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

Gabriela E. Idrovo-Heredia1, *
, Santiago H. Mejía-Morales1, Juan C. Munévar-Niño1, James L. Gutmann2
1 Department of Postgraduate Endodontics, School of Dentistry, Pontificia Universidad Javeriana, Bogotá, Colombia
2 Department of Restorative Sciences/Endodontics, Texas A&M University College of Dentistry, Dallas, TX, USA

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Creative Commons License
© 2019 Idrovo-Heredia et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Postgraduate Endodontic, School of Dentistry, Pontificia Universidad Javeriana, Cra 7a No 40-62, Bogotá, Colombia / Personal Address: Azucenas and Lirio Street N° 1-25, Cuenca, Ecuador; Tel: +593 992825833;



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.


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.


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.