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RUPTURA DO CEMENTO (CEMENTAL TEAR): UMA REVISÃO DE LITERATURA.

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Title: RUPTURA DO CEMENTO (CEMENTAL TEAR): UMA REVISÃO DE LITERATURA.
Alternate Title: CEMENTAL TEAR: A LITERATURE REVIEW.
Authors: SOUSA NOGUEIRA, JOSÉ ERIVERTON1, DA SILVA MACHADO, JOÃO ANTÔNIO1, ALVES OLÍMPIO, MARIA LETÍCIA1, ARAÚJO DA SILVA, SARAH QUÉZIA1, DE CARVALHO MAGALHÃES, LUIZ FELIPE1, NUNES REIS, DANIELA2, GOMES CHAVES, MARIANE3, DA SILVA SOUSA, ZILDENILSON4 zildenilsonsilva@gmail.com
Source: Brazilian Journal of Surgery & Clinical Research. mar-mai2024, Vol. 46 Issue 3, p39-44. 10p.
Abstract (English): Cementum rupture occurs when there is partial or total detachment of cementum, generally at the cemento-dentin junction of the root surface. The etiological factors are still unknown, but some are considered predisposing, such as age, sex, dental group, pulp vitality, history and traumatic occlusion. The present work aims to synthesize the literature, addressing clinical and radiographic characteristics, predisposing factors and treatment options. This is a study with an exploratory, descriptive and qualitative approach, using the databases PubMed/MEDLINE, ScienceDirect, Periódico CAPES and Google Scholar, using the terms DECS/MESH "cemental tear", "Case Reports", "Clinical Diagnosis", "Diagnosis, Clinical", "Diagnostic Imaging", "Imaging Diagnostic", "Imaging, Medical", "Medical Imaging", "Endodontics", "Endodontology", "Periodontics", "Prognosis", "Factor, Prognostic", "Prognoses", "Prognostic Factor" and "Oral Medicine". A total of 554 studies were retrieved, published between 1989 and 2024. Of these, 15 were included using the adopted eligibility criteria. The majority of reported cases were in patients over 60 years of age, being more common in males. A higher frequency in single-rooted teeth has been reported in the literature. Radiographically, thin, sharp and vertical radiopaque fragments, similar to cementum, are observed adjacent to the root surface in association with alveolar bone loss, which may be located in the cervical, middle or apical region, with vital pulp and periapical bone loss. Clinically, the characteristics resemble periodontal and/or periapical lesions, which can lead to unnecessary endodontic treatments. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): A ruptura de cemento, ocorre quando há um descolamento parcial ou total de cemento, geralmente na junção cemento-dentinária da superfície radicular. Os fatores etiológicos ainda são desconhecidos, mas alguns são considerados predisponentes, como idade, sexo, grupo dental, vitalidade pulpar, histórico e oclusão traumática. O presente trabalho tem como objetivo sintetizar a literatura, abordando as características clínicas, radiográficas, fatores predisponentes e as opções de tratamento. Trata-se de um estudo com abordagem exploratória, descritiva e qualitativa, utilizando as bases de dados PubMed/MEDLINE, ScienceDirect, Periódico CAPES e Google Scholar, por meio dos termos DECS/MESH "cemental tear", "Case Reports", "Clinical Diagnosis", "Diagnosis, Clinical", "Diagnostic Imaging", "Imaging Diagnostic", "Imaging, Medical", "Medical Imaging", "Endodontics", "Endodontology", "Periodontics", "Prognosis", "Factor, Prognostic", "Prognoses", "Prognostic Factor" e "Oral Medicine". Foram recuperados um total de 554 estudos, publicados entre 1989 e 2024. Destes, 15 foram incluídos por meio dos critérios de elegibilidade adotados. A maioria dos casos relatados foram de pacientes com mais de 60 anos, sendo mais frenquente no sexo masculino. Tem sido relatada na literatura uma maior frequência em dentes unirradiculares. Radiograficamente, são observados fragmentos radiopacos finos, pontiagudos e verticais, semelhantes a cemento, adjacentes à superfície radicular em associação com perda óssea alveolar, podendo estar localizados na região cervical, média ou apical, com polpa vital e perda óssea periapical. Clinicamente, as características se assemelham com lesões periodontais e/ou periapicais, o que pode levar a tratamentos endodônticos desnecessários. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Cementum rupture occurs when there is partial or total detachment of cementum, generally at the cemento-dentin junction of the root surface. The etiological factors are still unknown, but some are considered predisposing, such as age, sex, dental group, pulp vitality, history and traumatic occlusion. The present work aims to synthesize the literature, addressing clinical and radiographic characteristics, predisposing factors and treatment options. This is a study with an exploratory, descriptive and qualitative approach, using the databases PubMed/MEDLINE, ScienceDirect, Periódico CAPES and Google Scholar, using the terms DECS/MESH "cemental tear", "Case Reports", "Clinical Diagnosis", "Diagnosis, Clinical", "Diagnostic Imaging", "Imaging Diagnostic", "Imaging, Medical", "Medical Imaging", "Endodontics", "Endodontology", "Periodontics", "Prognosis", "Factor, Prognostic", "Prognoses", "Prognostic Factor" and "Oral Medicine". A total of 554 studies were retrieved, published between 1989 and 2024. Of these, 15 were included using the adopted eligibility criteria. The majority of reported cases were in patients over 60 years of age, being more common in males. A higher frequency in single-rooted teeth has been reported in the literature. Radiographically, thin, sharp and vertical radiopaque fragments, similar to cementum, are observed adjacent to the root surface in association with alveolar bone loss, which may be located in the cervical, middle or apical region, with vital pulp and periapical bone loss. Clinically, the characteristics resemble periodontal and/or periapical lesions, which can lead to unnecessary endodontic treatments. [ABSTRACT FROM AUTHOR]
ISSN:23174404