Year : 2020

Volume : Volume 11

Issue : Issue 3

Address for correspondence :
Dr. S Chetan Kumar.
drchetan@outlook.com

Abstract

Background:  Hypercementosis refers to a prominent thickening of the cementum. It is most commonly an agerelated phenomenon and occurs in adult teeth. The distribution of acellular and cellular cementum is affected by physical conditions such as ageing and pathological conditions like inflammation and hyper occlusal pressure, causing hypercementosis. During orthodontic tooth movement, pressure and tension are exerted on the periodontal ligament fiber bundles. The tension is on the periodontal fiber bundles, and excessive cementum is deposited on the tension side. Spike, like the type of hypercementosis, is generally observed in cases associated with orthodontic tooth movement. Movement of teeth with hypercementosis is not possible according to previous studies, yet due to severity in both skeletal and dental condition of the patient, the case was planned to be treated orthodontically for any changes as there is not much literature in recent years regarding patients with hypercementosis. Minor alveolar remodelling could be observed at the extraction site. But on the whole, there was no orthodontic tooth movement.

Keywords: Cementum, cemental dysplasia, hypercementosis, tooth movement, alveolar remodelling.