Midpalatal Suture Maturation in 11–15-Year Olds: A Cone-Beam Computed Tomographic Study

Abstract

Stage C as given by Angelieri et al., [1] only on assumption without performing and evaluating the results of RME in the samples selected. The main hindrance to RME is by circummaxillary sutures than the MPS. [2] Of all the circummaxillary sutures, pterygomaxillary suture [3] and zygomaticomaxillary suture [4] provide maximum resistance to RME. According to Baccetti et al., [5] pterygomaxillary suture fuses by age 12 years, and according to Angeleiri et al., [4] zygomaticomaxillary suture fuses between 10 and 15 years of age. Although the authors have mentioned that success of RME is influenced by fusion of circummaxillary sutures, their conclusion of justifying RME beyond 15 years based only on the maturation status of MPS, ignoring the maturation of circummaxillary sutures, is doubtful. Furthermore, the authors have recommended the use of CBCT to evaluate the maturation status of MPS, but routinely, CBCT is not indicated for the same. The authors have mentioned that prediction of prognosis of RME based on chronological age is uncertain, correlating MPS maturation with routinely used skeletal maturity indicator is a better option rather than use CBCT to evaluate the same.