Causes and risk factors
In most of the cases, hypercementosis is idiopathic, where the cause is unknown while in a few cases it can be caused due to certain factors like fracture of tooth, infection of pulp, or affection of nerve. Hyperocclusion or formation of an abscess at the root can also result in this condition. Extension of the tooth from its place of origin to its adjacent areas and tension exerted on the fibers of the periodontal ligament can also trigger this condition. Hypercementosis affecting multiple teeth is commonly associated with certain systemic diseases like Paget’s disease or hyperpituitarism. Arthritis, calcinosis, rheumatic fever are certain other systemic causes which can cause deposition of cementum.
Clinical presentation:
Hypercementosis can affect either single tooth or multiple teeth. Mostly it does not pose any complaint to the patient and are often accidentally detected on dental x-rays. A few may come up with complaints of discomfort in the affected tooth and gums. A dull aching pain can be experienced.
Investigations:
Hypercementosis in most of the cases is detected accidentally during a routine dental check-up. A dental x-ray is often diagnostic. It shows rounding of the root tips.
Treatment:
The treatment aims at administration of analgesic for relieving the pain. In order to prevent the damage to the bone and the adjacent tooth, surgical intervention is needed.
