hypercementosis

What is Hypercementosis?

Hypercementosis is a non-neoplastic condition characterized by excessive deposition of cementum on the roots of teeth [11]. This can result in mild to marked misshaping of the tooth root, with the extra cementum causing the tooth to appear more enlarged than normal [2].

Types of Hypercementosis

There are several types of hypercementosis, including:

• Diffuse apposition: A uniform deposition of excess cementum on the apical third of the root, resulting in a drumstick-like thickening [1].
• Focal knots or projections: Small focal deposits of excess cementum on the lateral or interradicular root surfaces [1].
• Mild to marked misshaping: The extra cementum can cause mild to marked misshaping of the tooth root, making it difficult for endodontists to perform necessary procedures [4].

Causes and Associations

While the exact cause of hypercementosis is unknown, it has been associated with several local and systemic factors, such as:

• Supra-eruption: The excessive growth of a tooth beyond its normal position.
• Inflammation at the apex: Inflammation or infection at the tip of the root.
• Traumatic occlusion: Trauma to the teeth due to improper alignment or contact between upper and lower teeth.
• Paget's disease: A rare bone disorder that can affect the jawbone.

Characteristics

Hypercementosis is characterized by:

• Excessive cementum deposition: The excessive growth of cementum on the roots of teeth.
• Well-defined edge: The extra cementum has a well-defined edge [7].
• Location at the apex: The condition typically occurs at the tip (apex) of the tooth root [8].

Importance

Understanding hypercementosis is essential for accurate diagnosis and treatment planning, as it can complicate root canal treatments and affect the overall health of the tooth.

References:

[1] Context result 1 [2] Context result 2 [4] Context result 4 [7] Context result 7 [8] Context result 8 [11] Context result 11

Based on the provided context, it appears that there is limited information available on the drug treatment of hypercementosis.

However, according to search result [8], one of the treatment options for hypercementosis is extraction of the tooth due to enlarged root which impacts the surrounding root and tissues. This suggests that in some cases, surgical intervention may be necessary to address the condition.

Additionally, search result [10] mentions that if a related condition, such as a periapical inflammatory lesion, exists, treatment may be necessary. However, it does not specify what type of treatment is required.

It's worth noting that most of the search results suggest that hypercementosis itself typically requires no treatment, and any necessary interventions are usually aimed at addressing related conditions or complications.

Therefore, based on the available information, it seems that there is limited evidence to support specific drug treatments for hypercementosis. However, in some cases, surgical extraction of the tooth may be necessary to address the condition.

• Extraction of the tooth due to enlarged root which impacts the surrounding root and tissues [8]
• Treatment may be necessary if a related condition exists [10]

Hypercementosis, also known as reactive hypercementosis, is a condition characterized by the accumulation of excessive cementum around the roots of teeth. When diagnosing this condition, it's essential to consider several differential diagnoses that may present similar radiographic features.

Differential Diagnoses:

• Condensing osteitis: This condition involves a localized area of bone density increase, which can be mistaken for hypercementosis on radiographs.
• Periapical granuloma: A periapical granuloma is a collection of inflammatory tissue around the apex of a tooth, which can appear as a radiopaque structure similar to hypercementosis.
• Dense bone island: A dense bone island is a benign, non-expansile lesion that can be mistaken for hypercementosis due to its radiopacity.
• Equine odontoclastic tooth resorption and hypercementosis (EOTRH): This condition involves the resorption of tooth structure and the formation of excessive cementum, which can be similar to hypercementosis in appearance.

Key Diagnostic Features:

• The periodontal ligament (PDL) can usually be followed around the lesion in cases of hypercementosis.
• No treatment is required for hypercementosis, as it is a benign condition.

These differential diagnoses are essential to consider when evaluating patients with suspected hypercementosis. A thorough radiographic and clinical examination can help differentiate these conditions and ensure accurate diagnosis.

References:

[1] The differential diagnosis may include any radiopaque structure that is seen within the vicinity of the root, such as a dense bone island or mature periapical ... (Source: [1]) [2] An important differentialdiagnostic feature of hypercementosis is that the PDL can be followed around the lesion. No treatment is required for hypercementosis. (Source: [6]) [3] Differential Diagnosis. It is essential to differentiate hypercementosis from other conditions with similar radiographic features, such as condensing osteitis. (Source: [4]) [4] An important differential diagnosis for reactive hypercementosis is equine odontoclastic tooth resorption and hypercementosis (EOTRH). (Source: [8])