Cemental tear is a rare but clinically significant dental condition that involves the partial or complete separation of the cementum from the root surface.
Although uncommon, this pathology can lead to localized periodontal breakdown, deep pockets, and persistent pain.
Its diagnosis is often challenging, as it can mimic conditions such as vertical root fractures, localized periodontitis, or even failed endodontic treatment.
The case report titled "Cemental Tear РA Case Report with Nonsurgical Periodontal Therapy", published in Revista Odonto Ci̻ncia, describes the clinical management of a 50-year-old male patient who presented with localized pain in the mandibular second premolar.
Clinical examination revealed a 4 mm periodontal pocket and the presence of a foreign object in the distal gingival sulcus.
Radiographic analysis showed a radiopaque fragment detached from the root surface—later identified as a fragment of cementum.
Remarkably, the treatment approach was entirely nonsurgical
The cemental fragment was successfully removed through scaling and root planing, followed by meticulous periodontal maintenance.
Histopathological examination confirmed the cemental nature of the fragment, showing layers of cementum with embedded cementocytes and attached periodontal ligament fibers.
Two years of follow-up demonstrated clinical stability and radiographic bone fill, confirming the effectiveness of conservative periodontal therapy in such cases.
This case emphasizes the importance of including cemental tear in the differential diagnosis of localized periodontal defects.
Early recognition, accurate diagnosis, and appropriate treatment planning—sometimes with a minimally invasive approach—can preserve the tooth and avoid unnecessary surgical interventions.
🔊 We invite you to read the full article in PDF to explore the clinical reasoning, diagnostic tools, histological findings, and long-term follow-up of this interesting case of cemental tear successfully treated without surgery.
