Cemental Tear: Systematic Review and Thematic Analysis of Clinical and Imaging Features with a Proposed Diagnostic Framework

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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.

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Cemental Tear: Systematic Review and Thematic Analysis of Clinical and Imaging Features with a Proposed Diagnostic Framework
Open to download resource.
Open to download resource. Published 2/1/2026
Evaluation
8 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Certificate
1.00 CE credit  |  Certificate available
1.00 CE credit  |  Certificate available

José Evando da Silva-Filho, DDS (MSD candidate)

José Evando da Silva-Filho is a dentist (DDS) specializing in Endodontics at the University of Fortaleza (UNIFOR), Brazil. He is pursuing a Master of Science in Dentistry with a focus on Endodontics and Dental Imaging at UNIFOR.

Aryanna Celly Rodrigues-Lima, DDS

Aryanna Celly Rodrigues-Lima is a dentist (DDS) specializing in Orofacial Harmonization at the University of Fortaleza (UNIFOR), Brazil.

Kayo Lúcio Silveira-Fernandes

Kayo Lúcio Silveira-Fernandes is a final-year undergraduate dentistry student at the University of Fortaleza (UNIFOR), Brazil.

Camille de Sousa Veloso, DDS

Camille de Sousa Veloso is a dentist (DDS) specializing in Restorative Dentistry at the Brazilian Association of Dentistry – Ceará (ABO-CE), Brazil.

João Paulo Viana Braga, DDS, MSD

João Paulo Viana Braga is a dentist (DDS) with specialties in Dental Radiology and Imaging (ABO-CE), Implantology (Camilo Castelo Branco University – UNICASTELO), and Orthodontics (Ceará Association of Dentistry – ACO-CEC). He completed postgraduate training in Stomatology and Minor Oral Surgery, Periodontology (UNICASTELO), and Prosthodontics (ELEVA Dentistry). He holds a Master of Science in Dentistry with a focus on Pediatric Dentistry from the Federal University of Ceará (UFC), Brazil, and is pursuing an MBA in Business Management at the University of Fortaleza (UNIFOR), Brazil.

Sandra Régia Albuquerque Ximenes, DDS, MSD

Sandra Régia Albuquerque Ximenes is a dentist (DDS) with specialties in Restorative Dentistry and Dental Radiology and Imaging at the State University of Campinas (UNICAMP), Brazil. She holds a Master of Science in Dentistry with a focus on Restorative Dentistry from São Leopoldo Mandic, Brazil.

Elilton Cavalcante Pinheiro-Júnior, DDS, MSD, PhD

Elilton Cavalcante Pinheiro-Júnior is a dentist (DDS) with a specialty in Endodontics at the São Paulo State University (UNESP), Araraquara, Brazil. He holds a Master of Science in Dentistry with a focus on Endodontics from the State University of Rio de Janeiro (UERJ), Brazil, and a PhD in Endodontics from the State University of Campinas (UNICAMP), Brazil.

Danielle Frota de Albuquerque, DDS, MSc, PhD

Danielle Frota de Albuquerque is a dentist (DDS) who holds a Master of Science in Dentistry with a focus on Oral Biology/Stomatology from the University of São Paulo (USP), Brazil, and a PhD in Dental Radiology and Imaging from the State University of Campinas (UNICAMP), Brazil.

Eduardo Diogo Gurgel-Filho, DDS, MSD, PhD

Eduardo Diogo Gurgel-Filho is a dentist (DDS) with a specialty in Endodontics at the State University of Rio de Janeiro (UERJ), Brazil. He holds a Master of Science in Dentistry with a focus on Endodontics from UERJ and a PhD in Endodontics from the State University of Campinas (UNICAMP), Brazil.