Fenestration and dehiscence frequency in maxillary teeth with apical periodontitis: a CBCT study

Keywords: Cone beam computed tomography, Fenestration, Dehiscence, Maxillary teeth, Endodontically treated teeth

Abstract

Introduction: to determine the frequency of fenestration and dehiscence bone defects present in maxillary teeth with apical periodontitis, mainly in teeth with endodontic treatment, as they are frequently cause of nonspecific symptoms after treatment. Methods: 1201 Maxillary Cone Beam Computed Tomography (CBCT) exams were analyzed and 803 teeth with apical periodontitis were selected. Results: of the teeth with apical periodontitis, 142 had a fenestration defect (18%) of which 105 teeth (74%) were endodontically treated. The highest frequency was observed in premolars, with no statistical differences between groups. Dehiscence defect was found in 139 teeth (17%) out of which 90 (65%) were endodontically treated. The highest frequency was observed in molars, with statistical differences in relation to other tooth types (p< 0.001). Conclusion: an important number of teeth with apical periodontitis present dehiscence or fenestration bone defects, especially in teeth with root canal treatment.

|Abstract
= 97 veces | PDF
= 70 veces|

Downloads

Download data is not yet available.

Author Biographies

Héctor Monardes, Universidad San Sebastián

Specialization Program in Endodontics, Faculty of Dentistry, Universidad San Sebastián. Santiago, Chile

Karin Steinfort, Universidad San Sebastián

Endodontics Specialization Program, Universidad San Sebastián. Santiago, Chile

Nuria Almonacid, Universidad San Sebastián

Endodontics Specialization Program, Universidad San Sebastián. Santiago, Chile

Marcela Bustos, Universidad San Sebastián

Endodontics Specialization Program, Universidad San Sebastián. Santiago, Chile

Jaime Abarca, Universidad San Sebastián

Faculty of Dentistry, Universidad San Sebastián, Puerto Montt, Chile

References

Cotti E, Vargiu P, Dettori C, Mallarini G. Computerized tomography in the management and followup of extensive periapical lesion. Endod Dent Traumatol. 1999; 15(4): 186-9. DOI: https://doi.org/10.1111/j.1600-9657.1999.tb00799.x

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.

Grimoud AM, Gibbon VE, Ribot I. Predictive factors for alveolar fenestration and dehiscence. Homo. 2017; 68(3): 167-75. DOI: https://doi.org/10.1016/j.jchb.2017.03.005

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; 82(1): 67-74. DOI:https://doi.org/10.2319/040811-250.1

Yoshioka T, Kikuchi I, Adorno CG, Suda H. Periapical bone defects of root filled teeth with persistent lesions evaluated by cone-beam computed tomography. Int Endod J. 2011; 44(3): 245-52. DOI: https://doi.org/10.1111/j.1365-2591.2010.01814.x

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

Pasqualini D, Scotti N, Ambrogio P, Alovisi M, Berutti E. Atypical facial pain related to apical fenestration and overfilling. Int Endod J. 2012; 45(7): 670-7. DOI: https://doi.org/10.1111/j.1365-2591.2012.02021.x

Furusawa M, Hayakawa H, Ida A, Ichinohe T. A case of apical fenestration misdiagnosed as persistent apical periodontitis. Bull Tokyo Dent Coll. 2012; 53(1): 23-6. DOI: https://doi.org/10.2209/tdcpublication.53.23

Misch KA, Yi ES, Sarment DP. Accuracy of cone beam computed tomography for periodontal defect measurements. J Periodontol. 2006; 77(7): 1261-6. DOI: https://doi.org/10.1902/jop.2006.050367

Loubele M, Van Assche N, Carpentier K, Maes F, Jacobs R, van Steenberghe D et al. Comparative localized linear accuracy of small-field cone-beam CT and multislice CT for alveolar bone measurements. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105(4): 512-8. DOI: https://doi.org/10.1016/j.tripleo.2007.05.004

Song Hee O, Kyung-Yen N, Seong-Hun K, Gerald N. Alveolar bone thickness and fenestration of incisors in untreated Korean patients with skeletal class III malocclusion: a retrospective 3-dimensional cone-beam computed tomography study. Imaging Sci Dentistry. 2020; 50(1): 9-14. DOI: https://doi.org/10.5624/isd.2020.50.1.9

Peterson AG, Wang M, Gonzalez S, Covell Jr DA, 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; 33(6): 1296-1304. DOI: https://doi.org/10.11607/jomi.6633

Timock AM, Cook V, McDonald T, Leo MC, Crowe J, Benninger BL et al. Accuracy and reliability of buccal bone height and thickness measurements from cone-beam computed tomography imaging. Am J Orthod Dentofacial Orthop. 2011; 140(5): 734-44. DOI: https://doi.org/10.1016/j.ajodo.2011.06.021

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; 147(3): 313-23. DOI: https://doi.org/10.1016/j.ajodo.2014.10.032

Sun L, Yuan L, Wang B, Zhang L, Shen G, Fang B. Changes of alveolar bone dehiscence and fenestration after augmented corticotomy-assisted orthodontic treatment: a CBCT evaluation. Pro Orthod. 2019; 20(1): 1-7. DOI: https://doi.org/10.1186/s40510-019-0259-z

Pan HY, Yang H, Zhang R, Yang YM, Wang H, Hu T et al. Use of cone-beam computed tomography to evaluate the prevalence of root fenestration in a Chinese subpopulation. Int Endod J. 2014; 47(1): 10-9. DOI: https://doi.org/10.1111/iej.12117

Jang JK, Kwak SW, Ha JH, Kim HC. Anatomical relationship of maxillary posterior teeth with the sinus floor and buccal cortex. J Oral Rehabil. 2017; 44(8): 617-25. DOI: https://doi.org/10.1111/joor.12525

Temple KE, Schoolfield J, Noujeim ME, Huynh-Ba G, Lasho DJ, Mealey BL. A cone beam computed tomography (CBCT) study of buccal plate thickness of the maxillary and mandibular posterior dentition. Clin Oral Implants Res. 2016; 27(9): 1072-8. DOI: https://doi.org/10.1111/clr.12688

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; 138(2): 133.e1-7; discussion -5. DOI: https://doi.org/10.1016/j.ajodo.2010.02.021

Published
2021-02-05
How to Cite
MonardesH., SteinfortK., AlmonacidN., BustosM., & AbarcaJ. (2021). Fenestration and dehiscence frequency in maxillary teeth with apical periodontitis: a CBCT study. Revista Facultad De Odontología Universidad De Antioquia, 33(1), 36-44. Retrieved from https://revistas.udea.edu.co/index.php/odont/article/view/343429