title: Localized multiple cemental excrescences: a rare presentation of hypercementosis.
abstract: Hypercementosis is an abnormal thickening of cementum which may be generalized or localized. Localized hypercementosis is usually characterized by nodular enlargement of apical third of root. Hypercementosis in the form of multiple cemental spikes distributed throughout the entire length of root is a very rare finding. In this article, we report such a rare manifestation of localized hypercementosis affecting right maxillary third molar in a 24-year-old male. This finding was an accidental observation following a difficult extraction procedure as the spikes were not evident in the orthopantamogram. It is imperative that every dental practitioner be aware of several presentations of hypercementosis and ensure that such an entity is considered in the differential diagnosis of difficult extraction procedures as an Intraoral Periapical (IOPA) radiograph or even an Orthopantamogram (OPG) could not differentiate the root morphology.
authors.affiliation: Professor and Head, Department of Oral Pathology, Thai Moogambigai Dental College , Golden George Nagar, Chennai, India .
authors.forename: Nadeem
authors.initials: N
authors.lastname: Jeddy
authors.affiliation: Reader, Department of Oral Pathology, Thai Moogambigai Dental College , Golden George Nagar, Chennai, India .
authors.forename: Radhika
authors.initials: R
authors.lastname: T
authors.affiliation: Reader, Department of Oral Medicine, Thai Moogambigai Dental College , Golden George Nagar, Chennai, India .
authors.forename: Krithika
authors.initials: K
authors.lastname: C
authors.affiliation: Professor, Department of Orthodontia, Thai Moogambigai Dental College , Golden George Nagar, Chennai, India .
authors.forename: Saravanan
authors.initials: S
authors.lastname: R
authors.affiliation: Professor and Head, Department of Orthodontia, Thai Moogambigai Dental College , Golden George Nagar, Chennai, India .
authors.forename: Ramachandran
authors.initials: R
authors.lastname: Prabakar
keywords: Cemental spikes; Hypercementosis; Localized