{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T14:58:16Z","timestamp":1773673096501,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T00:00:00Z","timestamp":1753660800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Cemental tear (CeT) is a rare clinical finding characterized by a partial or complete detachment of a portion of the cementum from the root surface. CeT is a well\u2010documented condition in the adult population, particularly among older individuals with periodontal disease, occlusal stress, or traumatic dental injuries (TDI). The prevalence of CeT in adults ranges from 0.9% to 2%. However, CeT has not been previously reported in the pediatric population. Approximately, one in three children experiences TDI, which subjects the teeth to a magnitude of force that can lead to cemental separation in both mature and immature anterior teeth. The clinical and radiographic features of CeT overlap with those of endodontic\u2010periodontal lesions. Hence, it is assumed that CeT is seldom encountered in children, leading to missed or delayed diagnosis and treatment. This case series provides reports of a 13\u2010year\u2010old male and a 10\u2010year\u2010old female with CeT following TDI affecting maxillary central incisors. The clinical examination showed signs of TDI, while radiographs demonstrated a detached cemental fragment without pulpal involvement. The location of the finding warranted conservative management. This report reviews incidence, clinico\u2010radiographic diagnosis, and management of CeT. This report also provides a novel radiographic classification of CeT secondary to TDI for early diagnosis and treatment to prevent sequelae and maintain long\u2010term tooth function.<\/jats:p>","DOI":"10.1111\/edt.70009","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T06:50:27Z","timestamp":1753771827000},"page":"275-280","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cemental Tears in Pediatric Patients Secondary to Traumatic Dental Injuries: A Report of Two Cases"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6500-0664","authenticated-orcid":false,"given":"Chaitanya","family":"Puranik","sequence":"first","affiliation":[{"name":"Department of Pediatric Dentistry Children's Hospital Colorado and School of Dental Medicine, University of Colorado  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahbaz","family":"Katebzadeh","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry Children's Hospital Colorado and School of Dental Medicine, University of Colorado  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paloma","family":"Reyes\u2010Nguyen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry Children's Hospital Colorado and School of Dental Medicine, University of Colorado  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Flaitz","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Sciences School of Dental Medicine, University of Colorado  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1992.63.3.220"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2017.09.001"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oooo.2012.01.003"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1996.67.6.583"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/adj.12844"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2006.12.011"},{"issue":"1","key":"e_1_2_10_8_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 Journal of Dental Research"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/iej.13611"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2012.04.011"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874210601206010148"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/JCD.JCD_370_18"},{"key":"e_1_2_10_13_1","unstructured":"C.DunlapandR.Healy \u201cDiagnosing and Treating Cemental Tears and Cervical Projections \u201dDecisions in Dentistry February 16 2024 https:\/\/decisionsindentistry.com\/article\/diagnosing\u2010and\u2010treating\u2010cemental\u2010tears\u2010and\u2010cervical\u2010projections\/."},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2011.02.017"},{"issue":"2","key":"e_1_2_10_15_1","doi-asserted-by":"crossref","first-page":"90","DOI":"10.14744\/eej.2019.13007","article-title":"Cemental Tear on Maxillary Anterior Incisors: A Description of Clinical, Radiographic, and Histopathological Features of Two Clinical Cases","volume":"4","author":"Ong T. 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