Cemental Tear: Systematic Review and Thematic Analysis of Clinical and Imaging Features with a Proposed Diagnostic Framework
CE Hours: 1.0
Description: Cemental tear (CT) is a rare condition with poorly understood prevalence, etiology, and clinical presentation, often mimicking vertical root fractures or endodonticperiodontal lesions. This review aimed to synthesize current evidence on CT and propose a diagnostic framework.
At the conclusion of this article, the reader will be able to:
- Analyze the multifactorial etiology and predisposing factors of cemental tears to identify patients at higher clinical risk.
- Differentiate the unique radiographic patterns of cemental tears from other root-related pathologies using advanced imaging modalities.
- Evaluate clinical signs and symptoms to minimize misdiagnosis and avoid unnecessary interventions.
Key:

Jose Evando da Silva-Filho, DDS
DDS; Specialization in Endodontics, UNIFOR, Brazil (in progress); MSD in Dentistry – Endodontics and Dental Imaging, UNIFOR, Brazil (in progress).

Aryanna Celly Rodrigues- Lima, DDS
DDS; Specialization in Orofacial Harmonization, UNIFOR, Brazil (in progress).

Kayo Lucio Silveira- Fernandes
Undergraduate Dentistry student, final year, UNIFOR, Brazil.

Camille de Sousa Veloso, DDS
DDS; Specialization in Restorative Dentistry, ABO-CE, Brazil (in progress).

Joao Paulo Viana Braga, DDS, MSD
DDS; Specialist in Dental Radiology and Imaging (ABO-CE), Implantology (Unicastelo), Orthodontics (ACO-CEC); Postgraduate training in Stomatology and Minor Oral Surgery, Periodontology (Unicastelo), Prosthodontics (ELEVA); MBA in Business Management, UNIFOR, Brazil (in progress); MSD in Dentistry – Pediatric Dentistry, UFC, Brazil.

Sandra Regia Albuquerque Ximenes, DDS, MSD
DDS; Specialist in Restorative Dentistry and Dental Radiology and Imaging, UNICAMP, Brazil; MSD in Dentistry, SLMandic, Brazil.

Elilton Cavalcante Pinheiro- Junior, DDS, MSD, PhD
DDS; Endodontics Specialization, UNESP, Araraquara, Brazil; MSD, UERJ, Brazil; PhD, UNICAMP, Brazil.

Danielle Frota de Albuquerque, DDS, MSc, PhD
DDS; MSc in Oral Biology/Stomatology, USP, Brazil; PhD in Dental Radiology and Imaging, UNICAMP, Brazil.

Eduardo Diogo Gurgel-Filho, DDS, MSD, PhD
DDS; Specialization in Endodontics, UERJ, Brazil; MSD in Dentistry – Endodontics, UERJ, Brazil; PhD, UNICAMP, Brazil.