{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T20:28:02Z","timestamp":1793305682355,"version":"4.5.0"},"reference-count":19,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T00:00:00Z","timestamp":1620000000000},"content-version":"vor","delay-in-days":63,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian Dental Journal"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Cemental tear is defined as cementum fragment completely or partially detached from the root surface, and it has been associated with localized rapid periodontal breakdown. Although history of trauma and\/or attrition may be risk factors, the etiopathology of cemental tear remains unknown. This case series aims to discuss the clinical, radiographic and histopathologic features of cemental tears to aid clinicians in making differential diagnosis. Three teeth from three patients presenting a periradicular lesion underwent an exploratory surgery to determine the cause and provide treatment. Soft and hard tissue biopsies were obtained from each lesion and forwarded for histopathologic evaluation. Two patients received a guided tissue regeneration (GTR) procedure, which allowed the tooth to be retained. One patient received an extraction with simultaneous guided bone regeneration (GBR) due to a hopeless prognosis of the tooth. The results after histopathologic evaluation yielded a final diagnosis of cemental tear for all three patients. Cemental tears may be overlooked, and therefore, they should be included in the differential diagnosis of periapical periodontitis, endodontic\u2010periodontal lesion and vertical root fracture (VRF).<\/jats:p>","DOI":"10.1111\/adj.12844","type":"journal-article","created":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T08:56:08Z","timestamp":1618649768000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Cemental tear: An overlooked finding associated with rapid periodontal destruction. A case series"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9442-432X","authenticated-orcid":false,"given":"A","family":"Pedercini","sequence":"first","affiliation":[{"name":"Division of Periodontology Department of Developmental and Surgical Sciences School of Dentistry University of Minnesota Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DF","family":"Weitz","sequence":"additional","affiliation":[{"name":"Division of Endodontics School of Dentistry University of Minnesota Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"JD","family":"Heyse","sequence":"additional","affiliation":[{"name":"Division of Endodontics School of Dentistry University of Minnesota Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Pedercini","sequence":"additional","affiliation":[{"name":"School of Oral Surgery Vita\u2010Salute San Raffaele University Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Kormas","sequence":"additional","affiliation":[{"name":"Division of Periodontology Department of Developmental and Surgical Sciences School of Dentistry University of Minnesota Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"IG","family":"Koutlas","sequence":"additional","affiliation":[{"name":"Oral Pathology Laboratories Department of Diagnostic and Biological Sciences Division of Oral and Maxillofacial Pathology University of Minnesota Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DK","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Periodontology Department of Developmental and Surgical Sciences School of Dentistry University of Minnesota Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SB","family":"McClanahan","sequence":"additional","affiliation":[{"name":"Division of Endodontics School of Dentistry University of Minnesota Minneapolis MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1992.63.3.220"},{"key":"e_1_2_6_3_1","first-page":"79","article-title":"Clinical repair of an osseous defect associated with a cemental tear: a case report","volume":"21","author":"Camargo PM","year":"2003","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2012.04.011"},{"key":"e_1_2_6_5_1","first-page":"111","article-title":"Cemental tear treated with guided tissue regeneration: a case report 3 years after initial treatment","volume":"30","author":"M\u00fcller HP","year":"1999","journal-title":"Quintessence Int"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2014.05.012"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2591.2005.01034.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2006.02.032"},{"key":"e_1_2_6_9_1","first-page":"337","article-title":"Cemental tears: a report of four cases and literature review","volume":"15","author":"Xie C","year":"2017","journal-title":"Oral Health Prev Dent"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2019.07.012"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.4274\/meandros.galenos.2020.46320"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1996.67.6.583"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2006.12.011"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2011.02.017"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2013.11.009"},{"key":"e_1_2_6_16_1","first-page":"140","article-title":"Cemental tear: an unusual cause for persisting endodontic periodontal lesion","volume":"30","author":"Chawla A","year":"2019","journal-title":"Indian J Dent Res"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12941"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2591.1990.tb00847.x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-1546.2006.00200.x"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.1999.tb00205.x"}],"container-title":["Australian Dental Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/adj.12844","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/adj.12844","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/adj.12844","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T03:52:36Z","timestamp":1693281156000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/adj.12844"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":19,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1111\/adj.12844"],"URL":"https:\/\/doi.org\/10.1111\/adj.12844","archive":["Portico"],"relation":{},"ISSN":["0045-0421","1834-7819"],"issn-type":[{"value":"0045-0421","type":"print"},{"value":"1834-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]},"assertion":[{"value":"2021-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}