In vivo methods for evaluating human midpalatal suture maturation and ossification: An updated review

L, Gao; Sun, Jie; Zhou, Xiaojie; Yu, Guoxia

doi:10.1016/j.ortho.2022.100634

Cited by 9 publications

(7 citation statements)

References 46 publications

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“…One of the strengths of this systematic review is that it is the first one to assess the methodological quality of the articles related to this topic using the Quality assessment of the included studies using the Observational Cohort and Cross-Sectional Studies tool (National Heart et al, 2017). This differentiates this systematic review from other reviews in which a quality review was not performed (Isfeld et al, 2017;Kao et al, 2018;Mahdian et al, 2019) and another in which intra and interoperator agreements were used as a variable to evaluate this item (Gao et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

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Recent Methods Used for Analysis of Midpalatal Suture Closure Before Maxillary Expansion in Humans: A Systematic Review

Shayani

Sandoval-Vidal

Garay-Carrasco³

2022

Int. J. Odontostomat.

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The evaluation of the maturation of the midpalatal suture is highly important before making the clinical decision on whether to correct a transverse discrepancy in a conventional or surgical way. For this purpose, there are methods such as hand and wrist analysis, evaluation of maturation of the cervical vertebrae, and evaluation by means of occlusal radiographs. The main objective of this systematic review is to identify in the current literature the use of new methods and technologies to evaluate the maturation of the midpalatal suture before performing maxillary expansion. 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. The 119 articles were obtained, of which only 7 meet the selection criteria, which describe qualitative, quantitative and semiquantitative evaluation methods. During the last few years, due to advances in technology and science, various promising methods and techniques have been proposed for the evaluation of median palatal suture maturation. The quality of the available evidence is not enough to support the use of any one of these methods on their own. We recommend that clinicians use multiple diagnostic methods for an objective assessment of the maturation of the midpalatal suture, to guide them in their clinical decisions.

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Section: Discussionmentioning

confidence: 99%

“…Future observational studies should be performed/reported according to guidelines such as STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) (Gao et al, 2022) to increase evidence-based practice information about this topic.…”

Section: Discussionmentioning

confidence: 99%

Recent Methods Used for Analysis of Midpalatal Suture Closure Before Maxillary Expansion in Humans: A Systematic Review

Shayani

Sandoval-Vidal

Garay-Carrasco³

2022

Int. J. Odontostomat.

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“…[14] Occlusal radiographs had been used; however, they were reported to be an unreliable after recording 50% of the films with false-positive results, [16] in addition to superimposition of adjacent structures which made their use to diminish in this regard and replaced by CT which allows the threedimensional (3D) assessment of sutural changes without superimpositions. [17,18] Furthermore, (CBCT) was used to detect MPS ossification [14,19] with lower cost, reduced imaging time, and at lower radiation dose compared to CT. [20,21] As such, this study aimed to use CBCT in the 3D quantitative and morphologic assessment of MPS maturation with age in support of its utility in orthodontic practice.…”

Section: Introductionmentioning

confidence: 99%

Quantitative and Morphological Evaluation of Midpalatal Suture Maturation Using Cone-Beam Computed Tomography: Retrospective Study

Abu-Taleb

2023

Egyptian Dental Journal

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Objectives: The present study aimed to use CBCT in the 3D quantitative and morphologic assessment of midpalatal suture (MPS) maturation in support of its utility in orthodontic practice. Methods:The study population included CBCT scans of 165 subjects: 78 males and 87 females aged 5-60 years old. They were assigned to six age groups: <10, 11-20, 21-30, 31-40, 41-50, and 51-60 years. Quantitative MPS assessment included MPS horizontal obliteration index (OI) and MPS total mean vertical OI. Morphologic assessment included the MPS maturation stages (A-E). Comparison between age groups and correlation between age and different variable were performed. Results:In both males and females, the MPS horizontal OI showed significant increase between ages more than thirty years and ages below. The MPS total mean vertical OI showed significant increase between ages more than twenty years and ages below. There was statistically significant increase in the frequency of MPS maturation stages with increasing age with stage A significantly prevalent in age group ≤ 10, stage B in 11-20 years, stage C in 21-30 years in males and 11-30 years in females, stage D in 21-30 years in females, and stage E in ages 31-60 years. Conclusion:Quantitative and morphologic assessment of the MPS using CBCT provided valuable information regarding the MPS maturation. The MPS should be appraised using CBCT for each patient requiring maxillary expansion as this will aid in decision making and predicting the treatment outcome.

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“…Since the creation of this method, some systematic revisions have been performed [ 45 , 46 , 47 ], but this is the first article to systematically assess and standardize the calibration, training, blinding processes, and randomization of the images that each one of the articles used. This is of vital importance to ensure the internal validity of each study.…”

Section: Introductionmentioning

confidence: 99%

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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In vivo methods for evaluating human midpalatal suture maturation and ossification: An updated review

Cited by 9 publications

References 46 publications

Recent Methods Used for Analysis of Midpalatal Suture Closure Before Maxillary Expansion in Humans: A Systematic Review

Recent Methods Used for Analysis of Midpalatal Suture Closure Before Maxillary Expansion in Humans: A Systematic Review

Quantitative and Morphological Evaluation of Midpalatal Suture Maturation Using Cone-Beam Computed Tomography: Retrospective Study

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

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