Assessment of maxillary transverse discrepancy requires an accurate tool in order to implement the appropriate treatment plan. Aim: To evaluate the accuracy of Pont’s Index in confirming a transverse maxillary deficiency by comparing its results with the corresponding results yielded by the University of Pennsylvania CBCT analysis. Material and methods: The study was performed on dental casts and CBCT’s of 60 randomly selected patients by adopting a cluster sampling method. The results of Pont’s Index and University of Pennsylvania CBCT analysis were analyzed through McNemar’s test using Excel Data Analysis, and the accuracy indicators for Pont’s Index were computed using MedCalc Ltd. Results: Mc Nemar’s test revealed a p-value of 0.85. The accuracy indicators of Pont’s Index were: sensitivity: 69%; specificity: 16.6%; positive predictive value: 65%; negative predictive value: 18.75%; positive likelihood ratio: 0.83; negative likelihood ratio: 1.86; and accuracy: 53.28%. Conclusion: Due to the fact that CBCT is not used on a daily basis and Pont’s Index has a relatively high sensitivity (69%) making it suitable to detect patients with a narrow maxilla, assessment of the maxillary deficiency on CBCT can be recommended for cases were the midpalatal suture maturation should be evaluated.

Root dilaceration (DL) has a significant impact on orthodontic treatment. However, its etiology is still debatable. One of the etiologic factors of DL is the dentigerous cyst (DC); therefore, the aim of our case-series clinical study was the association between DL and DCs. This retrospective study is comprised of five clinical cases of DL associated with the presence of DCs of developmental origin. In all of these cases, other dental anomalies (impaction, transposition, supernumerary teeth, and congenitally missing teeth) were found, and accordingly, the association between DL and DCs might be of genetic origin in a dental anomaly pattern.