Correlation assessment of cervical vertebrae maturation stage and mid-palatal suture maturation in an Iranian population

Mahdian, Arezoo; Safi, Yaser; Dalaie, Kazem; Kavousinejad, Shahab; Behnaz, Mohammad

doi:10.1016/j.ejwf.2020.05.004

Cited by 9 publications

(16 citation statements)

References 21 publications

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“…In contrast with previous studies showing a moderate to strong correlation between MPS maturation and CVM stage, we were unable to show a clear association [ 17 , 25 ]. Jang et al [ 25 ] reported a patent MPS before CVM stage 3 in females and stage 4 in males, whereas we observed the presence of stage D by CVM 2.…”

Section: Discussioncontrasting

confidence: 99%

“…Since Angelieri et al reported limited correlation between chronological age and the degree of fusion, especially in young adults, skeletal age has instead been used as an indicator of the timing and rate of growth [ 15 , 16 ]. Based on cervical vertebrae maturation (CVM) staging, stages D and E are not normally observed before CVM stage 4 [ 17 ]. However, there is inter-individual variation with MPS patency possible at later ages in males [ 14 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

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The effect of vertical skeletal proportions, skeletal maturation, and age on midpalatal suture maturation: a CBCT-based study

Ferrillo,

Daly,

Pandis

et al. 2024

Prog Orthod.

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Background Midpalatal suture (MPS) maturation may be influenced by a range of parameters including age, gender, and vertical skeletal pattern. We therefore aimed to evaluate the effect of Frankfurt-mandibular angle (FMA), skeletal maturation, and age on the timing of MPS maturation. Methods In this cross-sectional study, cone-beam computed tomography (CBCT) and lateral cephalograms were used to assess the MPS and cervical vertebral maturation (CVM) stage. A proportional odds logistic regression model was used to assess associations between age adjusted for gender and MPS maturation, and a regression analysis was performed to analyze the effect of vertical pattern on these associations. Results A total of 201 patients (84 male and 117 female) with a mean age of 13.48 (SD 1.94) were included. With increasing age, the odds of belonging to a higher maturation stage increased (OR: 2.14; 95% CI 1.789; 2.567; P < 0.001); however, no association between FMA and MPS maturation was observed (OR: 1.01; 95% CI 0.964; 1.051; P = 0.76). A strong correlation between MPS maturation and CVM stage was not reported. Males had a higher probability of belonging to a lower MPS maturation stage (OR: 0.24; 95% CI 0.136; 0.415; P < 0.001). Conclusions Based on this cross-sectional analysis, midpalatal sutural maturation classification is associated with chronological age and occurs later in males. Neither CVM staging nor variation in vertical skeletal proportions were useful predictors of midpalatal maturation stage.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of vertical skeletal proportions, skeletal maturation, and age on midpalatal suture maturation: a CBCT-based study

Ferrillo,

Daly,

Pandis

et al. 2024

Prog Orthod.

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“…La práctica del análisis de la mano y muñeca es muchas veces ignorada, tal vez por la falta de familiarización con dicho análisis, por lo que suele ser desplazado con la evaluación de vértebras cervicales 1 - 3 , 5 , 7 , 13 , 15 , 16 . Asimismo, este trabajo tuvo como objetivo considerar el análisis de la mano y muñeca como método gold standard para la confiabilidad en la predicción de la maduración de SMP 1 , 13 , 16 , 22 .…”

Section: Discussionunclassified

Maduración esquelética de mano y muñeca y osificación de sutura media palatina en adolescentes: una revisión de literatura.

Ramirez-Diaz,

Watanabe Kanno

2023

Rev Cient Odontol (Lima)

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Introducción: La evaluación de la edad esquelética es un factor importante en la planificación ortodóncica para anticipar cambios en el crecimiento y es el análisis de radiografías de mano y muñeca el que muestra el grado del potencial de crecimiento óseo y facial. El objetivo fue evaluar la relación entre la maduración esquelética de la mano y muñeca, y la osificación de sutura media palatina (SMP) en adolescentes. Materiales y métodos: Se realizó una búsqueda en cuatro bases de datos: PubMed, Scopus, ScienceDirect y Embase, revisadas hasta el 13 de diciembre de 2022. Los estudios incluidos fueron artículos descriptivos y comparativos de la maduración esquelética de la mano y muñeca, y osificación de la sutura media palatina de pacientes de 7 a 18 años. Dos investigadores seleccionaron cuidadosamente los artículos evaluados y analizaron los diferentes tópicos clave relacionados con el tema. Resultados: En este estudio se incluyeron 4 artículos. Según los estudios, se encontró que mientras mayor sea el grado de maduración ósea hay un aumento en la aproximación de la SMP, especialmente en etapas tardías, con correlaciones altas y positivas; además, hubo mayores resultados de correlación con el método de análisis de Fishman, a diferencia de los métodos de Hagg y Taranger y Björk. En los estadios de límite critico en SMI7-9, se encontró mayor acercamiento al cierre de SMP compatibles con estadio D-E. La finalización de la maduración en mujeres se completó hasta en 2 años antes que en los hombres. Conclusiones: Los métodos de evaluación para el diagnóstico mediante el análisis carpal puede usarse para las evaluaciones de predicción del estadio de maduración de la SMP; sin embargo, los resultados no fueron absolutos en todos los casos, por lo que no se puede generalizar.

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“…Also orthodontic interventions in the upper jaw are affected by the remaining growth potential, as rapid maxillary expansion (RME) and combined RME/protraction are more effective before pubertal growth peak and at earlier stages of dental development, respectively [ 3 , 15 ]. This could be explained by an association between skeletal maturity, assessed via cervical vertebrae maturation, and midpalatal suture maturity [ 35 ]. Dental age assessment is also clinically relevant for analysing facial growth, even if it does not allow identification of timing of the pubertal growth spurt because the latter is more associated with the development of cervical vertebrae [ 7 , 39 , 41 , 50 ] and craniofacial growth [ 57 ].…”

Section: Discussionmentioning

confidence: 99%

Individuelle dentale und skelettale Altersbestimmung nach Demirjian und Baccetti: aktualisierte Normwerte für mitteleuropäische Patienten

et al. 2022

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Purpose Chronological age often differs from dental and skeletal age. With orthopantomograms and lateral cephalograms, dental and skeletal development can be determined according to the methods published by Demirjian et al. and Baccetti et al. However, gender and skeletal class as possible confounders were frequently not considered and available norm values are not up-to-date. This retrospective cross-sectional study thus aimed to evaluate effects of skeletal class and gender on dental and skeletal age of growing patients and to generate updated norm values for contemporary Central-European patients. Methods A total of 551 patients were included in the dental and 733 in the skeletal age assessment, respectively. Dental analysis was based on tooth mineralisation stages in orthopantomograms (Demirjian) and skeletal age was defined by cervical vertebrae maturation stages (CVMS) in lateral cephalograms (Baccetti). Skeletal class was determined by the individualised ANB angle of Panagiotidis/Witt. With nonlinear regression analysis a formula for determining dental age was established. Effects of gender and skeletal class were evaluated and updated norm values generated. Results Inter- and intrarater reliability tests revealed at least substantial measurement concordance for tooth mineralisation and CVMS. Demirjian stages and CVMS significantly depended on gender with girls developing earlier. Skeletal class significantly affected skeletal age only, but without clinical relevance. Updated norm values for dental age differed significantly from the original values of Demirjian and the values for skeletal age differed from those published by Baccetti. Conclusion Optimised norms, separated by gender, increase precision in determining individual dental and skeletal age during orthodontic treatment planning. Further studies analysing the effect of skeletal class on dental and skeletal development are needed.

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Correlation assessment of cervical vertebrae maturation stage and mid-palatal suture maturation in an Iranian population

Cited by 9 publications

References 21 publications

The effect of vertical skeletal proportions, skeletal maturation, and age on midpalatal suture maturation: a CBCT-based study

The effect of vertical skeletal proportions, skeletal maturation, and age on midpalatal suture maturation: a CBCT-based study

Maduración esquelética de mano y muñeca y osificación de sutura media palatina en adolescentes: una revisión de literatura.

Individuelle dentale und skelettale Altersbestimmung nach Demirjian und Baccetti: aktualisierte Normwerte für mitteleuropäische Patienten

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