{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T00:03:12Z","timestamp":1756512192099,"version":"3.44.0"},"reference-count":17,"publisher":"Korean Academy of Conservative Dentistry","issue":"3","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["rde.ac"],"crossmark-restriction":true},"short-container-title":["Restor Dent Endod"],"published-print":{"date-parts":[[2025,8,31]]},"abstract":"<jats:p>Endodontic-periodontal lesions (EPLs) complicated by cemental tears present a diagnostic and therapeutic challenge. This case report describes the successful management of a 66-year-old male patient with a mandibular second molar (#18) exhibiting an EPL complicated by a cemental tear. Clinical examination revealed a draining sinus tract, deep periodontal pockets, and radiographic evidence of a \u201cJ-shaped\u201d lesion and a radiopaque cemental fragment. The tooth had previously initiated endodontic treatment. A multidisciplinary approach involving endodontic treatment and surgical removal of the cemental tear was implemented. At 24-month follow-up, clinical and radiographic examination revealed significant improvement in periodontal health, bone regeneration, and resolution of the lesion. This case highlights the importance of considering cemental tears in the differential diagnosis of EPLs and demonstrates the efficacy of a combined endodontic-periodontal approach for achieving predictable outcomes.<\/jats:p>","DOI":"10.5395\/rde.2025.50.e31","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T04:39:32Z","timestamp":1755837572000},"page":"e31","update-policy":"https:\/\/doi.org\/10.5395\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary management of an endo-perio lesion complicated by a cemental tear: a case report"],"prefix":"10.5395","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4616-4516","authenticated-orcid":true,"given":"Nishanth D.","family":"Sadhak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1232-3835","authenticated-orcid":true,"given":"Akshaya","family":"Pallod","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4275-9822","authenticated-orcid":true,"given":"Shreyas","family":"Oza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3349","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1038\/s41368-024-00320-0"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1111\/iej.13611"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.4103\/ijdr.IJDR_746_17"},{"volume-title":"","key":"ref4"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.18231\/j.ijce.2021.037"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.1989.tb00331.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1996.67.6.583"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2011.02.017"},{"key":"ref9","first-page":"220","volume-title":"Cemental tear related to rapid periodontal breakdown: a case report","author":"Haney","year":"1992"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2006.050367"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2008.12.014"},{"volume-title":"","key":"ref12"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2017.09.001"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12206"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-025-8492-y"},{"key":"ref16","first-page":"27","volume-title":"Clinical, radiologic, and histopathologic features of invasive cervical resorption","author":"Heithersay","year":"1999"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2010.05.003"}],"container-title":["Restorative Dentistry &amp; Endodontics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/rde.ac\/upload\/pdf\/rde-2025-50-e31.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/rde.ac\/journal\/view.php?doi=10.5395\/rde.2025.50.e31","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/rde.ac\/upload\/pdf\/rde-2025-50-e31.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T02:24:16Z","timestamp":1756434256000},"score":1,"resource":{"primary":{"URL":"http:\/\/rde.ac\/journal\/view.php?doi=10.5395\/rde.2025.50.e31"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,31]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,8]]}},"URL":"https:\/\/doi.org\/10.5395\/rde.2025.50.e31","relation":{},"ISSN":["2234-7666"],"issn-type":[{"type":"electronic","value":"2234-7666"}],"subject":[],"published":{"date-parts":[[2025,8,31]]},"assertion":[{"value":"2025-02-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-22","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}