Evaluation of dehiscence and fenestration in adolescent patients affected by unilateral cleft lip and palate: A retrospective cone beam computed tomography study

Büyük, Süleyman Kutalmış; Ercan, Esra; Çelikoğlu, Mevlüt; Şekerci, Ahmet Ercan; Hatipoğlu, Mükerrem

doi:10.2319/042715-289.1

Cited by 21 publications

(16 citation statements)

References 24 publications

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“…Visualizing dehiscences and fenestrations is not possible with traditional two-dimensional (2D) radiographs because of superimposition. CBCT allows the visualization of these defects with more accurate three-dimensional (3D) images [ 21 – 24 ].…”

Section: Discussionmentioning

confidence: 99%

Detection of Bone Defects Using CBCT Exam in an Italian Population

Gambarini

Miccoli

Gaimari

et al. 2017

International Journal of Dentistry

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Background The aim of this study was to evaluate the in vivo incidence and the location of fenestrations in a young Italian population by using CBCT. Materials and Methods Fifty patients who had previously performed CBCT for planning third molar extraction or orthodontic therapy were selected for the study. No previous dental treatment had been performed on these patients. Overall, 1,395 teeth were evaluated. Root fenestrations were identified according to the definition of Davies and the American Association of Endodontists. Data was collected and statistically analyzed. Results Fenestrations were observed in 159 teeth out of 1,395 (11% of teeth). In the lower jaw, we found 68 fenestrations (5%) and 91 in the maxilla (6,5%). Incisors were the teeth with the highest incidence of fenestrations. Conclusion The relative common finding (11%) of fenestration supports the need for CBCT exams before any surgical/implant treatment to avoid complications related to the initial presence of fenestrations. CBCT was found to be an effective and convenient tool for diagnosing fenestration.

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Section: Discussionmentioning

confidence: 99%

Detection of Bone Defects Using CBCT Exam in an Italian Population

Gambarini

Miccoli

Gaimari

et al. 2017

International Journal of Dentistry

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“…Three-dimensional evaluation of the alveolar bone, prior to orthodontic tooth movement, in cleft-adjacent teeth would help preserve bone, define timing for the secondary alveolar bone graft, and lower risk of causing dehiscence in susceptible areas (Garib et al, 2006, Rungcharassaeng et al, 2007, Garib et al, 2012). A few studies have looked into alveolar bone morphology, using CBCT, in patients with ULCLP (Ercan et al, 2015, Buyuk et al, 2016, Pan et al, 2018, Parveen et al, 2018). However, they either did not cover all the features of alveolar bone morphology (Buyuk et al, 2016, Parveen et al, 2018) or teeth adjacent to the cleft area (Ercan et al, 2015, Pan et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…A few studies have investigated 3-dimensional characteristics of periodontal alveolar bone around the teeth adjacent to the cleft (Garib et al, 2012, Buyuk et al, 2016, Pan et al, 2018, Parveen et al, 2018). Therefore, the aim of the present study was to assess the alveolar bone morphology on different surfaces of the teeth in patients with unilateral cleft lip and palate (ULCLP) using CBCT.…”

Section: Introductionmentioning

confidence: 99%

A Cone-Beam Computed Tomographic Study of Alveolar Bone Morphology in Patients With Unilateral Cleft Lip and Palate

Movahhedian

Vossoughi

Hajati-Sisakht

2019

The Cleft Palate-Craniofacial Journal

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Objective: To evaluate the bony support around the teeth adjacent to the unilateral cleft lip and palate (ULCLP) using cone-beam computed tomography. Methods and Materials: Cone-beam computed tomographies of 48 cleft-adjacent teeth (28 anterior and 20 posterior to the cleft) and 48 noncleft control teeth were evaluated. The alveolar bone thickness at 3 and 6 mm apical to the cement–enamel junction (CEJ), the distance between the alveolar crest and CEJ (Alv-CEJ), and the presence of fenestration were assessed in buccal, palatal, and proximal surfaces. Results: The alveolar bone on the buccal and palatal sides of the teeth anterior to the cleft was significantly thinner than the noncleft teeth (all P < .05). The Alv-CEJ was significantly greater on the buccal and distal surfaces of the teeth anterior to the cleft ( P < .001 and P = .010, respectively) and on the palatal and mesial surfaces of the teeth posterior to the cleft ( P = .024 and P = .003, respectively) when compared to the noncleft teeth. The frequency of reduced alveolar bone height (>2 mm) was higher than noncleft side for buccal and distal sides of the teeth anterior to the cleft ( P = .016 and .006, respectively) and the buccal and mesial sides of the teeth posterior to the cleft ( P = .008 and <.001, respectively). The teeth anterior to the cleft had a higher prevalence of fenestration ( P = .004). Conclusion: Reduced alveolar bone height is more common in the cleft side compared to the control side. The teeth anterior to the ULCLP have thinner alveolar bone support and higher frequency of fenestration.

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“…However, with the advent of cone beam computed tomography (CBCT), we now have the means to visualize these defects three dimensionally. Studies have examined alveolar bony defects using CBCT in children with cleft lip and palate [5], adolescents undergoing rapid maxillary expansion [6,7], and adults with different vertical skeletal patterns [8,9] and different skeletal malocclusions [10]. However, there has been no study examining alveolar bony defects in adults with posterior crossbite.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of posterior alveolar bony dehiscence and fenestration in adults with posterior crossbite: a CBCT study

et al. 2020

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Background: Correcting posterior crossbite in adult patients using nonsurgical methods may involve buccolingual tooth movement. Knowing the extent of the pretreatment alveolar bony dehiscences and fenestrations in the posterior area will aid orthodontists in planning posterior crossbite patients accordingly to minimize posttreatment bony defects. Before the advent of cone beam computed tomography (CBCT), observing buccal and lingual bony defects was not possible unless other treatment needs allowed for an open-flap procedure. With CBCT technology, we can now detect posterior defects with some accuracy. The aim of the present study was to determine the prevalence of posterior alveolar bony dehiscence and fenestration in adults with posterior crossbite compared with noncrossbite adults. Methods: The study group consisted of pretreatment CBCTs of 28 samples with at least one or more teeth in posterior crossbite or edgebite. The comparison group consisted of pretreatment CBCTs of 28 samples with no posterior crossbite or edgebite. All buccal and lingual sides of the upper and lower posterior segments were measured for the presence of dehiscence, fenestration, and combined total bony defects. Results: The prevalence of total bony defects was higher in the study group (61.6%) than in the comparison group (52.1%) (p < 0.05). While there was no difference in prevalence between crossbite teeth in the study group and noncrossbite teeth in the comparison group, the noncrossbite teeth in the study group showed a higher prevalence of total bony defects, dehiscence, and fenestration than the noncrossbite teeth in the comparison group (p < 0.05). The prevalence of dehiscence was higher in the study group (41.2%) than in the comparison group (33.3%) (p < 0.05). Neither the prevalence of fenestration nor the mean bony defect size showed statistical significance between the two groups. First premolars showed a higher prevalence of dehiscence than other posterior teeth, and maxillary posterior teeth had a higher prevalence of fenestration than mandibular posterior teeth. Among the maxillary posterior teeth, second premolars had the least amount of fenestration. Conclusions: Adult subjects with posterior crossbite had a higher prevalence of total bony defects and dehiscence, especially buccal dehiscence, in the posterior region than subjects with no posterior crossbite. This was due to the high prevalence observed in the noncrossbite teeth in posterior crossbite subjects.

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Evaluation of dehiscence and fenestration in adolescent patients affected by unilateral cleft lip and palate: A retrospective cone beam computed tomography study

Cited by 21 publications

References 24 publications

Detection of Bone Defects Using CBCT Exam in an Italian Population

Detection of Bone Defects Using CBCT Exam in an Italian Population

A Cone-Beam Computed Tomographic Study of Alveolar Bone Morphology in Patients With Unilateral Cleft Lip and Palate

Prevalence of posterior alveolar bony dehiscence and fenestration in adults with posterior crossbite: a CBCT study

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