Classification of the midpalatal suture maturation in individuals older than 15 years: a cone beam computed tomographic study

Reis, Luisa Gatti; Ribeiro, Rosângela Almeida; Vitral, Robert Willer Farinazzo; Reis, Henrique Nogueira; Devito, Karina Lopes

doi:10.1007/s00276-020-02518-3

Cited by 11 publications

(14 citation statements)

References 19 publications

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“…In addition, it has been mentioned that skeletal maturation of the MPS occurs earlier in women than in men [ 82 , 83 , 84 , 85 ], especially in the puberal ages [ 86 , 87 ]. This is also possible to observe in all the studies included in this revision [ 27 , 53 , 54 , 56 , 57 , 58 , 59 , 60 , 61 ].…”

Section: Discussionmentioning

confidence: 79%

“…Gatti Reis et al [ 60 ] evaluated MPS maturation in 487 subjects 15–40 years old. Stage A was found in 0 subjects, B in five (all of them female), C in 166 (93 female and 73 male), D in 81 (38 female and 43 male), and E in 235 (153 female and 82 male).…”

Section: Resultsmentioning

confidence: 99%

“…Grades for the selected studies ranged from 58.3% to 83.3%. One study [ 59 ] had poor quality, seven studies [ 27 , 53 , 54 , 55 , 56 , 58 , 60 ] had fair quality, and two studies [ 57 , 61 ] had good quality.…”

Section: Resultsmentioning

confidence: 99%

“…Related to age, an interesting event that occurs is related to studies that included adults. In them, it is possible to appreciate subjects that, despite having passed their growth phase, still have an open or partially obliterated midpalatal suture [ 27 , 53 , 54 , 56 , 57 , 58 , 59 , 60 , 61 ] ( Table 5 ).…”

Section: Discussionmentioning

confidence: 99%

“…Of the seven studies included, only two [ 57 , 61 ] described and defined clearly the study population, mentioning in detail the demographic background, location, and time period for obtaining the samples. Seven out of 10 studies [ 54 , 55 , 56 , 57 , 58 , 60 , 61 ] mentioned how the calculations of their sample size was done. Similarly, seven out of 10 [ 27 , 53 , 54 , 55 , 56 , 57 , 61 ] studies kept the examiners blinded ( Table 4 ).…”

Section: Discussionmentioning

confidence: 99%

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Midpalatal Suture Maturation Method for the Assessment of Maturation before Maxillary Expansion: A Systematic Review

et al. 2022

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Assessment of midpalatal suture maturation is crucial before deciding which type of maxillary expansion technique will be performed to treat transverse discrepancies. In 2013, Angelieri et al. proposed a new method to evaluate midpalatal maturation using cone-beam computed tomography. The aim of this study was to systematically identify, evaluate, and provide a synthesis of the existing literature about this new method and to rigorously assess the methodological quality of these articles. A bibliographic search was carried out using PubMed, Cochrane Library, SciELO, LILACS, Web of Science, and Scopus using the terms midpalatal suture, cranial sutures, palate, maturation, interdigitation, ossification, maxillary expansion, evaluation, assessment, and assess. Quality assessment was performed using the Observational Cohort and Cross-Sectional Studies tool developed by the National Heart, Lung, and Blood Institute. Hence, 56 articles were obtained, of which only 10 met the selection criteria. We could not include any of the data into an analysis because of the large variation of the data collected and high methodological heterogeneity found among studies. Of all the studies included, 10% had poor quality, 70% fair, and 20% good quality, respectively. Even though age and sex play a role in midpalatal suture obliteration, there is a poor correlation between these variables. Thus, every patient should be assessed individually before choosing the best protocol for maxillary expansion. The midpalatal suture maturation method has the potential to be used for diagnostic purposes, but clinicians should be cautious of routinely using it because an extensive training and calibration program should be performed prior.

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