Phases of the dentition for the assessment of skeletal maturity: A diagnostic performance study

Franchi, Lorenzo; Baccetti, Tiziano; Toffol, Laura De; Polimeni, Antonella; Cozza, Paola

doi:10.1016/j.ajodo.2006.02.040

Cited by 82 publications

(75 citation statements)

References 29 publications

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“…However, the capability of mandibular second molar maturation to identify a prepubertal growth phase would have minimal clinical relevance since the early mixed and intermediate mixed dentition can be used instead for the same purpose. 9 The apparent inconsistency among previous investigations might be explained by study design characteristic. All the previous investigations 8,12,13,[15][16][17] exploring an association between dental and skeletal maturation (including those focused on the mandibular second molar) followed a cross-sectional design and did not include any data on the mandibular growth peak itself, which would have major clinical relevance.…”

Section: Discussionmentioning

confidence: 96%

“…These indicators have included radiographic hand-wrist maturational (HWM) methods, 3 third finger middle phalanx (MPM) method, 4,5 cervical vertebral maturational (CVM) method, 6 dental maturation, 7,8 and dental emergence. 9,10 In particular, dental maturity assessed through calcification stages, 7 and it can be carried out on panoramic or intraoral radiographs, which are routinely used for different purposes. Therefore, dental maturation has been proposed as a useful method for assessing the pubertal growth spurt.…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic reliability of mandibular second molar maturation in the identification of the mandibular growth peak: A longitudinal study

Perinetti

Sossi

Primožič

et al. 2017

The Angle Orthodontist

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Objective: To investigate the diagnostic reliability of mandibular second molar maturation in assessing the mandibular growth peak using a longitudinal design. Materials and Methods: From the files of the Burlington and Oregon growth studies, 40 subjects (20 from each collection, 20 males and 20 females) with at least seven annual lateral cephalograms taken from 9 to 16 years were included. Mandibular second molar maturation was assessed according to Demirjian et al., and mandibular growth was defined as annual increments of Co-Gn distance. A full diagnostic reliability analysis (including positive likelihood ratio) was performed to establish the diagnostic reliability of dental stages E, F, and (pooled) GH in identifying the imminent mandibular growth peak. Results: None of the dental maturation stages reliably identified the mandibular growth peak with greatest overall mean accuracy and positive likelihood ratio of 0.77 (stage F) and 2.7 (stage E), respectively. Conclusions: Use of the mandibular second molar maturation is not recommended for planning treatment requiring identification of the mandibular growth peak. (Angle Orthod. 2017;87:665-671.)

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Diagnostic reliability of mandibular second molar maturation in the identification of the mandibular growth peak: A longitudinal study

Perinetti

Sossi

Primožič

et al. 2017

The Angle Orthodontist

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“…The appraisal of the dentition phase was carried out according to the following definitions 12 : (1) primary dentition, when all the primary teeth were erupted; (2) early mixed dentition, when the first permanent molars and incisors were erupting; (3) intermediate mixed dentition, when the permanent incisors and first molars had fully erupted, with presence of the primary canine, first molars, and second molars; (4) late mixed dentition, when the primary canines and molars had exfoliated, with eruption of the permanent canines and premolars.…”

Section: Methodsmentioning

confidence: 99%

Three-dimensional evaluation of facial asymmetry in association with unilateral functional crossbite in the primary, early, and late mixed dentition phases

Primožič

Perinetti

Richmond

et al. 2012

The Angle Orthodontist

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Objective: To assess the degree of facial asymmetry associated with subjects with unilateral functional crossbite (CB) in the primary, early/intermediate, and late mixed dentition phases in comparison with a group of subjects without CB. Subjects and Methods: A group of 234 white subjects, 78 with CB (42 girls and 36 boys) and 156 without CB (73 girls and 83 boys), aged 3.9-11.9, grouped according to the dentition phase, were included. Three-dimensional laser scans of the subjects' faces were used to assess facial asymmetry. For each part of the face two-way multivariate analysis of covariance was performed to assess differences among the subjects, and an independent sample t-test was used to assess the significance of the differences between data sets. Results: Within all dentition phases, the subjects with CB had statistically significantly greater facial asymmetry of the whole face than the subjects without CB, with the greatest values in the lower part of the face (P , .05). In the middle part of the face a significant difference was observed in the mixed dentition phases. Conclusions: Children with unilateral functional CB exhibited a greater facial asymmetry than children without this malocclusion in all the dentition phases herein investigated. The greatest differences were seen for the lower part of the face. Further, facial asymmetry in the middle part of the face became clinically relevant in combination with the transition from primary to mixed dentition phase. (Angle Orthod. 2013;83:253-258.)

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“…One of them is tooth erup-tion, which is not a reliable parameter of skeletal maturity. Franchi et al (12) showed a poor correlation between the phases of dentition and skeletal maturity. In addition to tooth eruption, dental maturity is estimated through the stages of calcification, and this is a much more reliable parameter for assessment of skeletal maturity (13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 97%

Skeletal maturity assessment using mandibular canine calcification stages

Dzemidzic

Tiro

Zukanović

et al. 2016

AMA

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Phases of the dentition for the assessment of skeletal maturity: A diagnostic performance study

Cited by 82 publications

References 29 publications

Diagnostic reliability of mandibular second molar maturation in the identification of the mandibular growth peak: A longitudinal study

Diagnostic reliability of mandibular second molar maturation in the identification of the mandibular growth peak: A longitudinal study

Three-dimensional evaluation of facial asymmetry in association with unilateral functional crossbite in the primary, early, and late mixed dentition phases

Skeletal maturity assessment using mandibular canine calcification stages

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