Fenestration and dehiscence in anterior alveolar bone of 52 adolescent patients with skeletal class Ⅱ and high-angle malocclusion assessed with cone-beam computed tomography

FENG Jian-kun GAO Jian-hong

Acta Anatomica Sinica ›› 2019, Vol. 50 ›› Issue (2) : 241-244.

PDF(2134 KB)
Welcome to visit Acta Anatomica Sinica! Today is Chinese
PDF(2134 KB)
Acta Anatomica Sinica ›› 2019, Vol. 50 ›› Issue (2) : 241-244. DOI: 10.16098/j.issn.0529-1356.2019.02.016
Anatomy

Fenestration and dehiscence in anterior alveolar bone of 52 adolescent patients with skeletal class Ⅱ and high-angle malocclusion assessed with cone-beam computed tomography

  • FENG Jian-kun 1* GAO Jian-hong2
Author information +
History +

Abstract

Objective To investigate the incidence of dehiscence and fenestration in anterior alveolar bone of 52 adolescent patients with skeletal class Ⅱ and high-angle malocclusion assessed with cone-beam computed tomography, to assist clinical orthodontic treatment. Methods Fifty-two patients aged from 13 to 20 with skeletal class Ⅱ high-angle malocclusion were randomly collected from those who take cone-beam computed tomography(CBCT)examination in Hospital of Stomatology Chengde. Images of all patients were imported to SIDEXIS XG 2.56 software to determine the incidence of the dehiscence and fenestration in anterior alveolar bone. The χ2 test analysis was used to evaluate the incidence differences between sex and jaw as well as tooth site respectively. Results The incidence of the alveolar bone defect was 86.53% with the fenestration incidence(65.38%)and the dehiscence incidence(67.30%) respectively.Eighty-two teeth fenestration and 107 teeth dehiscence were detected out of 416 teeth. The incidence of the fenestration in both jaws was similar(P>0.05) whereas the incidence of the dehiscence in maxillary was lower than the mandibular(P<0.05).Difference incidence is positively related with tooth site(P<0.05) but negatively with sex.Conclusion Dehiscence and fenestration of the adolescent patients with skeletal classⅡand high-angle malocclusion are widely existed in anterior alveolar bone area before the orthodontic treatment. The orthodontics should pay close attention to the alveolar morphology before and during the treatment.

Key words

Fenestration / Dehiscence / Skeletal classⅡand high-angle malocclusion / SIDEXIS XG 2.56 software measurement / Cone-beam computed tomography / Adolescent 

Cite this article

Download Citations
FENG Jian-kun GAO Jian-hong. Fenestration and dehiscence in anterior alveolar bone of 52 adolescent patients with skeletal class Ⅱ and high-angle malocclusion assessed with cone-beam computed tomography[J]. Acta Anatomica Sinica. 2019, 50(2): 241-244 https://doi.org/10.16098/j.issn.0529-1356.2019.02.016

References

[1] Ouyang L.The relationship between the dental movement and the changes of contour of soft tissue chin in high angle extraction cases[J].Beijing Journal of Stomatology,2013,21(4):223-226.(in Chinese)
欧阳莉.高角拔牙病例治疗前后牙齿位移与软组织颏部改变的相关性研究[J].北京口腔医学,2013,21(4):223-226. 
[2] Ma YP, Guo YM, Chai Y,et al. Comparison of miniscrews and headgear facebow in treatment of skeletal class Ⅱadults of hyperdivergent[J].Journal of Dalian Medical University,2015,37(2):169-172.(in Chinese)
马永平,郭艳明,柴勇,等.微种植钉和口外弓在成人骨性Ⅱ类高角患者中的疗效对比[J].大连医科大学学报,2015,37(2):169-172. 
[3] Zhu FD, Shi Y, Song E, et al. Digital 3D anatomical modeling of the mandible with full teeth[J]. Acta Anatomica Sinica, 2014,45(4):536-539.(in Chinese)
朱赴东,石珏,宋恩,等.数字化全牙列下颌骨三维解剖建模[J].解剖学报,2014,45(4):536-539. 
[4] Li H, Bai D. Clinical Guidelines for the Application of Cone Beam CT in Orthodontics[M].Beijing: People’s Military Medical Publishing House, 2015:7-8. (in Chinese)
李煌,白丁,主译.口腔正畸中锥形束CT应用临床指南[M].北京:人民军医出版社,2015:7-8. 
[5] Davies RM, Dower MC,Hull PS, et al. Alveolar defects in human skulls[J]. J Clin Periodontol,1974,1 (2):107-111.
[6] Nimigean VR, Nimigean Ⅴ,Bencze A, et al. Alveolar bone dehiscences and fenestrations:an anatomical study and review [J].Rom J Morphol Embryol,2009,50(3):391-397.
[7] Lee SH, Park HS, Kwon TG, et al. Evaluation of pterygomaxillary anatomy using computed tomography:are there any structural variations in cleft patients[J]. J Oral and Maxillofac Surg,2011,133(10):2644-2649.
[8] Braun X, Ritter L, Jerv F, et al. Diagnostic accuracy of CBCT for periodontal lesions[J]. Clin Oral Investig,2014,18(4):1229-1236. [9] Misch KA, Yi ES, Sarment DP. Accuracy of cone-beam computed tomography for periodontal defect measurements [J].J Periodontol,2006,77(7):1261-1266.
[10]Yagci A, Veil Ⅰ, Uysal T, et al. Dehiscences and fenestration in skeletal Class Ⅰ, Ⅱ, Ⅲ malocclusions assessed with cone-beam computed tomography[J].Angle Orthod,2012,82(1):67-74.
[11]Zhao Y, Qu ZhY, Liu L, et al. The incidence of fenestration and dehiscence on incisor region of skeletal class Ⅱ Division 1 malocclusions: a cone beam CT study [J].Chinese Journal of Orthodontics, 2016, 23(1):2-7.(in Chinese)
赵岩,屈振宇,刘琳, 等.锥形束CT用于骨性安氏Ⅱ类1分类错()畸形切牙区唇侧牙槽骨开窗及骨开裂的研究[J].中华口腔正畸学杂志,2016,23(1):2-7. 
[12]Deng L, Shi XF. Study of CBCT in use of diagnosis of fenestration and dehiscence on labial incisor region [J].Journal of Oral Science Research, 2017,33(5):559-562.(in Chinese)邓立,史雪峰.锥形束CT在切牙区唇侧牙槽骨开窗及开裂诊断中的应用研究[J].口腔医学研究,2017,33(5):559-562. 
[13]Guo QY, Zhang ShJ.Three dimensional evaluation of upper anterior alveolar bone dehiscences after incisor retraction and intrusion on adult patients with bimaxillary protrution malocclusion [J].Journal of Zhejiang University Science B,2011,12(12):990-997.
[14]Garib DG, Yatabe MS, Ozawa TO, et al. Alveolar bone morphology under the perspective of the computed tomography: defining the biological limits of tooth movement[J]. Dental Press J Orthod, 2010,15(5):192-205. 
PDF(2134 KB)

Accesses

Citation

Detail

Sections
Recommended

/