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Treatment of Periodontal Destruction Associated With a Cemental Tear Using Minimally Invasive Surgery
Author(s) -
Harrel Stephen K.,
Wright John M.
Publication year - 2000
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2000.71.11.1761
Subject(s) - cementum , medicine , gingival recession , dentistry , cementogenesis , bone grafting , lesion , fistula , surgery , dentin
Background: A patient presented with moderate probing depth, pain on occlusal contact, and a fistula on a mandibular bicuspid. The probing depth increased 2 mm over a 3‐month period despite relief of the occlusal trauma and resolution of the fistula. A radiograph showed an apparent separation of the cementum in the area of the pocket.Methods : The lesion was treated using a minimally invasive surgical approach to place a bone graft.Results: The probing depth was reduced to 2 mm with less than 1 mm of increased recession. A histologic examination of the damaged calcified tissue confirmed that it was cementum.Conclusions: The increasing probing depth associated with a cemental tear seems to indicate that this phenomenon contributed to loss of attachment and bone. Removal of the detached cementum in combination with bone grafting using a minimally invasive surgical approach appears to have successfully corrected the periodontal destruction. J Periodontol 2000;7l:1761‐1766.