Skeletal maturation evaluation using mandibular second molar calcification stages

Kumar, Sushil; Singla, Anu; Sharma, Rekha; Virdi, Mandeep Singh; Anupam, Anant; Mittal, Bindia

doi:10.2319/051611-334.1

Cited by 82 publications

(156 citation statements)

References 20 publications

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“…The longitudinal study design has been previously used to evaluate diagnostic reliability of other growth indicators, 5,18 but it has never been used to study their relationship to dental maturity. Moreover, while previous studies correlated dental maturation stages with other growth indicators such as CVM 8,14,16,[23][24][25][26][27] or HWM, 12,24,28 the present study focused, for the first time, on the mandibular growth peak itself. The present results showed that none of the maturational stages of the mandibular second molar reach satisfactory diagnostic reliability to consistently identify the mandibular growth peak, irrespective of the sample of origin.…”

Section: Discussionmentioning

confidence: 99%

“…29 One of the reasons underlying this noteworthy lack of relevant data on diagnostic reliability may be the difficulty of performing such analysis from longitudinal data in a subset of selected subjects, all with a predetermined condition (mandibular growth peak) or a diagnostic outcome (a given dental stage). 5,18 Previous studies 8,12,14,16,[23][24][25][26][27][28] investigating the predictive reliability of dental maturation did not evaluate mandibular growth directly but instead used other growth indicators, thus reporting only indirect evidence of any correlation between dental maturation and the mandibular growth peak. This is of particular relevance considering that growth indicators such as CVM 18 and others 3,5 are not suitable for the correct identification of the mandibular growth peak in all subjects.…”

Section: Discussionmentioning

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: 99%

Section: Discussionmentioning

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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“…Among all the tested teeth, mandibular canines showed a significant association with the stages of development (17)(18)(19)(20)(21). In addition, hypodontia of permanent canine is extremely rare, and the prevalence ranges from 0.18 to 0.29% (22).…”

Section: Discussionmentioning

confidence: 99%

“…Studies have found that CVMI is a reliable method for skeletal maturity assessment (9,13,15,19,21). Some studies report high correlations between calcification stages of teeth (dental maturity) and skeletal maturity indicators (13)(14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

“…Stages of teeth development are associated with growth and development, which means that dental maturity may be used as a parameter for assessment of skeletal maturity, as has been shown by numerous studies (13)(14)(15)(16). Some authors noted that the developmental stages of certain teeth, for example canines (17,18) and second molars (19), show a high correlation with skeletal maturity.…”

Section: Introductionmentioning

confidence: 98%

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Skeletal maturity assessment using mandibular canine calcification stages

Dzemidzic

Tiro

Zukanović

et al. 2016

AMA

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Skeletal, dental, and sexual maturation as an indicator of pubertal growth spurt

Ercan

Yüksel

2023

American J Hum Biol

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ObjectivesThe aims of this study were to determine the skeletal, dental, and sexual maturation stages of individuals at the peak of the pubertal growth spurt and to analyze the correlations between these parameters.MethodsThe study included 98 patients, 49 females (mean chronological age 12.05 ± 0.96 years) and 49 males (mean chronological age: 13.18 ± 0.86 years), in the MP3cap stage. Skeletal maturation stages were determined using the cervical vertebral maturation (CVM) method on lateral cephalometric radiographs. The Demirjian index was used to determine dental maturation stages and dental ages on panoramic radiographs. The sexual maturation of the patients was evaluated in the pediatric endocrinology clinic by a pediatrician according to the Tanner stages. The frequencies of the variables were determined, and the Spearman rank correlation coefficients were used to analyze the correlations between the variables.ResultsIt was determined that the cervical vertebral maturation stage was CS3 in 81.6% (n = 40) of both female and male patients, and 81.6% of the female and 89.8% of the male patients were in stage G in terms of mandibular second molar tooth development. According to the Tanner pubic hair staging, 73.5% of the male and 51.0% of the female patients were in Stage 3. A significant correlation was found between the cervical vertebra stages and mandibular second molar tooth development stages in both sexes and between the cervical vertebra and Tanner pubic hair stages only among the male patients (r = 0.357; p < .05). There was also a significant and strong correlation between the Tanner pubic hair stages and breast development stages (r = 0.715; p < .05).ConclusionCervical vertebral development in the CS3 stage and mandibular molar tooth development in the G stage can be considered the peak of the pubertal growth spurt. Tanner Stage 3 marks the peak of the pubertal growth spurt in males.

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Skeletal maturation evaluation using mandibular second molar calcification stages

Abstract: A highly significant association exists between DI and CVMI. Mandibular second molar DI stages are reliable indicators of skeletal maturity.

Cited by 82 publications

References 20 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

Skeletal maturity assessment using mandibular canine calcification stages

Skeletal, dental, and sexual maturation as an indicator of pubertal growth spurt

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