Cone beam computed tomography evaluation of distance from cementoenamel junction to alveolar crest before and after nonextraction orthodontic treatment

Abstract

ABSTRACT Objective:  To evaluate the distance between the cementoenamel junction and the alveolar bone crest before and after orthodontic treatment using cone beam computed tomography (CBCT). Materials and Methods:  The sample comprised 30 patients with Angle Class I malocclusion and mild to moderate crowding. The study database comprised dental CBCT scans obtained before and after orthodontic treatment. The distance between the cementoenamel junction to the bone crest of the buccal (n  =  720) and lingual (n  =  720) surfaces was measured in 24 teeth for each patient using a specific software tool (Xoran version 3.1.62). The Wilcoxon test was used for statistical analysis, and the level of significance was set at P < .05. Results:  The distance between the cementoenamel junction and the bone crest increased in 822 (57%) of the 1440 surfaces after orthodontic treatment. The buccal surface of the lower central incisors had the greatest frequency of increased distance (75%), and the lingual surface of lateral incisors had the lowest (40%). The distance between the cementoenamel junction and the alveolar bone crest was greater than 2 mm (alveolar bone dehiscence) in 162 (11%) of the 1440 surfaces before orthodontic treatment and in 279 (19%) after treatment. Conclusions:  The distance from the cementoenamel junction to the bone crest changed after orthodontic treatment; the distance was greater than 2 mm in 11% of the surfaces before treatment and in 19% after treatment.