title: Degenerative alterations of the cementum-periodontal ligament complex and early tooth loss in a young patient with periodontal disease.
abstract: Premature exfoliation of primary or permanent teeth in children or adolescents is extremely rare and it can be a manifestation of an underlying systemic disease. This study aims to present the histological aspects associated with early tooth loss in a case of periodontal disease developed without local inflammation and with minimal periodontal pockets and attachment loss. The maxillary left second premolar was extracted together with a gingival collar attached to the root surface. The histological analysis recorded the resorption of the cementum in multiple areas of the entire root surface with the connective tissue of the desmodontium invading the lacunae defects. The connective tissue rich in cells occupied the periodontal ligamentar space and the resorptive areas. No inflammation was obvious in the periodontal ligament connective tissue. This report may warn clinicians about the possibility of the association of cemental abnormalities with early tooth loss.
authors.affiliation: Department of Periodontology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: S A
authors.initials: SA
authors.lastname: Petruţiu
authors.forename: Petronela
authors.initials: P
authors.lastname: Buiga
authors.forename: Alexandra
authors.initials: A
authors.lastname: Roman
authors.forename: Theodora
authors.initials: T
authors.lastname: Danciu
authors.forename: Carmen Mihaela
authors.initials: CM
authors.lastname: Mihu
authors.forename: D
authors.initials: D
authors.lastname: Mihu
mesh_terms: D000293:Adolescent; D003739:Dental Cementum / Q000473:pathology*; D005260:Female; D006801:Humans; D010510:Periodontal Diseases / Q000473:pathology*; D010513:Periodontal Ligament / Q000473:pathology*; D012391:Root Resorption / Q000473:pathology*; D016388:Tooth Loss / Q000473:pathology*