Evidence map›Paper›PMID 40846694›Full record

ReviewInternational journal of oral science2025

Expert consensus on the diagnosis and treatment of cemental tear.

Ye Liang, Hongrui Liu, Chengjia Xie, Yang Yu, Jinlong Shao, Chunxu Lv, Wenyan Kang, Fuhua Yan, Yaping Pan, Faming Chen and 54 more

Abstract readReviewConsensus Statement
In one paragraph

Review in International journal of oral science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

64 authors.

Ye Liang *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.
Hongrui Liu *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.
Chengjia Xie *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.
Yang YuDepartment 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.
Jinlong ShaoDepartment 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.
Chunxu LvDepartment 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.
Wenyan KangDepartment 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.
Fuhua YanDepartment of Periodontology, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, Nanjing, China.ORCID 0000-0002-6963-3530
Yaping PanDepartment of Periodontics, School and Hospital of Stomatology, China Medical University, Shenyang, China.ORCID 0000-0001-6711-8992
Faming ChenState 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.ORCID 0000-0002-8398-2104
Yan XuDepartment of Periodontology, The Affiliated Stomatological Hospital of Nanjing Medical University, Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, China.
Zuomin WangDepartment of Stomatology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Yao SunDepartment of Implantology, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China.ORCID 0000-0002-4323-0506
Ang LiKey Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, China.
Lili ChenDepartment of Oral Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Qingxian LuanDepartment 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.
Chuanjiang ZhaoHospital of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China.
Zhengguo CaoState 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.
Yi LiuLaboratory 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.ORCID 0000-0002-4998-5547
Jiang SunDalian Stomatological Hospital, Dalian, China.
Zhongchen SongDepartment 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.
Lei ZhaoState 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.
Li LinDepartment of Periodontics, School and Hospital of Stomatology, China Medical University, Shenyang, China.
Peihui DingStomatology 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.
Weilian SunDepartment of Oral Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Jun WangState 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.ORCID 0000-0002-5314-8442
Jiang LinDepartment of Stomatology, Beijing TongRen Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-6170-7566
Guangxun ZhuDepartment of Stomatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Qi ZhangDepartment of Endodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China.
Lijun LuoDepartment of Periodontics, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China.
Jiayin DengSchool and Hospital of Stomatology, Tianjin Medical University, Tianjin, China.
Yihuai PanDepartment of Endodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.
Jin ZhaoDepartment of Endodontics, First Affiliated Hospital of Xinjiang Medical University, and College of Stomatology of Xinjiang Medical University, Urumqi, China.ORCID 0000-0002-5207-4680
Aimei SongDepartment 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.
Hongmei GuoDepartment 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.
Jin ZhangDepartment 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.
Pingping CuiDepartment 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.
Song GeSchool and Hospital of Stomatology, Zunyi Medical University, Zunyi, China.ORCID 0000-0002-2605-3130
Rui ZhangSchool and Hospital of Stomatology, Zunyi Medical University, Zunyi, China.
Xiuyun RenShanxi Medical University School and Hospital of Stomatology, Shanxi Province Key Laboratory of Oral Diseases Prevention and New Materials, Taiyuan, China.
Shengbin HuangDepartment of Prosthodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, China.ORCID 0000-0003-4522-2769
Xi WeiDepartment of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-Sen University & Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.ORCID 0000-0002-5749-2910
Lihong QiuDepartment of Endodontics, School and Hospital of Stomatology, China Medical University; Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China.
Jing DengDepartment of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Keqing PanDepartment of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Dandan MaDepartment of Endodontics, Stomatological Hospital, School of Stomatology, Southern Medical University, Guangzhou, China.
Hongyu ZhaoDepartment of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Dong ChenDepartment of Stomatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Liangjun ZhongStomatology Center, Affiliated Hospital of Hangzhou Normal University, Hangzhou, China.
Gang DingSchool of Stomatology, Shandong Second Medical University, Weifang, China.
Wu ChenDepartment of Periodontology, The Affiliated Stomatological Hospital of Nanjing Medical University, Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing, China.
Quanchen XuDepartment of Stomatology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Xiaoyu SunKey Laboratory of Oral Diseases Research of Anhui Province, College & Hospital of Stomatology, Anhui Medical University, Hefei, China.
Lingqian DuThe Second Hospital of Shandong University, Jinan, China.
Ling LiDepartment of Periodontology, Linyi People's Hospital, Shandong Second Medical University, Linyi, China.
Yijia WangLaboratory 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.
Xiaoyuan LiDepartment of Stomatology, The Fifth People's Hospital of Jinan, Jinan, China.
Qiang ChenSuzhou Stomatological Hospital, Suzhou, China.
Hui WangSuzhou Stomatological Hospital, Suzhou, China.
Zheng ZhangTianjin Stomatological Hospital, School of Medicine, Nankai university, Tianjin, China.
Mengmeng LiuDepartment of Stomatology, Qilu Hospital of Shandong University (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, China.
Chengfei ZhangRestorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China. zhangcf@hku.hk.
Xuedong ZhouState 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. zhouxd@scu.edu.cn.
Shaohua GeDepartment 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. shaohuage@sdu.edu.cn.ORCID 0000-0003-3821-5480

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Dental CementumTooth FracturesCone-Beam Computed TomographyDiagnosis, DifferentialHumans

Identifiers

PMID40846694
PMCPMC12373928

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