Banner Portal
Prevalence and extent of Alveolar dehiscence and fenestration in Class I hyperdivergent subjects with different buccolingual inclinations of maxillary molar teeth
PDF

Keywords

Maxilla
Molar
Orthodontics
Malocclusion
Angle Class I

How to Cite

1.
Mohan R, Jain RK, Balasubramaniam A. Prevalence and extent of Alveolar dehiscence and fenestration in Class I hyperdivergent subjects with different buccolingual inclinations of maxillary molar teeth: a CBCT study. Braz. J. Oral Sci. [Internet]. 2023 Dec. 12 [cited 2024 Jul. 17];22(00):e239938. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8669938

Abstract

Buccolingual position of teeth could affect the prevalence of alveolar bone defects. Presence of alveolar defects may have a deleterious effect on orthodontic treatment. The aim was to assess the prevalence and extent of dehiscence and fenestration in Class I hyperdivergent subjects and correlate it with buccolingual inclinations(BL) of maxillary first molar teeth. Methods: This retrospective study involved 80 CBCTs of class I hyperdivergent subjects divided into two groups - group A (n=33) buccolingual inclination >9º and group B (n=47) buccolingual inclination <9º. Prevalence and extent of alveolar bone dehiscence and fenestrations were measured in CBCTs using OSIRIX Lite software. Descriptive statistics, Mann Whitney U test and Spearman correlation were done for evaluating intergroup differences and correlation with Buccolingual inclination. Results: Overall prevalence of dehiscence and fenestration in maxillary first molars was 60.95% and 5% respectively. In the buccal alveolar bone, prevalence of dehiscence was highest in group A (84.6%) for 16 and in the lingual alveolar bone prevalence of dehiscence was highest in group B (71.4%) for 26 . On intergroup comparison, the extent of lingual alveolar bone dehiscence (26) in group B was significantly higher (p value <0.05) than in group A. No significant correlation between the extent of dehiscence and fenestration with buccolingual inclination of molar teeth was noted. Conclusion: Molar teeth with BL inclinations of more than 9º had higher prevalence of dehiscence on the buccal side and molar teeth with BL inclinations less than 9 degrees had more dehiscence on the lingual side. But no significant correlation of BL inclination with prevalence and extent of dehiscence and fenestration was noted.

https://doi.org/10.20396/bjos.v22i00.8669938
PDF

References

Nimigean VR, Nimigean V, Bencze MA, Dimcevici-Poesina N, Cergan R, Moraru S. Alveolar bone dehiscences and fenestrations: an anatomical study and review. Rom J Morphol Embryol. 2009;50(3):391-7.

Löst C. Depth of alveolar bone dehiscences in relation to gingival recessions. J Clin Periodontol. 1984 Oct;11(9):583-9. doi: 10.1111/j.1600-051x.1984.tb00911.x.

Peterson AG, Wang M, Gonzalez S, Covell DA Jr, Katancik J, Sehgal HS. An in vivo and cone beam computed tomography investigation of the accuracy in measuring alveolar bone height and detecting dehiscence and fenestration defects. Int J Oral Maxillofac Implants. 2018 Nov/Dec;33(6):1296-304. doi: 10.11607/jomi.6633.

Enhos S, Uysal T, Yagci A, Veli İ, Ucar FI, Ozer T. Dehiscence and fenestration in patients with different vertical growth patterns assessed with cone-beam computed tomography. Angle Orthod. 2012 Sep;82(5):868-74. doi: 10.2319/111211-702.1.

Jing WD, Xu L, Li XT, Xu X, Jiao J, Hou JX, et al. Prevalence of and risk factors for alveolar fenestration and dehiscence in the anterior teeth of Chinese patients with skeletal Class III malocclusion. Am J Orthod Dentofacial Orthop. 2021 Mar;159(3):312-20. doi: 10.1016/j.ajodo.2019.11.018.

Evangelista K, Vasconcelos KF, Bumann A, Hirsch E, Nitka M, Silva MA. Dehiscence and fenestration in patients with Class I and Class II Division 1 malocclusion assessed with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2010 Aug;138(2):133.e1-7; discussion 133-5. doi: 10.1016/j.ajodo.2010.02.021.

Sadek MM, Sabet NE, Hassan IT. Three-dimensional mapping of cortical bone thickness in subjects with different vertical facial dimensions. Prog Orthod. 2016 Dec;17(1):32. doi: 10.1186/s40510-016-0145-x.

Enhos S, Uysal T, Yagci A, Veli İ, Ucar FI, Ozer T. Dehiscence and fenestration in patients with different vertical growth patterns assessed with cone-beam computed tomography. Angle Orthod. 2012 Sep;82(5):868-74. doi: 10.2319/111211-702.1.

Handelman CS. The anterior alveolus: its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae. Angle Orthod. 1996;66(2):95-109; discussion 109-10. doi: 10.1043/0003-3219(1996)066<0095:TAAIII>2.3.CO;2. Erratum in: Angle Orthod 1996;66(4):246.

Choi JY, Chaudhry K, Parks E, Ahn JH. Prevalence of posterior alveolar bony dehiscence and fenestration in adults with posterior crossbite: a CBCT study. Prog Orthod. 2020 Mar 16;21(1):8. doi: 10.1186/s40510-020-00308-6.

Buyuk SK, Ercan E, Celikoglu M, Sekerci AE, Hatipoglu M. Evaluation of dehiscence and fenestration in adolescent patients affected by unilateral cleft lip and palate: A retrospective cone beam computed tomography study. Angle Orthod. 2016 May;86(3):431-6. doi: 10.2319/042715-289.1.

Akin M, Baka ZM, Ileri Z, Basciftci FA. Alveolar bone changes after asymmetric rapid maxillary expansion. Angle Orthod. 2015 Sep;85(5):799-805. doi: 10.2319/090214.1.

Baysal A, Uysal T, Veli I, Ozer T, Karadede I, Hekimoglu S. Evaluation of alveolar bone loss following rapid maxillary expansion using cone-beam computed tomography. Korean J Orthod. 2013 Apr;43(2):83-95. doi: 10.4041/kjod.2013.43.2.83.

Yagci A, Veli I, Uysal T, Ucar FI, Ozer T, Enhos S. Dehiscence and fenestration in skeletal Class I, II, and III malocclusions assessed with cone-beam computed tomography. Angle Orthod. 2012 Jan;82(1):67-74. doi: 10.2319/040811-250.1.

Manjula WS, Murali RV, Kumar SK, Tajir F, Mahalakshmi K. Palatal bone thickness measured by palatal index method using cone-beam computed tomography in nonorthodontic patients for placement of mini-implants. J Pharm Bioallied Sci. 2015 Apr;7(Suppl 1):S107-10. doi: 10.4103/0975-7406.155843.

Arvind Tr P, Dinesh SS. Can palatal depth influence the buccolingual inclination of molars? A cone beam computed tomography-based retrospective evaluation. J Orthod. 2020 Dec;47(4):303-10. doi: 10.1177/1465312520941523.

Nanci A. Ten Cate’s oral histology: development, structure, and function. 7th. Saint Louis, MO: Mosby; 2007.

Rupprecht RD, Horning GM, Nicoll BK, Cohen ME. Prevalence of dehiscences and fenestrations in modern American skulls. J Periodontol. 2001 Jun;72(6):722-9. doi: 10.1902/jop.2001.72.6.722.

Coşkun İ, Kaya B. Appraisal of the relationship between tooth inclination, dehiscence, fenestration, and sagittal skeletal pattern with cone beam computed tomography. Angle Orthod. 2019 Jul;89(4):544-51. doi: 10.2319/050818-344.1.

Larato DC. Alveolar plate fenestrations and dehiscences of the human skull. Oral Surg Oral Med Oral Pathol. 1970 Jun;29(6):816-9. doi: 10.1016/0030-4220(70)90429-9.

Volchansky A, Cleaton-Jones P. Bony defects in dried Bantu mandibles. Oral Surg Oral Med Oral Pathol. 1978 Apr;45(4):647-53. doi: 10.1016/0030-4220(78)90049-x.

Edel A. Alveolar bone fenestrations and dehiscences in dry Bedouin jaws. J Clin Periodontol. 1981 Dec;8(6):491-9. doi: 10.1111/j.1600-051x.1981.tb00898.x.

Siriwat PP, Jarabak JR. Malocclusion and facial morphology is there a relationship? An epidemiologic study. Angle Orthod. 1985 Apr;55(2):127–38.

Sendyk M, de Paiva JB, Abrão J, Rino Neto J. Correlation between buccolingual tooth inclination and alveolar bone thickness in subjects with Class III dentofacial deformities. Am J Orthod Dentofacial Orthop. 2017 Jul;152(1):66-79. doi: 10.1016/j.ajodo.2016.12.014.

Leung CC, Palomo L, Griffith R, Hans MG. Accuracy and reliability of cone-beam computed tomography for measuring alveolar bone height and detecting bony dehiscences and fenestrations. Am J Orthod Dentofacial Orthop. 2010 Apr;137(4 Suppl):S109-19. doi: 10.1016/j.ajodo.2009.07.013.

Sun L, Zhang L, Shen G, Wang B, Fang B. Accuracy of cone-beam computed tomography in detecting alveolar bone dehiscences and fenestrations. Am J Orthod Dentofacial Orthop. 2015 Mar;147(3):313-23. doi: 10.1016/j.ajodo.2014.10.032.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2022 Reshma Mohan, Dr Ravindra Kumar Jain, Arthi Balasubramaniam

Downloads

Download data is not yet available.