The Bulky Boulder Roots: A Case of Hypercementosis
Hypercementosis is a non-neoplastic thickening of the cementum. It may be restrained to the apex of the root, on one side of it, or involve it entirely. Hypercementosis is coupled with a number of etiological factors, which may be local or systemic in nature. It is decisive that the general dental practitioner is aware of these factors and is able to distinguish presentation due to a local cause from that of a systemic disease process.
Clinical Image
A 30-year-old male patient reported to our department with a chief complaint of continuous throbbing pain in lower left back tooth region with an associated mild extra-oral swelling since 1 week. His medical and family histories were non-contributory. On clinical examination the left mandibular first molar was grossly decayed and tender to palpation and percussion. On radiographic examination, there was an evident radiolucency involving Image Article the pulp and also periapically with furcation involvement suggestive of a chronic periapical abscess (Figure 1). However, as an incidental finding, club-shaped enlargement of the mesial and the distal root was seen suggestive of hypercementosis of a single tooth as adjacent teeth were not affected (Figure 1A). An OPG was taken which confirmed that it was affecting only the first molar on the left side amidst the entire dentition (Figure 1B). Patient was referred to department of oral surgery for extraction of the tooth as the prognosis was poor.
References
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Consolaro A, Consolaro RB, Francischone LA (2012) Cementum, apical morphology and hypercementosis: A probable adaptive response of the periodontal support tissues and potential orthodontic implications. Dental Press J Orthod 17(1): 21-30.
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Pappen FG, Fagonde CG, Martos J, Silveria LFM (2011) Hypercementosis: a challenge for endodontic therapy. Revista Sul-Brasileira de Odontologia 8(3): 321-328.
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Patil SR, Yadav N (2015) Generalized hypercementosis with multiple missing teeth in a young female: A rare case report. Int J Health Allied Sci 4(3): 178-180.
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