Case Report
Treatment outcome of cemental tears
Keywords:
chronic periodontitis,
cemental tears,
periodontal tissue regenerative therapy,
occlusal trauma
2023 Volume 65 Issue 4 Pages 149-158
Details
2023 Volume 65 Issue 4 Pages 149-158
Cemental tears (CTs) often resemble the clinical status of periodontitis. Some CTs are subclinical, which cannot be identified at the diagnostic stage and are first identified during periodontal surgical treatment. In this case series, we describe the treatment and prognosis of four cases of "subclinical CTs" treated by periodontal tissue regenerative therapy.
Cases: The 4 patients (women aged 55,70,71 and 77 years old) visited our dental school and were diagnosed as having chronic periodontitis. Possible risk factors such as bruxism, age and smoking were identified by interviewing the patients. The clinical findings before and after treatment were recorded. Results: During periodontal surgery, CTs were found, and regenerative periodontal therapy was performed with Emdogain®, REGROTH® or GTR membrane, after confirming root debridement. Significant improvement of all the clinical indices was recorded after treatment, and the improvement was sustained for at least 5 years in all cases.
Conclusion: These clinical cases suggest that CTs may cause rapid destruction of periodontal tissues and that periodontal regenerative therapy could be an effective treatment modality for CTs.
