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

Perinetti, Giuseppe; Sossi, Riccardo; Primožič, Jasmina; Ierardo, Gaetano; Contardo, Luca

doi:10.2319/010417-12.1

Cited by 9 publications

(8 citation statements)

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“…Although eruption is under significant control of genetics, it may be affected by a myriad of systemic and local factors, including but not limited to, nutrition, tooth size-arch length discrepancy, dental caries, early tooth loss, and many other factors. Having said that, using tooth formation stages has shown limited reliability, 4,5 while promising correlations were shown when using diagnostic performance of eruption stages in the identification of skeletal maturity. 6,14,15 Based on these results, it could be concluded that the early permanent stage of eruption showed strong diagnostic accuracy for predicting of the cessation of the pubertal growth spurt.…”

Section: Open Accessmentioning

confidence: 99%

“…For this reason, many studies have investigated multiple potential indicators of skeletal maturity. [3][4][5] Some of these indicators, such as chronological age, 3 proved unreliable, while others, such as dental maturity (tooth-formation stages) 4,5 of permanent lower canines and second molars, has shown limited reliability. Researchers have argued that studying the relationship between stages of dentition, or dental eruption (teeth entering the oral cavity and becoming visible), and skeletal maturity is useful in clinical practice and for interpreting results of studies reporting treatment outcomes at different dentition stages.…”

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confidence: 99%

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Diagnostic performance of eruption stages for identification of skeletal maturity

Alansari

2019

SMJ

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Objectives: To investigated the diagnostic performance of circumpubertal eruption stages which identify skeletal maturity stages using the cervical vertebral maturation (CVM) method in a Saudi population. Methods: This is a retrospective cross-sectional study. Lateral cephalograms, panoramic radiographs, and intraoral pictures of 600 orthodontic patients (284 boys, 316 girls) who met inclusion criteria were assessed. Records were retrieved between January 2016 and April 2018. The diagnostic performance of eruption stages for identifying skeletal maturity was tested with positive likelihood ratios (LHR+). Results: Prevalence of each CVM stage in the eruption stages was reported. For every eruption stage, LHR+ was reported in order to identify every CVM stage. The majority of the LHR+ values were ≤3.5, with a significant value of ≥10 for the identification of the post-pubertal growth stage. The other eruptions stages did not strongly predict skeletal maturity. Conclusion: In treatment planning for cases that require identifying the growth peak, the use of eruption stages is not recommended as an indicator of skeletal maturity except for the early permanent dentition stage where strong diagnostic performance for identifying post-pubertal skeletal growth stage has been shown.

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Section: Open Accessmentioning

confidence: 99%

mentioning

confidence: 99%

Diagnostic performance of eruption stages for identification of skeletal maturity

Alansari

2019

SMJ

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“…A Demirjian-féle módszer kormeghatározásra használható diagnosztikus megbízhatóságának igazolására elsősorban a kézcsont-, illetve a csigolyaérettségi vizsgálómódszereket alkalmazzák. A kapott eredmények azonban meglehetősen ellentmondásosak [24][25][26][27][28][29]. A nyakcsigolyák tekintetében Kumar és mtsai [24], Giri és mtsai [25] továbbá Cossellu és mtsai [26] is szoros összefüggést mutattak ki a Demirjian-féle fogazati korok és a csontérettségi korok között.…”

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“…A nyakcsigolyák tekintetében Kumar és mtsai [24], Giri és mtsai [25] továbbá Cossellu és mtsai [26] is szoros összefüggést mutattak ki a Demirjian-féle fogazati korok és a csontérettségi korok között. Nayak és munkacsoportja [20] ÖSSZEFOGLALÓ KÖZLEMÉNY találták, hogy a szkeletális kor és a várható növekedés nem áll kapcsolatban a fogak kalcifikációs szintjeivel [27][28][29]. A jelenleg rendelkezésre álló adatok alapján úgy tűnik, hogy más módszerek hatékonyabb eszközként szolgálnak a csontérettség és a növekedési csúcsok meghatározásában.…”

Section: áBraunclassified

Klasszikus és modern vizsgálómódszerek a csontérettségi kor és a pubertáskori növekedési csúcs meghatározására

et al. 2018

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The assessment of skeletal age is of utmost importance not only in the field of anthropology, forensic medicine, pediatrics, endocrinology but also in orthodontics and jaw orthopedics. Bone age refers to the individual’s biological development which can differ within a relatively wide range for the same chronological age. Therefore, accurate assessment of skeletal maturity and pubertal growth plays an important role in establishing a diagnosis for certain diseases. In addition, it is essential for proper timing and success of treatments in many cases. Currently, there are many methods available to determine skeletal age and pubertal growth spurt. During growth, bones undergo significant changes, the sequence of which is strongly determined. These changes can be measured by various methods including radiological examinations. More specifically, these classical methods are often based on the radiological evaluation of morphological changes in the hand bones and cervical vertebrae. Methods based on dental development also exist to assess the biologic maturity of an individual. However, thanks to three-dimensional imaging techniques and molecular diagnostic methods, even more accurate tests can be performed to determine biological maturity. These modern methods rely on the information obtained from the cone-beam computer tomograph records and on the measurements of biomarkers present in different circulatory or other body fluids. The purpose of this summary is to provide an overview of the various classical and modern methods for the assessment of skeletal age that could aid us in many fields of science. Orv Hetil. 2018; 159(35): 1423–1432.

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“…In Dentistry, maxillofacial surgery, orthodontics and skeletal orthopedics figure as important fields in the treatment of functional and aesthetic growth disorders. The therapeutic approaches in these fields often require radiographic analysis is to screen skeletal morphology and to intercept skeletal disorders with optimal timing ( 6 ). The analysis of skeletal development through carpal radiographs was a common practice along the last decades ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Morphological analysis of the skeletal development in lateral cephalometric radiographs of HIV infected children ongoing Highly Active Antiretroviral Therapy

Possagno¹,

Franco²,

Paranhos³

et al. 2018

Med Oral

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BackgroundTo investigate the skeletal development of HIV infected children through a morphological analysis of the cervical vertebrae (CV) in lateral cephalometric radiographs.Material and MethodsThe sample consisted of 86 lateral cephalometric radiographs of male and female children aged between 6 and 14 years old. The radiographs were equally distributed in groups 1 (HIV infected children) and 2 (non-infected children, paired by sex and age). Two examiners analyzed the CV according to the method of Hassel and Farman (1995). Spearman correlation coefficient was used to associate age and skeletal development within groups, while Mann-Whitney test compared the skeletal development between groups.ResultsThe correlation of age and skeletal development in group 1 reached 0.17, 0.27 and 0.27 (p >0.05) for C2, C3 and C4, respectively, while in group 2 it reached 0.65, 0.54 and 0.60, respectively (p <0.001). Differences were not significant between groups (p >0.05).ConclusionsHIV infected and non-infected children showed a similar development of the CV. However, the weak correlation between age and CV development in HIV infected children highlights the need for careful decisions prior to therapeutic approaches – especially those founded on the prediction of skeletal development, such as maxillofacial surgeries, and orthopedic and orthodontic procedures. Key words:Cervical vertebrae, growth and development, HIV, radiology.

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

Cited by 9 publications

References 30 publications

Diagnostic performance of eruption stages for identification of skeletal maturity

Diagnostic performance of eruption stages for identification of skeletal maturity

Klasszikus és modern vizsgálómódszerek a csontérettségi kor és a pubertáskori növekedési csúcs meghatározására

Morphological analysis of the skeletal development in lateral cephalometric radiographs of HIV infected children ongoing Highly Active Antiretroviral Therapy

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