Case Studies

Peripheral Cemental Caries

This photo shows a condition known as Peripheral Cemental Caries, in which the cementum (the outside layer of the teeth, normal in the front section of premolar 2 - the black arrow) is not formed properly. The back section of premolar 2 (the blue arrow) shows where the cementum has not formed properly and on premolar 3 (red arrow) you can see the unprotected enamel.

The main problem with the condition is that without the cementum to support the brittle enamel, it breaks off in small pieces, damaging the teeth. The cause remains unknown, and as such there is no cure. However with regular floating the problem can be managed.

There is also a large ramp on the first molar (PM2) shown by the yellow arrow.