Generalized Hypercementosis: Report of a Rare Case and Review of the Possible Role of Two Identified Predisposing Factors

Abstract

Objective: In this paper, a case is presented of a female 
adult patient with generalized hypercementosis (GHC) 
which could only be attributed to two rarely reported 
predisposing factors. It also seeks to critically review the 
literature concerning the possible role of two identified 
predisposing factors. 

Case Description: A case of a 50-year-old female trader 
with generalized hypercementosis discovered as an 
accidental radiographic finding in the process of 
assessing her periodontal status. She presented with 
complaint of gradually increasing mobility leading to 
loss of some anterior teeth in the upper left quadrant 
resulting in poor facial aesthetics and the desire to have 
the lost teeth replaced. Examination revealed a case of 
oral neglect and generalized periodontitis. Patient’s 
facial features revealed disfigurement and increased 
facial height due to generalized excessive eruption. The 
patient was systemically healthy except for bilateral 
knee osteoarthritis.

Conclusion: Periodontitis and osteoarthritis can be 
associated with the development of hypercementosis. 
The dental surgeon should, therefore consider these as 
possible risk factors in patients presenting with 
hypercementosis.