Fenestration and dehiscence frequency in maxillary teeth with apical periodontitis: a CBCT study
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.
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
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.