggest unintentional placement of the implant into a remnant following the previous extraction. This case highlights the importance of thorough debridement after tooth extraction. Moreover, pre-implant placement radiological evaluation is necessary to avoid implant failure associated with unintentionally retaining lesion.

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“…Additionally, this cellular cementum can become a reactive cementum and its excessive apposition, exceeding its physiological limit, is called 'hypercementosis' (e.g., [27,28]). Its etiologies are still not fully understood, since excessive apposition of this cementum occurs in response to stimuli such as intensive masticatory efforts, dental carious lesions, periodontal disease, or impaction (e.g., review in [29]).…”

Section: Introductionmentioning

confidence: 99%

“…Some patterns of apposition seem to be related to a specific etiology. On the one hand, in some teeth affected by heavy wear, the apposition of hypertrophic cementum appears to be localized on the apical root third with a preferential accumulation on the lingual aspect of the root, which would favor an etiology involving intense masticatory loads (e.g., [29,30,44]). On the other hand, the roots of impacted teeth or teeth with severe carious lesions (i.e., infected) show an apposition involving the whole root surface.…”

Section: Introductionmentioning

confidence: 99%

Unraveling the Life History of Past Populations through Hypercementosis: Insights into Cementum Apposition Patterns and Possible Etiologies Using Micro-CT and Confocal Microscopy

Massé,

d’Incau,

Souron

et al. 2024

Biology

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The “teeth-as-tools” hypothesis posits that Neanderthals used their anterior teeth as a tool or a third hand for non-dietary purposes. These non- or para-masticatory activities (e.g., tool-making or food preparation prior to ingestion) have also been described in other past and extant human populations, and other Primates. Cementum is the mineralized tissue that covers the tooth root surface and anchors it to the alveolar bone. Under certain conditions (e.g., mechanical stress, infection), its production becomes excessive (i.e., beyond the physiological state) and is called ‘hypercementosis’. Several studies in dental anthropology have established a correlation between the teeth-as-tools and hypercementosis. The present work aims to characterize the different patterns of cementum apposition on archeological teeth and discuss their supposed etiology. Using microtomography and confocal microscopy, the patterns of cementum apposition (i.e., thickness, location, and surface characteristics) were analyzed in 35 hypercementotic teeth (Sains-en-Gohelle, France; 7th–17th c. A.D.). Four groups were identified with distinct hypercementosis patterns: (1) impacted, (2) infected, (3) hypofunctional, and (4) hyperfunctional teeth. Characterizing hypercementosis can contribute to documenting the oral health status (paleopathology) and/or masticatory activity of individuals, even from isolated teeth. This has implications for the study of fossil hominins, particularly Neanderthals, known for their use of anterior teeth as tools and frequent and substantial occurrence of hypercementosis.

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Insights into the aetiologies of hypercementosis: A systematic review and a scoring system

Cited by 7 publications

References 64 publications

Patrones de hipercementosis y su relación con posibles factores etiológicos locales en radiografías de individuos de una población mexicana

Patrones de hipercementosis y su relación con posibles factores etiológicos locales en radiografías de individuos de una población mexicana

Management of Early Implant Failure Associated with A Remnant: A Case Report

Unraveling the Life History of Past Populations through Hypercementosis: Insights into Cementum Apposition Patterns and Possible Etiologies Using Micro-CT and Confocal Microscopy

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