Relación entre los estadios de maduración esqueletal y calcificación dentaria

Abstract

Ríos Villasis LK, Soldevilla Galarza L. Relación entre los estadios de maduración esqueletal y calcificación dentaria. AVANCES EN ODONTOESTOMATOLOGÍA/ 23 RESUMENIntroducción: El propósito del estudio fue determinar el grado de correlación entre los estadios de calcificación dentaria según Demirjian para caninos, primeras y segundas premolares inferiores, y los estadios de maduración ósea de Fishman (curva de crecimiento puberal). Material y métodos: La muestra consistió en 72 pares de radiografías panorámicas y carpales, 41 de hombres (56,94%) y 31 de mujeres (43,06%), tomadas el mismo día. La muestra se agrupó según sexo y lado a que pertenecía cada diente analizado. Se utilizaron la prueba de correlación de Spearman y tablas de distribución de frecuencia. Resultados: Las correlaciones encontradas fueron significativas en todos los casos; la correlación más alta respecto a Fishman se dio con el canino izquierdo (0,766), y la más baja con el segundo premolar izquierdo (0,581), la más alta correlación en cuanto a calcificación dentaria se dio entre caninos de ambos lados (0,985). El estadio G de calcificación dentaria según Demirjian, coincidió con el pico máximo de crecimiento puberal en mujeres (estadio 6 de Fishman); y en hombres coincidió con la calcificación del sesamoideo (estadio 4 de Fishman). Conclusiones: Se concluye que existe correlación significativa entre los estadios de maduración ósea de Fishman y los estadios de calcificación dentaria.Palabras clave: Calcificación del diente, crecimiento y desarrollo, diente canino, maduración ósea. SUMMARY Introduction:The purposeof the study was to determine the degree of correlation between the Demirjian Stages of Calcification of mandibular cuspids, first and second bicuspids and the stages of carpal bone maturation Fishman. Material y methods: The sample calculated at a level of significance of 95% (p<0.05) consisted of double sets of panoramic and wrist radiographs (41 males, 56.94% y 31 females 43.06%) taken the same day. The sample was subdivided according to sex and the side to which each tooth analyzed belonged. Spearman correlation test and tables of frequency distribution were used. Results: The correlation found was of significance in all cases, with the higher Fishman correlation found in the left cuspid (0.766) and the lowest correlation in the right second bicuspid (0.581). The higher correlation due to dental calcification was found between the cupids of both sides (0.985). Demirjian's G calcification stage coincided with the female pubertal growth spurt (stage 6 of Fishman), and males coincided with calcification the sesamoid (stage 4 of Fishman).Relación entre los estadios de maduración esqueletal y calcificación dentaria Relationship between stages of skeletal maturation and tooth calcification

Accuracy of dental development for estimating the pubertal growth spurt in comparison to skeletal development: a systematic review and meta-analysis

“…At this stage, two additional articles were suggested by experts. After reading the full text of the 24 references, only 10 articles [16][17][18][19][20][21][22][23][24][25] met the eligibility criteria and were included in the present systematic review. Then, in the qualitative analysis these 10 articles were included and in the quantitative synthesis nine references were used.…”

“…Six of them were written in English, [16][17][18][19]21,22 while two were in Portuguese, 20,25 and two in Spanish. 23,24 Research groups from seven different countries performed the studies, namely Mexico, 16 United States, 17 Thailand, 18 Turkey, 19 Brazil, 20,25 India 21,22 and Peru. 23,24 Table 2 provides a summary of their characteristics.…”

“…23,24 Research groups from seven different countries performed the studies, namely Mexico, 16 United States, 17 Thailand, 18 Turkey, 19 Brazil, 20,25 India 21,22 and Peru. 23,24 Table 2 provides a summary of their characteristics.…”

“…From the eligible articles, only one performed sample size calculation 23 and three were careful to report the examiner calibration, 17,23,24 although observer reproducibility tests (intra or interexaminer) were carried out in most of them. [16][17][18][19][20]23 Some assessments were made by one examiner, 16,19,25 and others by two 20,23,24 or three. 17,18 In some studies, interpretations of data were also discussed among the examiners until agreement was reached.…”

“…18,23 Just one article mentioned about the approval by the ethical committee, 23 although other two report that the informed consent was obtained from parents. 22,24 Skeletal development was assessed using handwrist radiographs in all the studies, with Greulich and Pyle 9 method in four studies, 16,17,22,25 while in six studies [18][19][20][21]23,24 the method of Fishman 6 was used. Additionally, one study 22 used the radiograph of the middle phalanx of the third finger to perform this evaluation.…”