Cemental Tear Associated With Upper Left Canine – Case Report

Abstract

This study aims to report an unusual clinical case of cemental tear in the upper left canine, presenting the clinical and radiographic characteristics of the lesion, predisposing factors, differential diagnosis, treatment and 12-month postoperative control. A 73-year-old male patient was referred for an apicectomy of the left maxillary lateral incisor. After the procedure the patient still had a capsulated intraosseous lesion at the apex communicating with the left maxillary canine. It was decided to place an immediate implant in that same region, which was later lost, and even so, the fistulated lesion continued to recur. After several attempts of curettage and total removal of the lesion the patient still presented it frequently. Through a Cone Beam Tomography, the diagnosis of cemental tear in the upper left canine was defined and its extraction was then performed. After the extraction, maintenance consultations were carried out in the subsequent periods of 3 months, 6 months and 12 months, where good bone healing was found and there was no more sign of infection. After 12 months of clinical follow-up, the surgical treatment proved to be quite efficient and, even without the placement of any type of biomaterial, bone neoformation could be observed in the region and there was no recurrence of the lesion.