Evaluation of Skeletal and Dental Maturity Indicators and Assessment of Cervical Vertebral Maturation Stages By Height/width Ratio of Third Cervical Vertebra


Affiliations

  • Modern Dental College&Research Centre, Department of Orthodontics & Dentofacial Orthopedics, Indore, India
  • Modern Dental College & Research Centre, Department of Orthodontics & Dentofacial Orthopedics, Indore, India

Abstract

Objectives: This study was designed to evaluate: Relationship between skeletal maturity indicators and a dental maturity indicator for assessment of pubertal growth in patients and; Feasibility and reliability of using height/width ratio of the third cervical vertebra for objective assessment of CVMI stage.

Methods: The study was conducted on 120 children in the age group of 8e16 years, comprising of 60 males and 60 females. Informed consent and due precaution for radiation safety were followed. Lateral cephalogram for assessment of cervical vertebrae maturation stages, OPG for evaluating mandibular canine developmental stages, Radiograph of middle phalanx of middle finger of right hand for MP3 maturation were recorded. Height/Width ratio of third cervical vertebra in all subjects was also calculated.

Results: Significant correlation was observed between MP3 stages and CVMI stages, whereas no correlation was observed between skeletal maturity indicators and dental developmental stages of mandibular canines. A highly significant correlation was observed between CVMI stage and height/width ratio of C3 vertebra in all subgroups of total population.

Conclusions: Skeletal maturity indicators show significant correlation amongst them but not with dental maturity indicator used in the study. CVMI stage can be assessed objectively by calculating the height/width ratio of C3 vertebra.


Keywords

CVMI, Hand-wrist Radiograph, Mandibular Canine Developmental, Stages, Ratio of Cervical Vertebrae, MP3

Subject Discipline

Dentistry

Full Text:

References

Moore R, Moyer BA, Dubois LM. Skeletal maturation and craniofacial growth. Am J Orthod Dentofacial Orthop. 1990;98:33-40.

Mir CF, Nebbe B, Major PW. Use of skeletal maturation based on hand-wrist radiographic analysis as a predictor of facial growth: a systematic review. Angle Orthod. 2004;74:118-124.

Salzmann JA. Carpal Index and assessment of skeletal maturation. In: Salzmann JA, ed. Orthodontics Practice and Techniques. Philadelphia: J. B. Lippincott Company; 1957:61-85.

Fishman LS. Radiographic evaluation of skeletal maturation e a clinically oriented method based on hand-wrist films. Angle Orthod. 1982;52:88-112.

Hagg U, Taranger J. Maturation indicators and the pubertal growth spurt. Am J Orthod Dentofacial Orthop. 1982;81:299-309.

Rajagopal R, Kansal S. A comparison of modified MP3 stages and the cervical vertebrae as growth indicators. J Clin Orthod. 2002;36:398-406.

Hassel B, Farman AG. Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofacial Orthop. 1995;107:58-61.

Demirjian A, Goldstein H, Tanner JM. New system of dental age assessment. Human Biol. 1973;45:211-213.

Coutinho S, Buschang PH, Miranda F. Relationship between mandibular canine calcification stages and skeletal maturity. Am J Orthod Dentofacial Orthop. 1993;104:262-268.

O’Reilly MT, Yanniello GJ. Mandibular growth changes and maturation of cervical vertebrae: a longitudinal cephalometric study. Angle Orthod. 1988;58:179-184.

Baccetti T, Franchi L, Toth LR, McNamara JA. An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod. 2002;72:316-323.

Chapman SM. Ossification of the adductor sesamoid and the adolescent growth spurt. Angle Orthod. 1972;42:236-244.

Leite HR, O’Reilly MT, Close JM. Skeletal age assessment with first, second, and third fingers. Am J Orthod Dentofacial Orthop. 1987;92:492-498.

Rozyło-Kalinowska Ingrid, Kolasa-Raczka Anna, Kalinowski Paweł. Relationship between dental age according to Demirjian and cervical vertebrae maturity in Polish children. Eur J Orthod. 2011;33:75-83.

Wong Ricky WK, Alkhal Hessa A, Rabie ABakr M. Use of cervical vertebral maturation to determine skeletal age. Am J Orthod Dentofacial Orthop. 2009;136:484. e1-484-6.

Negi KS, Sharma VP, Kapoor DN, Tandon P. Assessment of growth impetus using MP3 maturation and its correlation with CVMI and dental age. J Ind Orthod Soc. 2003;36:204-213.

Nestman Trenton S, Marshall Steven D, Qian Fang, Holton Nathan, Franciscus Robert G, Southard Thomas E. Cervical vertebrae maturation method morphologic criteria: Poor reproducibility. Am J Orthod Dentofacial Orthop. 2011;140:182-188.

Salzmann JA. Face growth and dentition. In: Salzmann JA, ed. Orthodontics Practice and Techniques. Philadelphia: J. B. Lippincott Company; 1957:86-105.


Refbacks

  • There are currently no refbacks.