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백악질 열리의 임상 증례

Clinical case reports of cemental tear

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Purpose: Cemental tear is an uncommon form of root fracture that can lead to rapid localized attachment loss. When it is exposed in the periodontal pocket, it should be removed to prevent accumulation of dental plaque and calculus. Material and Methods: 2 patients were diagnosed as a cemental tear and they were treated with conventional flap operation and subgingival curettage. Additional treatments such as bone graft or guided tissue regeneration were not performed. Result: Symptoms subsided after the treatment. Periodontal pocket has been reduced but no gain of clinical attachment was observed. Remnant of cemental fragment remained after curettage. However, periodontal pocket was stably maintained and there was no recurrence. Conclusion: Periodontal attachment loss associated with cemental tear can be successfully treated with conventional periodontal surgical and nonsurgical procedures. (J Korean Acad Periodontol 2008;38:551-556)

Abstract

Purpose: Cemental tear is an uncommon form of root fracture that can lead to rapid localized attachment loss. When it is exposed in the periodontal pocket, it should be removed to prevent accumulation of dental plaque and calculus. Material and Methods: 2 patients were diagnosed as a cemental tear and they were treated with conventional flap operation and subgingival curettage. Additional treatments such as bone graft or guided tissue regeneration were not performed. Result: Symptoms subsided after the treatment. Periodontal pocket has been reduced but no gain of clinical attachment was observed. Remnant of cemental fragment remained after curettage. However, periodontal pocket was stably maintained and there was no recurrence. Conclusion: Periodontal attachment loss associated with cemental tear can be successfully treated with conventional periodontal surgical and nonsurgical procedures. (J Korean Acad Periodontol 2008;38:551-556)

참고문헌 (11)

  1. Carranza FJ, "Glickmanʼs Clinical Periodontology", pp.60~61 (1990)
  2. Ishikawa I, "Arakawa S. Cervical cemental tears in older patients with adult periodontitis. Case reports", J Periodontol, 67, pp.15~20 (1996)
  3. Ramfjord S, "Periodontology and Periodontics: Modern Theory and Practice" (1989), Ishiyaku EuroAmerica
  4. Schuluger S, "Periodontal Diseases" (1990), Lea & Febiger
  5. Haney JM, "Cemental tear related to rapid periodontal breakdown: a case report", J Periodontol, 63, pp.220~224 (1992)
  6. Leknes KN, "The influence of anatomic and iatrogenic root surface characteristics on bacterial colonization and periodontal destruction: a review", J Periodontol, 68, pp.507~516 (1997)
  7. Leknes KN, "Cemental tear: a risk factor in periodontal attachment loss", J Periodontol, 67, pp.583~588 (1996)
  8. Chou J, "Cementodentinal tear: a case report with 7-year follow-up", J Periodontol, 75, pp.1708~1713 (2004)
  9. Muller HP, "Cemental tear treated with guided tissue regeneration: a case report 3 years after initial treatment", Quintessence Int, 30, pp.111~115 (1999)
  10. Moskow BS, "Calculus attachment in cemental separations", J Periodontol, 40, pp.125~130 (1969)
  11. Williams D, "Pathology of Periodontal Disease", pp.17~31 (1992), The Oxford University Press

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