Bone dehiscences and fenestrations of the anterior mandibular facial bone wall: a retrospective cone beam computed tomography study

Minerva Stomatol. 2018 Jun;67(3):86-95. doi: 10.23736/S0026-4970.18.04099-2. Epub 2018 Feb 9.

Abstract

Background: To calculate the prevalence of dehiscences and fenestrations and measure the buccal alveolar bone width overlying healthy mandibular incisors and canines.

Methods: Cone beam computerized tomographies (CBCTs) from patients aged 18 to 30 years were selected from a private database. The thickness of buccal bone in the sagittal scan was measured perpendicular to the long axis of 6 teeth at two locations: at the crest level and at the mid-root level. A single calibrated examiner performed all measurements. Descriptive and inferential statistics were performed.

Results: A total of 100 CBCTs (600 teeth) were selected for the analysis. The overall prevalence of dehiscences and fenestrations was 89.16% and 5.16%, respectively. Dehiscences and fenestrations were shown to have a mean length of 6.78±1.90 mm and 4.89±1.74 mm, respectively. This result was similar between young and old subjects as well as between men and women. Bone width at the crest level was significantly thinner in women (0.71±0.13 mm), whereas men were found to have a statistically significant thicker bone at the mid-root level of tooth #33. Comparisons of bone width at the mid-root level among the 6 analyzed teeth showed no statistical difference.

Conclusions: A high prevalence of dehiscences and sites with thin buccal bone were identified in correspondence of the lower anterior teeth by means of CBCT analysis.

MeSH terms

  • Adolescent
  • Adult
  • Alveolar Bone Loss / diagnostic imaging*
  • Alveolar Bone Loss / epidemiology
  • Alveolar Bone Loss / pathology
  • Bone Diseases / diagnostic imaging*
  • Bone Diseases / epidemiology
  • Bone Diseases / pathology
  • Cone-Beam Computed Tomography*
  • Female
  • Humans
  • Male
  • Mandible / diagnostic imaging*
  • Mandible / pathology
  • Prevalence
  • Retrospective Studies
  • Young Adult