Management of Severe Localized Periodontal Destruction Associated with A Cemental Defect: A Case Report

Authors

Nik Madihah Nik Azis, Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaFollow
Nurulhuda Mohd, Department of Restorative Dentistry, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, MalaysiaFollow

Abstract

This case involved the management of a possible cemental tear, which resulted in poor response to nonsurgical periodontal therapy. This case was managed by exploratory surgery, along with the intention to surgically reduce the periodontal pocket. Exploratory surgery revealed a localized cemental defect. The periodontium healed with pocket closure after exploratory surgery and open-flap debridement. The difficulty in clinically diagnosing a localized periodontal destruction and the lack of consensus on managing these cases were highlighted. The possibility of an undiagnosed cemental defect in a tooth with localized periodontitis should be considered in cases not responding to periodontal therapy.

References

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Recommended Citation

Nik Azis, N., & Mohd, N. Management of Severe Localized Periodontal Destruction Associated with A Cemental Defect: A Case Report. J Dent Indones. 2022;29(1): 73-77