Correlations among chronological age, cervical vertebral maturation index, and Demirjian developmental stage of the maxillary and mandibular canines and second molars

Dadgar, Sepideh; Hadian, Hoora; Ghobadi, Mohamadreza; Sobouti, Farhad; Rakhshan, Vahid

doi:10.1007/s00276-020-02541-4

Cited by 9 publications

(7 citation statements)

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“…When comparing both, similar error variation has been reported to both maturation and timing of peak growth estimation in both sexes ( 4 ). Yet, research is not consensual because chronological age has been defined either as the best predictor of skeletal growth and maturation ( 49 ), or one not so reliable ( 8 , 9 ). However, proposing age intervals, in our perspective, has contributed to increase treatment predictability in orthodontics.…”

Section: Discussionmentioning

confidence: 99%

Chronological age range estimation of cervical vertebral maturation using Baccetti method: a systematic review and meta-analysis

Magalhães¹,

Machado

Mascarenhas

et al. 2022

European Journal of Orthodontics

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Summary Background The timing of growth is a key factor for correct orthodontic treatment planning. Cervical vertebrae maturation (CVM) is no exception, although the reported chronological ages vary in the literature. Objective We aimed to estimate the average chronological age for each Baccetti’s CVM staging. Search methods Search on MEDLINE-PubMed, Scopus, LILACS, Google Scholar, Cochrane Central Register of Controlled Trials (CENTRAL) was conducted until July 2021. The review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Selection criteria Observational or interventional studies reporting chronological age classified through Baccetti’s CVM method were included. Data collection and analysis Methodological quality was assessed, and pooled estimates were carried out through random-effects meta-analysis of single means. The impact of sex and continent were also investigated through subgroup analyses. Results Forty-one studies were included (9867 participants, 4151 men, and 5716 women). The average chronological age was 9.7 years old (95% confidence interval [CI]: 9.4 to 10.1) in CS1, 10.8 years old (95% CI: 10.5 to 11.1) in CS2, 12.0 years old (95% CI: 11.7 to 12.2) in CS3, 13.4 years old (95% CI: 13.2 to 13.6) in CS4, 14.7 years old (95% CI: 14.4 to 15.1) in CS5, and 15.8 years old (95% CI: 15.3 to 16.3) in CS6. A significant difference was found between the sexes in all CVM stages. We also found significant differences across continents. Conclusions For each CVM staging a chronological age range was successfully estimated. Girls presented an earlier skeletal maturation compared to boys. The skeletal maturation differs also according to continents, except for CMV stage 1, pointing to the need for personalized ranges according to each region. Registration Registration number: PROSPERO: CRD42021225422

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Section: Discussionmentioning

confidence: 99%

Chronological age range estimation of cervical vertebral maturation using Baccetti method: a systematic review and meta-analysis

Magalhães¹,

Machado

Mascarenhas

et al. 2022

European Journal of Orthodontics

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“…6 Multitudinous studies have been conducted to evaluate correlation between different skeletal age predictors. [7][8][9][10][11][12][13][14][15][16][17] The results vary from population to population thereby escalating the need for more research in individual populations. The current study was carried out to explicate the association between the lower second molar calcification stages and cervical vertebral maturation stages in patients of Southern Punjab population of Pakistan.…”

Section: Discussionmentioning

confidence: 99%

Correlation between Mandibular 2nd Molar Calcification Stages and CVMI among Southern Punjab Population

Asim¹,

Awaisi²,

Ahmed³

2022

PJMHS

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Aim: To find out whether a correlation exists among the CVMI and dental calcification stages. Study design: Case-control study Place and duration of study: Department of Orthodontics, Nishtar Institute of Dentistry, Multan from 1st October 2020 to 30th April 2021 Methodology: One hundred and fifty orthopantomograms and lateral cephalograms patients were incorporated. The dental maturity was evaluated using8 stages of Demirjian index from stage A to H. This index is graded by determining the calcification stages of the left mandibular second molar tooth on an orthopantomogram. The CVM stages based on the morphology of 2nd, 3rd and 4th cervical vertebral bones on a lateral cephalogram, discern the skeletal maturity. This included 6 stages from stage 1 to 6, based on the depth of concavity and shapes of the vertebrae. Results: The results showed a significant correlation amongst the dental calcification stages and CVMI, having a Pearson’s correlation coefficient ‘r’ of 0.741. A gender dimorphism was observed with males showing more progressive dental calcification stages in the CVM stages 2 and 3 as compared to their female counterparts. The dental calcification stage ‘D’ correlates with CVM stage 1 which occurs approximately 2 years prior to adolescent growth spurt. CVM stage 3 i.e. peak of adolescent growth spurt conforms to dental calcification stage ‘F’ in females and stage ‘G’ in males. The dental calcification stage ‘H’ correlated with CVM stages 5 and 6 which indicate the cessation of growth. Conclusion: The lower second molar tooth calcification stages are a valid measure of skeletal age and can be effectively utilized to estimate patient’s age in orthodontic practice. Keywords: Cervical vertebral maturation, Dental calcification, Mandibular 2nd molar, Skeletal maturity

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“…The panoramic radiography, an accessible exam to pediatricians and general dentists, has been alternatively used to determine craniofacial development according to dental calcification as it correlates to the growth pubertal stages [7][8][9][10], and it might guide timely patient referral to orthodontist [1,2]. Intra-and inter-examiner reproducibility of Nolla's [11] method was evaluated, and the tooth 33 had relatively larger reproducibility rates.…”

Section: Discussionmentioning

confidence: 99%

“…The orthopedic/ orthodontic treatment of children and adolescents must consider, amongst other factors, the appropriate timing for the intervention of malocclusions [1,2], which have been traditionally based on growth stages, as assessed by skeletal parameters [3][4][5][6]. Alternatively, dental calcification categorization systems have also been explored as a proxy tool to guide the orthodontic intervention, due to its prompt accessibility [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Reproducibility of skeletal and dental maturation parameters

PASCHOINI

GRILLO

Nahás-Scocate

et al. 2022

RGO, Rev. Gaúch. Odontol.

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Objective: Amongst other factors, the effectiveness of orthodontic treatment in children and adolescents depends on the identification of most appropriate intervention timing, which has been traditionally based on the identification of maturational stages. There is a wide variety of radiographic methods to identify these phases, either through skeletal parameters, or dental calcification. Considering that the reliability of any given assessment tool is required to enable its safe clinical use, and aiming an appropriate implementation of these parameters in future researches, this study was performed to assess the reproducibility of radiographic growth evaluation methods. Methods: Lateral teleradiographs, hand-wrist, and panoramic radiographs of sixty-eight orthodontic patients randomly selected from files of the Orthodontics Graduation Course (Guarulhos University, Guarulhos, SP, Brazil) were evaluated by two examiners to access both intra- and inter-examiner reproducibility of the assessment methods conceived by Baccetti et al.; Fishman; Greulich and Pyle; Nolla and Demirjian et al. Results: All methods analyzed showed satisfactory intra- and inter-examiner reliability. Among those that evaluated skeletal maturity, a relatively better performance was observed for Baccetti’s method. Fishman’s and Greulich’s parameters presented similar rates, as did Nolla’s and Demirjian’s. Conclusion: The assessment tools analyzed presented adequate reproducibility and might potentially be used as assessment tools to evaluate children and adolescent’s craniofacial growth. Further researches could evaluate the accuracy of radiographic dental calcification parameters for the identification of craniofacial growth stages.

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Correlations among chronological age, cervical vertebral maturation index, and Demirjian developmental stage of the maxillary and mandibular canines and second molars

Cited by 9 publications

References 50 publications

Chronological age range estimation of cervical vertebral maturation using Baccetti method: a systematic review and meta-analysis

Chronological age range estimation of cervical vertebral maturation using Baccetti method: a systematic review and meta-analysis

Correlation between Mandibular 2nd Molar Calcification Stages and CVMI among Southern Punjab Population

Reproducibility of skeletal and dental maturation parameters

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