MORPHOLOGICAL ANALYSIS OF CEMENTOENAMEL JUNCTION TYPES IN PREMOLARS

Quoc Ninh Tran1,, Van Anh Ho1, Truong Khang Nguyen1, Cao Ky An Nguyen1, Nguyen Hai Duy Le1, Thi Ngoc Thoai Huynh1, Ba Loc Phan1, Thi Thao Do1
1 Can Tho University of Medicine and Pharmacy

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Abstract

Background: Cementoenamel junction is a boundary representing the transfer of the inner dentin protective material between the enamel overlapping the crown and the cementum overlapping the root. It is an important reference point in clinical dentistry as well as in dental radiography. Objectives: To observe the correlation between the enamel, dentin, and cementum at the cementoenamel junction of the premolars. Materials and methods: The cervical region of ground sections of 40 premolars that had been extracted for orthodontic reasons were analyzed using transmitted light microscopy to identify which of the following tissue interrelationships. Research variables include correlation between cementum and dentin, types of correlations between the lingual and buccal surface as well as the maxillary and mandibular arches. Results: Cementum overlapping enamel is the most common type (39.13%), followed by an end-to-end approximating cementoenamel junction (36.23%), next to that is the absence of contact between enamel and cementum and revealing a strip of exposed dentin (17.39%) and the rarest type is cementum overlapped by enamel (7.25%). There were no significant differences in correlations between the lingual and buccal surface, and between the maxillary and mandibular (p>0.05). Conclusion: The distribution of mineralized tissues at the cementoenamel junction was varied and unpredictable. Cementum overlapping enamel correlation is the most popular type. It revealed no statistically significant differences in correlations between lingual and buccal surface, maxillary and mandibular. A good understanding of the morphological variations at the cementoenamel junction area is very important and this area should be handled carefully during routine dental procedures such as dental bleaching, orthodontic treatment, placement of rubber dam, and placement of dental materials.

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References

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