Cemental Tear: A Comprehensive Literature Review of Etiology, Diagnosis and Management
Keywords:
Cemental tear, Cone Beam Computed Tomography, Periodontal attachment lossAbstract
Cemental tear is a pathological condition characterized by the separation of cementum from the dentin at the cemento-dentinal junction (CDJ). This condition is often overlooked and misdiagnosed due to its non-specific symptoms, such as rapid periodontal attachment loss, localized deep periodontal pockets, and persistent sinus tracts despite appropriate periodontal and/or endodontic treatment. Diagnosis with conventional 2D radiography can be difficult and may lead to confusion with other conditions. However, the detection rate of this condition has increased, possibly due to the growing use of Cone Beam Computed Tomography (CBCT). Therefore, the objective of this literature review is to review the relevant literature on the etiology, diagnosis, and management of cemental tear to provide a better understanding and enable clinicians to apply this knowledge in their clinical practice.
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