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Root cementum ultrastructure in healthy and periodontally diseased teeth

Relevance . Investigation of the root cementum ultrastructure in chronic generalized periodontitis is still relevant as changes in structure and composition of root cementum play a significant role in successful periodontal regeneration. Am is to study changes in the root cementum ultrastructure in patients with chronic generalized periodontitis. Materials and methods . Scanning electron microscopy (SEM) was used to study the cementum surface of 9 teeth extracted due to severe chronic generalized periodontitis and 3 teeth with a clinically healthy periodontium extracted for orthodontic reasons. 3D visualization of the received SEM images was performed. Results . The cementum of periodontally healthy teeth appeared homogeneous and regular,was covered in periodontal fibers and had a pebble-like or dome-shaped surface. In chronic periodontitis patients, the cementum surface was mostly irregular with multiple defects of various depth, areas of completely destroyed cementum, exposed dentinal tubules and a complete absence of periodontal fibers. Conclusion . Loss of periodontal attachment and root cementum exposure to microbial biofilm may result in irreversible structural changes of the surface which may affect the regeneration of clinical attachment.