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Expert consensus on the diagnosis and treatment of cemental tear

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收录情况： ◇ 统计源期刊 ◇ 卓越：领军期刊

作者：
Liang Ye[1] * ; Liu Hongrui[1] * ; Xie Chengjia[1] * ; Yu Yang[1] ; Shao Jinlong[1] ; Lv Chunxu[1] ; Kang Wenyan[1] ; Yan Fuhua[2] ; Pan Yaping[3] ; Chen Faming[4] ; Xu Yan[5] ; Wang Zuomin[6] ; Sun Yao[7] ; Li Ang[8] ; Chen Lili[9] ; Luan Qingxian[10] ; Zhao Chuanjiang[11] ; Cao Zhengguo[12] ; Liu Yi[13] ; Sun Jiang[14] ; Song Zhongchen[15] ; Zhao Lei[16] ; Lin Li[3] ; Ding Peihui[17] ; Sun Weilian[9] ; Wang Jun[16] ; Lin Jiang[18] ; Zhu Guangxun[19] ; Zhang Qi[20] ; Luo Lijun[21] ; Deng Jiayin[22] ; Pan Yihuai[23] ; Zhao Jin[24] ; Song Aimei[1] ; Guo Hongmei[1] ; Zhang Jin[25] ; Cui Pingping[25] ; Ge Song[26] ; Zhang Rui[26] ; Ren Xiuyun[27] ; Huang Shengbin[28] ; Wei Xi[29] ; Qiu Lihong[30] ; Deng Jing[31] ; Pan Keqing[31] ; Ma Dandan[32] ; Zhao Hongyu[33] ; Chen Dong[33] ; Zhong Liangjun[34,35] ; Ding Gang[36] ; Chen Wu[5] ; Xu Quanchen[31] ; Sun Xiaoyu[37] ; Du Lingqian[38] ; Li Ling[39] ; Wang Yijia[13] ; Li Xiaoyuan[40] ; Chen Qiang[41] ; Wang Hui[41] ; Zhang Zheng[42] ; Liu Mengmeng[43] ; Zhang Chengfei[44] ; Zhou Xuedong[45] ; Ge Shaohua[46] ;
机构： [1]Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, Jinan, China. [2]Department of Periodontology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, China. [3]Department of Periodontics, School and Hospital of Stomatology, China Medical University, Shenyang, China. [4]State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, Department of Periodontology, School of Stomatology, The Fourth Military Medical University, Xi'an, China. [5]Department of Periodontology, The Affiliated Stomatological Hospital of Nanjing Medical University, Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, China. [6]Department of Stomatology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China. [7]Department of Implantology, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China. [8]Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China. [9]Department of Oral Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. [10]Department of Periodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering, Beijing, China. [11]Hospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China. [12]State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Department of Periodontology, School & Hospital of Stomatology, Wuhan University, Wuhan, China. [13]Laboratory of Tissue Regeneration and Immunology and Department of Periodontics, Beijing Key Laboratory of Tooth Regeneration and Function Reconstruction, School of Stomatology, Capital Medical University, Beijing, China. [14]Dalian Stomatological Hospital, Dalian, China. [15]Department of Periodontology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China. [16]State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Periodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China. [17]Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, China. [18]Department of Stomatology, Beijing TongRen Hospital, Capital Medical University, Beijing, China. [19]Department of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. [20]Department of Endodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China. [21]Department of Periodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China. [22]School and Hospital of Stomatology, Tianjin Medical University, Tianjin, China. [23]Department of Endodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China. [24]Department of Endodontics, First Affiliated Hospital of Xinjiang Medical University, and College of Stomatology of Xinjiang Medical University, Urumqi, China. [25]Department of Endodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Provincial Key Laboratory of Oral Tissue Regeneration & Shandong Provincial Engineering Laboratory for Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, Jinan, China. [26]School and Hospital of Stomatology, Zunyi Medical University, Zunyi, China. [27]Shanxi Medical University School and Hospital of Stomatology, Shanxi Province Key Laboratory of Oral Diseases Prevention and New Materials, Taiyuan, China. [28]Department of Prosthodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China. [29]Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China. [30]Department of Endodontics, School and Hospital of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China. [31]Department of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, China. [32]Department of Endodontics, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China. [33]Department of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. [34]Stomatology Center, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China. [35]School of Stomatology, Hangzhou Normal University, Hangzhou, China. [36]School of Stomatology, Shandong Second Medical University, Weifang, China. [37]Key Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, Hefei, China. [38]The Second Hospital of Shandong University, Jinan, China. [39]Department of Periodontology, Linyi People's Hospital, Shandong Second Medical University, Linyi, China. [40]Department of Stomatology, The Fifth People's Hospital of Jinan, Jinan, China. [41]Suzhou Stomatological Hospital, Suzhou, China. [42]Tianjin Stomatological Hospital, School of Medicine, Nankai university, Tianjin, China. [43]Department of Stomatology, Qilu Hospital of Shandong University (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, China. [44]Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China. [45]State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China. [46]Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, Jinan, China.
出处：
DOI： 10.1038/s41368-025-00381-9
ISSN：

摘要：
Cemental tear is a rare and indetectable condition unless obvious clinical signs present with the involvement of surrounding periodontal and periapical tissues. Due to its clinical manifestations similar to common dental issues, such as vertical root fracture, primary endodontic diseases, and periodontal diseases, as well as the low awareness of cemental tear for clinicians, misdiagnosis often occurs. The critical principle for cemental tear treatment is to remove torn fragments, and overlooking fragments leads to futile therapy, which could deteriorate the conditions of the affected teeth. Therefore, accurate diagnosis and subsequent appropriate interventions are vital for managing cemental tear. Novel diagnostic tools, including cone-beam computed tomography (CBCT), microscopes, and enamel matrix derivatives, have improved early detection and management, enhancing tooth retention. The implementation of standardized diagnostic criteria and treatment protocols, combined with improved clinical awareness among dental professionals, serves to mitigate risks of diagnostic errors and suboptimal therapeutic interventions. This expert consensus reviewed the epidemiology, pathogenesis, potential predisposing factors, clinical manifestations, diagnosis, differential diagnosis, treatment, and prognosis of cemental tear, aiming to provide a clinical guideline and facilitate clinicians to have a better understanding of cemental tear.© 2025. The Author(s).

基金：
This research was supported by the National Natural Science Foundation of China (no. 82320108004), the Construction Engineering Special Fund of “Taishan Scholars” of Shandong Province (ts20190975), and the National Clinical Key Specialty (Periodontology) Construction Project.
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2025]版：
大类 | 1 区 医学
小类 | 1 区 牙科与口腔外科
最新[2025]版：
大类 | 1 区 医学
小类 | 1 区 牙科与口腔外科
第一作者：
第一作者机构： [1]Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, Jinan, China.
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Liang Ye,Liu Hongrui,Xie Chengjia,et al.Expert consensus on the diagnosis and treatment of cemental tear[J].International Journal Of Oral Science.2025,17(1):61.doi:10.1038/s41368-025-00381-9.
APA：
Liang Ye,Liu Hongrui,Xie Chengjia,Yu Yang,Shao Jinlong...&Ge Shaohua.(2025).Expert consensus on the diagnosis and treatment of cemental tear.International Journal Of Oral Science,17,(1)
MLA：
Liang Ye,et al."Expert consensus on the diagnosis and treatment of cemental tear".International Journal Of Oral Science 17..1(2025):61

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