Autor: |
Takayoshi Nagahara, Katsuhiro Takeda, Sadayuki Inoue, Keinoshin Wada, Satomi Shirawachi, Tomoyuki Iwata, Hideki Shiba |
Předmět: |
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Zdroj: |
International Journal of Periodontics & Restorative Dentistry; Sep/Oct2021, Vol. 41 Issue 5, pe205-e212, 8p, 5 Color Photographs, 2 Black and White Photographs, 1 Graph |
Abstrakt: |
A cemental tear involves complete or incomplete separation of the cementum on the root surface along the cementodentinal junction. Because a cemental tear can lead to periodontal breakdown and mimic endodontic and periodontal lesions, diagnosing clinical cases can be difficult and requires special examinations. A 72-year-old woman presented with a localized periodontal defect on the labial and interproximal surfaces of the mandibular right central incisor. Performing CBCT scans and a biopsy during periodontal surgery allowed definitive diagnosis of a cemental tear and perforation of the site. First, the perforation was repaired with endodontic therapy. Periodontal regenerative therapy using recombinant human fibroblast growth factor-2 (rhFGF-2) was then performed after removing granulomatous tissue and cementum fragments. Examination of the biopsy specimen showed bacterial colonies. This case showed successful clinical and radiographic outcomes at the 18-month follow-up. [ABSTRACT FROM AUTHOR] |
Databáze: |
Complementary Index |
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