Management and 5-year follow-up of tooth with bilateral cemental tear and complete pulp canal obliteration

The aim of this study is to report a rare case of bilateral cemental tear in a completely calcified tooth with successful dental management. A 60-year-old male reported with pain in the upper right central incisor. Radiographic examination revealed complete calcific obliteration of the root canal, inflammatory root resorption of apical third, and bilateral cemental tear and traumatic occlusion. Tooth mobility was within physiologic limits and 3-mm probing depth. Endodontic treatment of the tooth was carried out with intracanal calcium hydroxide therapy. The tooth was relieved of traumatic occlusion, scaling and root planning was carried out. As the tooth did not have any periodontal pocket, the maintenance phase was advised, and the tooth was kept under observation. After a follow-up of 5 years, the nonsurgical periodontal therapy showed satisfactory clinical and radiographic outcome.