Assessment of maturity in orthodontics: A review

Dhiman, Sushma; Maheshwari, Sandhya; Verma, Sanjeev

doi:10.15713/ins.jcri.54

Cited by 19 publications

(17 citation statements)

References 36 publications

(30 reference statements)

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“…In most of the conditions, skeletal age is assessed to pinpoint identify the different phases of the growth spurt. Skeletal maturity assessment involves visual inspection of the developing bone and their initial appearance, sequential ossification and related changes in shape and size [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…Skeletal maturity has been assessed by using different techniques, the classic method of assessing skeletal maturity is by using hand wrist radiographs and the cervical vertebral maturation (CVM) method [1][2][3][4][5]. However, bone growth and remodeling are not only under the control of local factors, but systemic factors also play a crucial role.…”

Section: Introductionmentioning

confidence: 99%

“…The biomarkers were initially detected in serum, but nowadays they are also detected in saliva. Biomarkers in saliva and serum are: Insulin-like growth factor 1 (IGF-1), growth hormone (GH), Creatinine and Alkaline phosphatase (ALP) [1,3,7,9].…”

Section: Introductionmentioning

confidence: 99%

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The Level of Alkaline Phosphatase in Saliva as Biomarker for Pubertal Growth Phase

Irham¹,

Bahirrah²,

Nazruddin³

2018

Proceedings of the International Dental Conference of Sumatera Utara 2017 (IDCSU 2017)

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Abstract-The identification of the onset of pubertal growth phase in growing patients is very important for orthodontists to determine orthodontic treatment planning and timing. The timing of growth phase can be assessed using chronological age, skeletal age, physiological age, dental age and biomarkers. ALP is one of the biomarkers that can be easily obtained from saliva. The increase of ALP levels in growing subjects is one of the indications of bone mineralization. The objective of this study was to assess the level of ALP in growing subjects in relation to the pubertal growth phase and age. This research was an observational analytic research with cross sectional design. Samples in this study consisted of 57 healthy growing female subjects (age ranging from 8 to 15 years). Growth phase was assessed through the cervical vertebral maturation (CVM) method described by Hassel and Farman. The subjects were divided into three groups according to their growth phases, which were prepubertal (CVM 1 and CVM 2), pubertal (CVM 3 and CVM 4), and post pubertal (CVM 5 and CVM 6). Unstimulated whole saliva collected from each subject and the level of ALP were measured using spectrophotometer. Results showed that peak levels of ALP were observed in pubertal growth phase: 233.39 ± 106.29 (IU/L), followed by prepubertal growth phase: 192.87 ± 69.02 (IU/L), and post pubertal growth phase: 79.20 ± 31.41(IU/L). The highest ALP levels were found at 10-11 years, and at 8-9 years, 12-13 years, and 14-15 years respectively. As conclusion, the level of ALP in saliva can be used as biomarker for the pubertal growth phase identification to determine orthodontic treatment planning and timing.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Level of Alkaline Phosphatase in Saliva as Biomarker for Pubertal Growth Phase

Irham¹,

Bahirrah²,

Nazruddin³

2018

Proceedings of the International Dental Conference of Sumatera Utara 2017 (IDCSU 2017)

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“…But still studies are being conducted to explore the best method to assess the maturity of an individual. 27 However further studies on larger samples with many observers need to be carried out to accept or reject the hypothesis regarding the newly proposed RMS-MP3 classification.…”

Section: Discussionmentioning

confidence: 99%

RMS-MP3 Classification: A Newly Proposed Digital MP3 Classification in Assessing Skeletal Maturity

Shetty

Hanumanta

2019

International Journal of Clinical Pediatric Dentistry

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BackgroundGrowth is a crucial inconsistent parameter, which is a primary requisite in diagnosing and planning orthodontic and orthopedic treatment. The use of the epiphyseal development of the middle phalanx of the third finger (MP3) radiograph is advisable instead of hand and wrist radiographs for growth assessment.Aim(1) To propose a simple, precise, and reliable classification system of MP3 staging—RMS MP3 classification and (2) to check the reliability of newly proposed RMS-MP3 classification in assessing the skeletal maturity.Materials and methodsStandardized MP3 digital radiographs of 276 children between 5 years and 13 years of age were included in the study. The epiphysis and diaphysis were measured, and the percentage of epiphysis formed when compared to diaphysis was obtained using our formula. A new classification was designed and proposed. The assessment of the MP3 developmental stages was carried out by all the four investigators (two pedodontists and two nonpedodontists) according to the older classification by Liete et al. and the newly proposed RMS-MP3 classification.ResultsAmong nonpedodontists, there was 51% perfect agreement of maturity stages according to old classification and 90% perfect agreement according to newly proposed classification. Among pedodontists, there was 90% perfect agreement of maturity stages according to old classification and 99% perfect agreement according to the newly proposed classification. An estimated 89% of agreement was seen in RMS-MP3 classification among all the four observers when compared to 38% of agreement in the old classification.ConclusionThe newly proposed RMS-MP3 classification can be an alternative and perfect aid in assessing growth with accuracy, precision, ease, and an increased reliability.How to cite this articleShetty RM, Hanumanta S. RMS-MP3 Classification: A Newly Proposed Digital MP3 Classification in Assessing Skeletal Maturity. Int J Clin Pediatr Dent 2019;12(4):255–260.

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“…Prediction of sexual maturity requires a physical examination; hence, the use of sexual maturity as maturation marker is limited in the orthodontic setup. 9 On the contrary, skeletal maturity "or bone age" can be determined by the maturation of one or more tissues including skeletal, dental, and sexual maturity. 10 The visual inspection of bones, their first appearance, and related changes in shape and size are tools for assessing skeletal maturity.…”

Section: Introductionmentioning

confidence: 99%

Correlation between Cervical Vertebrae Volume Parameter and the Skeletal Maturation Status

Ayach

Hadad

2018

The Journal of Contemporary Dental Practice

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Assessment of maturity in orthodontics: A review

Cited by 19 publications

References 36 publications

The Level of Alkaline Phosphatase in Saliva as Biomarker for Pubertal Growth Phase

The Level of Alkaline Phosphatase in Saliva as Biomarker for Pubertal Growth Phase

RMS-MP3 Classification: A Newly Proposed Digital MP3 Classification in Assessing Skeletal Maturity

Correlation between Cervical Vertebrae Volume Parameter and the Skeletal Maturation Status

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