Fenestration is a notable adverse effect associated with fixed orthodontic treatment. It refers to the formation of a window-like defect in the alveolar bone, where the root of a tooth becomes partially exposed due to the bone's resorption. This condition can occur when excessive or improperly directed orthodontic forces are applied, causing the tooth to move outside the limits of the alveolar bone housing. The main factors contributing to fenestration include: Excessive Force Application: Applying too much force during orthodontic treatment can lead to undue stress on the bone, resulting in resorption and fenestration. Unfavorable Tooth Movement: Moving teeth in directions that extend beyond the anatomical boundaries of the alveolar bone can cause this adverse effect. Pre-existing Bone Deficits: Patients with naturally thin or compromised alveolar bone are more susceptible to fenestration when undergoing orthodontic treatment. Fenestration above left maxillary canine in a fema...