Cementicle

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A cementicle is a small, spherical or ovoid calcified mass embedded within or attached to the cementum layer on the root surface of a tooth, or lying free within the periodontal ligament.[1][2] They tend to occur in elderly individuals.[3][4]

There are 3 types:[5][6]

  • Free cementicle - not attached to cementum[5]
  • Attached (sessile) cementicle - attached to the cementum surface[5] (also termed exocementosis)[3]
  • Embedded (interstitial) cementicle - with advancing age the cementum thickens,[3] and the cementicle may become incorporated into the cementum layer[5]

They may be visible on a radiograph (x-ray).[2] They may appear singly or in groups,[1] and are most commonly found at the tip of the root.[6] Their size is variable,[5] but generally they are small (about 0.2 mm[6] - 0.3 mm in diameter).[5]

Cementicles are usually acellular, and may contain either fibrillar or afibrillar cementum, or a mixture of both.[5] Cementicles are the result of dystrophic calcification,[5] but the reason why this takes place is unclear.[3] Cementicles are thought to form when calcification occurs around a nidus, a precipitating center. Around this nidus they slowly enlarge by further deposition of calcium salts.[5] Examples of how cementicles are thought to form include:

References

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