Prediction of the Timing of the Adolescent Growth Spurt from Ossification Events in Hand—Wrist Films

Houston, W. J. B.; Miller, J. C.; Tanner, J. M.

doi:10.1179/bjo.6.3.145

Cited by 71 publications

(45 citation statements)

References 8 publications

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“…As stated by Houston et al, 4 the use of individual ossification events is of limited use during pubertal growth-spurt prediction, and analysis that includes bone stages as well as ossification events is recommended. 3 …”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the hand-wrist radiograph is considered to be the most standardized method of skeletal assessment. 4,7,18,27 Although some studies 4,12,13 stated that the use of hand-wrist radiographs to predict growth spurt is not sufficiently accurate to be of value in clinical orthodontics, the validity of skeletal maturity assessment using the hand-wrist radiographs has been observed. 2,3 However, to avoid taking additional radiographs, it is relevant to relate maturational stages to skeletal features other than the bones in the hand and wrist.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 The use of radiographic analysis to estimate skeletal maturation stage is a widely used method for predicting the timing of pubertal growth and for estimating growth velocity and the proportion of growth remaining. 3 The hand-wrist radiograph is considered [4][5][6][7] to be the most standardized method of skeletal maturation assessment based upon time and the sequence of appearance of the carpal bones and certain ossification events. Skeletal maturity is generally determined using stages in the ossification of bones of the handwrist, because of the relationship between the overall horizontal and vertical facial growth velocity and skeletal maturity determined by hand-wrist methods 3 or because of the quantity of different types of bone available, [8][9][10][11] or by evaluating the ossification onset of the sesamoid.…”

Section: Introductionmentioning

confidence: 99%

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Cervical vertebral maturation as a biologic indicator of skeletal maturity

Santiago

Costa

Vitral

et al. 2012

The Angle Orthodontist

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Objective: To identify and review the literature regarding the reliability of cervical vertebrae maturation (CVM) staging to predict the pubertal spurt. Materials and Methods: The selection criteria included cross-sectional and longitudinal descriptive studies in humans that evaluated qualitatively or quantitatively the accuracy and reproducibility of the CVM method on lateral cephalometric radiographs, as well as the correlation with a standard method established by hand-wrist radiographs. Results: The searches retrieved 343 unique citations. Twenty-three studies met the inclusion criteria. Six articles had moderate to high scores, while 17 of 23 had low scores. Analysis also showed a moderate to high statistically significant correlation between CVM and hand-wrist maturation methods. There was a moderate to high reproducibility of the CVM method, and only one specific study investigated the accuracy of the CVM index in detecting peak pubertal growth. Conclusions: This systematic review has shown that the studies on CVM method for radiographic assessment of skeletal maturation stages suffer from serious methodological failures. Betterdesigned studies with adequate accuracy, reproducibility, and correlation analysis, including studies with appropriate sensitivity-specificity analysis, should be performed. (Angle Orthod.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cervical vertebral maturation as a biologic indicator of skeletal maturity

Santiago

Costa

Vitral

et al. 2012

The Angle Orthodontist

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“…Cervical vertebral bone age = −0.20 + 6.20 × AH 3 /AP 3 + 5.90 × AH 4 /AP 4 + 4.74 × AH 4 /PH 4 After calculating the skeletal maturity by both the methods the correlation and difference between cervical vertebral bone age and bone age by hand-wrist method were determined, as were those between cervical vertebral bone age and chronological age. …”

Section: Methodsmentioning

confidence: 99%

Objective Evaluation of Cervical Vertebral Bone Age— Its Reliability in Comparison with Hand-Wrist Bone Age: By TW3 Method

Ck¹,

Vn²,

Sreedevi³

et al. 2013

The Journal of Contemporary Dental Practice

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Aim:The aim of this study was to establish the validity of a new method for evaluating skeletal maturation by assessing the 3rd and 4th cervical vertebrae seen in the cephalometric radiograph. Materials and methods:This study consisted of a sample of 50 patients in the age group of 8 to 14 years of age. Chronologically, they were divided into six groups, based on the age consisting of a minimum of six to a maximum of 10 subjects. All the patients included in the study were females. The selected subjects were clinically examined and then age and date of birth of the patient in years and months was noted. Then lateral cephalograms and hand-wrist radiographs of the patient were taken on the same day with good clarity and contrast. Results:The results suggested that cervical vertebral bone age on cephalometric radiographs calculated with this method is as reliable at estimating bone age as is the Tanner-Whitehouse 3 (TW3) method on hand-wrist radiographs. By determining the cervical vertebral bone age, skeletal maturity can be evaluated in a detailed and objective manner with cephalometric radiographs. Conclusion:The ability to accurately appraise skeletal maturity from cervical vertebral maturation, without the need for additional radiographs, has the potential to improve orthodontic diagnostic and therapeutic decisions. The technique's simplicity and ease of use should encourage this method as a first level diagnostic tool to assess skeletal maturation.Clinical significance: This study revealed that the timing and sequence of ossification of the bones in hand and wrist and cervical vertebrae were able to relate the skeletal development of the various skeletal maturity indicators to a child's development. This method provided a mean with which one can determine the skeletal maturity of a person and thereby determine whether the possibility of potential growth existed.

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“…For many years, wrist radiography has been used to determine skeletal maturation. (6)(7)(8)(9) However, today researchers have concluded that radiography of cervical vertebrae is a good alternative to wrist radiography. Thus, cervical vertebrae maturation is a good diagnostic tool for estimating the pubertal growth spurt.…”

mentioning

confidence: 99%

Relationship between Dental Development and Cervical Vertebrae Development Assessed Using Radiography in an Iranian Population

Tafakhori

Shokrizadeh

Fathollahi

2016

3dj

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Introduction:Determining the skeletal age and remaining growth potential of patients are important factors in orthodontic treatment. Evaluating cervical vertebrae development is a reliable method for determining skeletal age. This study aimed to evaluate the correlation between dental calcification and stages of skeletal maturation. Materials and methods:This descriptive cross-sectional study was conducted on 84 panoramic radiographs and lateral cephalometrics related to 10-15-year-old patients without systematic diseases affecting dental calcification and development. Patient's skeletal age was determined by the stage of cervical vertebrae development and by using Lamparski's method. Dental age of samples was determined by Demirjian's method. Findings were analyzed by SPSS 18 software using Spearman's correlation test to determine the correlation between the cervical vertebrae development and the dental development stages. P < 0.05 was considered significant. Results:Spearman's correlation test showed a significant direct correlation between dental age and skeletal age (r2 = 42.5%). The linear relationship between dental age and skeletal age was significant (p < 0.05). The highest correlation coefficient was between the cervical vertebrae development and the stages of mandibular second premolar calcification in girls (rs = 0.609) and in the second molar in boys (rs = 0.471). In Demirjian's method, stage G of the mandibular second premolar teeth in girls and stage F of the mandibular second molar teeth in boys nearly coincided with the pubertal growth spurt. Conclusion:The findings of this study showed that, in Demirjian's method, stage G of the mandibular second premolar teeth in girls and stage F of the mandibular second molar teeth in boys was most frequent between developmental stages. According to the relatively high correlation coefficient between the dental age and the skeletal age, using dental calcification stages by panoramic radiography may become a simple first-level diagnostic test to determine skeletal maturity, which requires more studies in different ethnicities and places all around the world.

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Prediction of the Timing of the Adolescent Growth Spurt from Ossification Events in Hand—Wrist Films

Cited by 71 publications

References 8 publications

Cervical vertebral maturation as a biologic indicator of skeletal maturity

Cervical vertebral maturation as a biologic indicator of skeletal maturity

Objective Evaluation of Cervical Vertebral Bone Age— Its Reliability in Comparison with Hand-Wrist Bone Age: By TW3 Method

Relationship between Dental Development and Cervical Vertebrae Development Assessed Using Radiography in an Iranian Population

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