CASE REPORT article
Front. Oral Health
Sec. Oral and Maxillofacial Surgery
This article is part of the Research TopicOro-facial Pain: Pathophysiology, Molecular Mechanisms, Diagnostic Innovations and Multidisciplinary ManagementView all 4 articles
Cemental tear on maxillary first molars related to traumatic occlusion: a case report
Provisionally accepted
- 1Qingdao Stomatological Hospital, Qingdao, China
- 2The Affiliated Hospital of Qingdao University, Qingdao, China
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A cemental tear represents a unique type of root surface fracture associated with the destruction of periodontal and periapical tissues. This report presents a case of cemental tears in maxillary first molars. Based on clinical and radiographic evidence, a tentative diagnosis of chronic periapical periodontitis (cemental tear) was made for both the left and right maxillary first molars. After careful consideration, the patient postponed treatment of the asymptomatic right maxillary first molar. The left maxillary first molar due to severe alveolar bone loss, was extracted seven days later. Early diagnosis and complete removal of the cemental tear are key factors in successful treatment. Therefore, cemental tears should be considered in all teeth, including molars. Clinicians should remain vigilant when examining patients presenting with potential causative factors such as localized deep periodontal pockets, loss of attachment, or signs of occlusal trauma.
Keywords: Cemental tear, maxillary first molars, cone-beam computed tomography (CBCT), Traumatic occlusion, Oro-facial pain
Received: 15 Aug 2025; Accepted: 19 Nov 2025.
Copyright: © 2025 Wu, Liu, Sun, Wang and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Dashan Wang, wdsapple@163.com
Lingxiang Wang, wlxqdkq@163.com
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