Hypercementosis: A case report and review

Hypercementosis (cemental hyperplasia) is a non-neoplastic deposition of excessive cementum that is continuous with the normal radicular cementum. Although some cases of hypercementosis are idiopathic, this condition is associated with several local and systemic factors such as supraeruption of a tooth, inflammation at the apex of a tooth, traumatic occlusion, Paget's disease, etc. Radiographically, affected teeth demonstrate a thickening or blunting of the root. The enlarged root is surrounded by the radiolucent PDL space and the adjacent intact lamina dura. The histologic study of teeth with hypercementosis shows that the cementum formed is usually osteocementum (acellularcementum). Patients with hypercementosis require no treatment. This article discusses a case report of hypercementosis of maxillary molar teeth and its management.