Assessment of dehiscence and fenestration in children and adolescents using cone beam computed tomography

Authors

DOI:

https://doi.org/10.5195/d3000.2021.143

Keywords:

alveolar bone defect, cone-beam computed tomography, dehiscence, fenestration, primary tooth

Abstract

Objectives: To define the prevalence of dehiscence and fenestration and classify them in terms of the localization of fenestrations in a random sampled group of children and adolescent patients using cone-beam computed tomography (CBCT).

Methods:  CBCT performed at the Department of Oral and Maxillofacial Radiology of patients referred by the paediatric dentistry clinic were included in this retrospective study. Image evaluations were performed by dentomaxillofacial radiologist (AA, asst. prof.), and these images were examined in three dimensions of the axial, coronal, and sagittal planes. Intraexaminer agreement for the evaluations were found acceptable. The presence/absence of dehiscence and/or fenestration, fenestration’s classification type, and localization of defects were recorded. Moreover, the presence/absence of periapical lesion in related root with dehiscence and fenestration was noted. For statistical analysis, The Chi-Square test, Fisher Freeman Halton Test, and Yates' Continuity of Correction were used.

Results: 3061 roots in 1801 teeth of 120 cases were analyzed. The mean age was 9.97±2.22 years. Dehiscence was detected in 261(8.5%) roots of 161(8.9%) teeth, and fenestration was detected 63(2%) roots of 36(2%) teeth. The most common fenestration type was Type I, followed by Type II and IV. Dehiscence was observed more frequently in primary teeth than permanent teeth, and the difference was statistically significant (p:0.000). Dehiscence and fenestration incidence in maxillary teeth was significantly higher than in the mandibular teeth (pdehiscence:0.000, pfenestration:0.004). Apical lesions were observed more in primary teeth than permanent teeth for both defects.

Conclusions: This study concludes that alveolar dehiscence and fenestrations are more common in primary teeth than permanent teeth. Moreover, these defects were detected more for the teeth in the maxilla. Concerning endodontic and orthodontic therapies in maxilla, use of CBCT is useful in determining the region's anatomical structure accurately in suspected cases of child and adolescent patients.

Author Biographies

Aslıhan Akbulut, PhD. Assistant Professor, Istanbul Medipol University, School of Dentistry, Department of Dentomaxillofacial Radiology, Istanbul, Turkey

Istanbul Medipol University

Beyza Ballı Akgöl, Istanbul Medipol University

PhD. Assistant Professor, Istanbul Medipol University, School of Dentistry, Department of Pediatric Dentistry, Istanbul, Turkey

Kaan Orhan, Ankara University

Prof. Dr. Ankara University, School of Dentistry, Department of Dentomaxillofacial Radiology, Ankara, Turkey

 

Ankara University Medical Design Application and Research Center (MEDITAM), Ankara, Turkey

Merve Bayram, Istanbul Medipol University

PhD. Assistant Professor, Istanbul Medipol University, School of Dentistry, Department of Dentomaxillofacial Radiology, Istanbul, Turkey

References

Comparison of linear and volumetric measurements obtained from periodontal defects by using cone beam-CT and micro-CT: an in vitro study. Tayman MA, Kamburoğlu K, Küçük Ö, et al (2019). Clin Oral Investig 23:2235–2244. PMID: 30284102

Alveolar bone dehiscences and fenestrations: An anatomical study and review. Nimigean VR, Nimigean V, Bencze MA, et al (2008). Rom J Morphol Embryol 50:391–397. PMID: 19690764

Accuracy of cone-beam computed tomography in detecting alveolar bone dehiscences and fenestrations. Sun L, Zhang L, Shen G, et al (2015). Am J Orthod Dentofac Orthop 147:313–323. PMID: 25726398

Classification of alveolar bone destruction patterns on maxillary molars by using cone-beam computed tomography. Ozcan G, Sekerci AE (2017). Niger J Clin Pract 20:1010–1019. PMID: 28891547

Cone-Beam Computed Tomography Evaluation of Alveolar Bone Dehiscences on Mesiobuccal Root Region of Upper First Molar Teeth. Nalcı G, Alaçam T, Salmanov E, et al (2020). Turkiye Klin J Dent Sci 26:195–200

KKTC toplumunda fenestrasyon ve dehisens prevalansının konik ışınlı bilgisayarlı tomografi ile değerlendirilmesi. Aksoy U, Aksoy S (2019). 317–322

Alveolar bone fenestrations and dehiscences in dry Bedouin jaws. Edel A (1981). J Clin Periodontol 8:491–499. PMID: 6949922

Glossary of Endodontic Terms. American Association of Endodontists (2015). Gloss Endod Terms 9:43

Use of cone-beam computed tomography to evaluate the prevalence of root fenestration in a Chinese subpopulation. Pan HY, Yang H, Zhang R, et al (2014). Int Endod J 47:10–19. PMID: 23701176

Dehiscence and fenestration in skeletal Class I, II, and III malocclusions assessed with cone-beam computed tomography. Yagci A, Veli I, Uysal T, et al (2012). Angle Orthod 82:67–74. PMID: 21696298

Dehiscence and fenestration in patients with different vertical growth patterns assessed with cone-beam computed tomography. Enhos S, Uysal T, Yagci A, et al (2012). Angle Orthod 82:868–874. PMID: 22356702

Appraisal of the relationship between tooth inclination, dehiscence, fenestration, and sagittal skeletal pattern with cone beam computed tomography. Coskun I, Kaya B (2019). Angle Orthod 89:544–551. PMID: 30741575

Management of mucosal fenestrations by interdisciplinary approach: a report of three cases. Jhaveri HM, Amberkar S, Galav L, et al (2010). J Endod 36:164–168. PMID: 20003959

Outcome of secondary root canal treatment: a systematic review of the literature. Ng Y-L, Mann V, Gulabivala K (2008). Int Endod J 41:1026–1046. PMID: 19133093

A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Ng Y-L, Mann V, Gulabivala K (2011). Int Endod J 44:583–609. PMID: 21366626

Persistent pain related to root canal filling and apical fenestration: a case report. Boucher Y, Sobel M, Sauveur G (2000). J Endod 26:242–244. PMID: 11199728

Evaluation of alveolar bone loss following rapid maxillary expansion using cone-beam computed tomography. Baysal A, Uysal T, Veli I, et al (2013). Korean J Orthod 43:83–95. PMID: 23671833

Detection of Bone Defects Using CBCT Exam in an Italian Population. Gambarini G, Miccoli G, Gaimari G, et al (2017). Int J Dent 2017:

Prevalence of posterior alveolar bony dehiscence and fenestration in adults with posterior crossbite: a CBCT study. Choi JY, Chaudhry K, Parks E, Ahn JH (2020). Prog Orthod 21:. PMID: 32173764

Evaluation of dehiscence and fenestration in adolescent patients affected by unilateral cleft lip and palate: A retrospective cone beam computed tomography study. Buyuk SK, Ercan E, Celikoglu M, et al (2016). Angle Orthod 86:431–436. PMID: 26284755

Dehiscence and fenestration in patients with class i and class II division 1 malocclusion assessed with cone-beam computed tomography. Evangelista K, Vasconcelos KDF, Bumann A, et al (2010). Am J Orthod Dentofac Orthop 138:133.e1-133.e7. PMID: 20691344

Comparison of the influence of FOV sizes and different voxel resolutions for the assessment of periodontal defects. Kolsuz ME, Bagis N, Orhan K, et al (2015). Dentomaxillofacial Radiol 44:. PMID: 25900235

Detection of simulated periodontal defects using cone-beam CT and digital intraoral radiography. Bayat S, Talaeipour AR, Sarlati F (2016). Dentomaxillofacial Radiol 45:

Diagnostic accuracy of CBCT for periodontal lesions. Braun X, Ritter L, Jervøe-Storm PM, Frentzen M (2014). Clin Oral Investig 18:1229–1236. PMID: 24048949

Comparison of intraoral radiography and cone-beam computed tomography for the detection of periodontal defects: An in vitro study. Bagis N, Kolsuz ME, Kursun S, Orhan K (2015). BMC Oral Health 15:1–8. PMID: 26016804

Diagnostic validity (or acuity) of 2D CCD versus 3D CBCT-images for assessing periodontal breakdown. Vandenberghe B, Jacobs R, Yang J (2007). Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology 104:395–401. PMID: 17613257

Indications for cone beam computed tomography in children and young patients in a Turkish subpopulation. İşman Ö, Yılmaz HH, Aktan AM, Yilmaz B (2017). Int J Paediatr Dent 27:183–190. PMID: 27452447

Changes of alveolar bone dehiscence and fenestration after augmented corticotomy-assisted orthodontic treatment: a CBCT evaluation. Sun L, Yuan L, Wang B, et al (2019). Prog Orthod 20:. PMID: 30773604

Cone-Beam CT Diagnostic Applications: Caries, Periodontal Bone Assessment, and Endodontic Applications. Tyndall DA, Rathore S (2008). Dent Clin North Am 52:825–841. PMID: 18805231

Digital volume tomography for diagnostics in periodontology. Kasaj A, Willershausen B (2007). Int J Comput Dent 10:155–168. PMID: 17899891

Atypical facial pain related to apical fenestration and overfilling. Pasqualini D, Scotti N, Ambrogio P, et al (2012). Int Endod J 45:670–677. PMID: 22309707

Pattern of bone resorption in vertically fractured, endodontically treated teeth. Lustig JP, Tamse A, Fuss Z (2000). Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:224–227. PMID: 10936842

Prevalence of Dehiscences and Fenestrations in Modern American Skulls. Rupprecht RD, Horning GM, Nicoll BK, Cohen ME (2001). J Periodontol 72:722–729. PMID: 11453233

The management of mucosal fenestration: a report of two cases. Chen G, Fang CT, Tong C (2009). Int Endod J 42:156–164. PMID: 19134044

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Published

2021-07-27

Issue

Vol. 9 No. 1 (2021)

Section

Infancy & Adolescence

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