Cemental tear on the first maxillary premolar in the patient with facial palsy: an uncommon type of root fracture

A 56-year-old female patient came to the department complaining of pain in upper right back tooth region. The reported a history paralysis half body. There is neither swelling nor inflammation gingiva. No sinus tract present vestibular area. were no noticeable caries lesions. Right first maxillary premolar with significant periodontal pocket and grade 2 mobility on palpation. tenderness percussion. refused treatment alternatives had extracted. middle third root contains completely detached fragment third. was sent for biopsy histological analysis. Cementum, dentin, inflammatory cells found during examination suggestive cemental tear.