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FIGURE 1. Cemental tear in the middle third of tooth #13. Cases 1 and 2 courtesy of Lisa Harpenau, DDS
CE CoursesArticlePeriodontics

Diagnosing and Treating Cemental Tears and Cervical Projections

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Learn more about the incidence, etiology, diagnosis, and treatment of these issues so periodontal problems can be prevented.

AGD Subject Code: 070

Educational ­Objectives

After reading this course, the participant should be able to:

  1. Discuss the composition of teeth, focusing on enamel, dentin, and cementum, and explore how alterations in these hard tissues, such as cemental tears and cervical enamel
    projections, can impact periodontal health.
  2. Identify the incidence of cemental tears, diagnostic challenges, and the factors contributing to their occurrence.
  3. List the treatment strategies for cemental tears and cervical enamel projections.

This course was published in the January/February issue and expires February 2027. The authors have no commercial conflicts of interest to disclose. This 2 credit hour self-study activity is electronically mediated.


Belmont Business Media is an ADA CERP-recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ada.org/cerp. Belmont Business Media Nationally Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory authority or AGD endorsement. 7/1/2023 to 6/30/2026. Provider ID 317924
3621 Harbor Blvd., Suite 265, Santa Ana, CA 92704

Craig A. Dunlap, DDS, is an associate professor, vice chair of the endodontic department, and pre-doctoral director at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco. He can be reached at cdunlap@pacific.edu.


Rachel M. Healy, BS, is a student at the University of the Pacific, Arthur A. Dugoni School of Dentistry. She began her career in dentistry as a dental assistant before applying to dental school. Healy is particularly interested in endodontic and indirect restorative cases, and plans on applying to an endodontic residency program in the future.


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