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CASE REPORT

Endodontic Management of Hypercementosis in Conjunction with Asymptomatic Apical Periodontitis: A Case Report

The Open Dentistry Journal 30 Aug 2019 CASE REPORT DOI: 10.2174/1874210601913010296

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.

Keywords: Cementum, Hypercementosis, Apical periodontitis, Apical surgery, Root canal procedures, Cemental hypoplasia.
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