Assessment of the Pubertal Growth Period using the Open Apices of the Lower Teeth

Issa, Yousef N; Burhan, Ahmad S; Nawaya, Fehmieh R; Massouh, Lama G

doi:10.5005/jp-journals-10024-1981

Cited by 2 publications

(1 citation statement)

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“…This result was similar to Chertkow's findings [ 27 ]. Contrary to our results, two studies [ 38 , 39 ] found that the correlation has no statistically significant gender differences. These studies [ 38 , 39 ] used the open apices approach described by Cameriere et al [ 40 ], which is different from Demirjian et al's [ 41 ] method used in the present study.…”

Section: Discussioncontrasting

confidence: 99%

The Correlation between Dental Stages and Skeletal Maturity Stages

Jourieh

Khan

Mheissen³

et al. 2021

BioMed Research International

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Introduction. The determination of skeletal maturity stages is very important in orthodontic treatment planning, especially skeletal discrepancies in growing individuals. A hand-wrist radiograph is considered the most accurate approach for skeletal maturity detection. Dental calcification stages have been suggested as an alternative diagnostic method to decrease radiation exposure. The recent study is aimed at detecting the efficacy of dental calcification stages in assessing skeletal maturity during the prepubertal and pubertal growth periods. Methods. Patients’ records were collected from the Aleppo Orthodontic Center. Dental maturity stages were assessed from a panoramic radiograph using the Demirjian method, while skeletal maturity stages were determined using the Björk method. Four permanent left mandibular teeth were included (canine, 1st premolar, 2nd premolar, and 2nd molar) for the study. Results. From 517 records, 295 records (145 males and 150 females) were included. The Spearman rank-order correlation coefficients between skeletal maturation and dental maturation were strong and statistically significant (ranging from 0.789 to 0.835). The highest correlation was between skeletal stages and the second molar ( r = 0.829 and 0.88 in males and females, respectively). Receiver operating characteristic (ROC ) curve suggested a high validity of the sum of dental stages for the four teeth in identifying MP3= stage (sensitivity was 70%, specificity was 92.77%, and ROC area was 0.81) but not for MP3cap (sensitivity was 50.85%, specificity was 81.36%, and ROC area was 0.66). Conclusions. The correlation between the skeletal maturity stages and the dental calcification stages was high. The orthodontist can use the dental stages as a definite diagnostic tool for prepubertal growth period.

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