Abstract
Introduction: Hypercementosis is characterized by an excessive deposit of dental cementum. While it is considered a benign pathology, it can sometimes be associated with a chronic pulpal or periapical infection. Furthermore, its management is complex, because establishing an accurate apical limit for a root canal procedure is not always possible. Methods: When a periapical lesion is present, a conservative, surgical approach to remove the inflammatory tissue from the periapical lesion can be considered as a treatment option. Conclusion: This paper reports on the management of a tooth with hypercementosis accompanied by an asymptomatic apical periodontitis affecting a left mandibular second molar.
Highlights
Hypercementosis is characterized by an excessive deposit of dental cementum
When cementum occurs in excess it is known as hypercementosis, which is the thickening or increase in the deposition of cementum on the root surface that may involve
Apical periodontitis is an infection of the osseous tissue that emanates from the root canal system to the periapical tissues
Summary
This paper reports on the management of a tooth with hypercementosis accompanied by an asymptomatic apical periodontitis affecting a left mandibular second molar.
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