Relationships between skeletal maturity estimated from hand-wrist radiographs and the timing of the adolescent growth spurt

Houston, W. J. B.

doi:10.1093/ejo/2.2.81

Cited by 69 publications

(54 citation statements)

References 13 publications

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“…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%

“…3 The ossification sequence and timing of skeletal maturity within the hand-wrist area show polymorphism and sexual dimorphism, which can limit the clinical predictive use of this method. 12,13 Moreover, there are concerns about the extra radiation exposure resulting from use of this method, 14 and its use must be questioned if other comparable methods of assessment are available. Finally, events in the hand and wrist are indicators of the peak and the end of the pubertal growth spurt, but these events do not signal the onset of the pubertal growth spurt.…”

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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%

mentioning

confidence: 99%

Cervical vertebral maturation as a biologic indicator of skeletal maturity

Santiago

Costa

Vitral

et al. 2012

The Angle Orthodontist

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“…Sin embargo, como se ha encontrado que la rata de maduración esquelé-tica varía de acuerdo con factores genéticos [23,24] y factores ambientales [24][25][26], esto es, que se presenta polimorfismo y dimorfismo sexual [21,[25][26][27][28], se requiere identificar un estándar para evaluar la maduración ósea en diferentes poblaciones. Por lo tanto, para una población determinada, establecer las característi-cas de los estadios de maduración sexual y esquelética en la adolescencia es importante para mejorar la capacidad diagnóstica y la determinación del tratamiento por parte de los especialistas.…”

Section: Discussionunclassified

Caracterización de los estadios de maduración esquelética y la maduración sexual en niños entre 8-13 años

Gómez

Zapata-Noreña

2014

Rev. nac. odontol.

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Introducción: el objetivo de esta investigación fue estudiar las características de los estadios de maduración sexual y esquelética en un grupo de niños de Medellín. Métodos: estudio descriptivo longitudinal prospectivo. Se observaron 33 pacientes, 18 hombresy 15 mujeres, entre los 8 y 13 años; sanos, evaluados con parámetros de maduración esquelética, según Hägg y Taranger; de maduración sexual, según Tanner, y medidas antropométricas de talla y peso. Se realizaron mediciones cada seis meses durante treinta meses. Resultados: se encontraron asociaciones estadísticamente significativas entre la maduración esquelética y la sexual, con la edad, el peso la talla; dimorfismo sexual con respecto a la edad de iniciación de la pubertad. Los incrementos de talla y peso del periodo inmediatamente anterior al inicio de la pubertad fueron iguales o mayores a los registrados en algunas etapas del periodo puberal evaluado. Conclusiones: el desarrollo esquelético, representado por los incrementos en talla y peso en el periodo prepuberal, es semejante a los del periodo puberal evaluado. Estas observaciones sustentan la pertinencia de instaurar la terapia ortopédica en un periodo anterior al puberal. Sin embargo, dadas las características de la muestra, se recomienda validar estos resultados con una muestra más representativaDOI: http://dx.doi.org/10.16925/od.v10i18.719

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“…passage from one stage to the subsequent. 22 Therefore, using multivariate models, this cross-sectional study evaluated whether sagittal and vertical craniofacial growth pattern has an association with the age of attainment of the circumpubertal skeletal maturation phases according to the MPM method.…”

Section: Introductionmentioning

confidence: 99%

Sagittal and vertical craniofacial growth and attainment of circumpubertal middle phalanx maturation (MPM) stages: A multiple regression study

Perinetti¹,

Sverko²,

Borgo³

et al. 2018

sejodr

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Introduction: Orthodontic treatment for most of the skeletal malocclusions have specific optimal timing according to the skeletal maturation phases. The knowledge of whether attainment of a specific maturation phase is associated with the different sagittal and vertical craniofacial growth pattern then becomes of clinical relevance.Aim: This cross-sectional study evaluated whether sagittal and vertical craniofacial growth pattern, has an association with the age of attainment of the circumpubertal skeletal maturation phases. Materials and methods:A total of 300 subjects (170 females and 130 males) were included in the study (mean age, 12.0 ±1.5 years; range, 8.3-15.6 years). These subjects were equally distributed in the circumpubertal middle phalanx maturation (MPM) stages 2, 3 and 4. Subsequently, multiple regression models were run for each MPM stage group to assess the significance of the association of cephalometric parameters (SNA, SNB, ANB, PP/MP, CoGoMe, SN/MP and NSBa angles) with age of attainment of the corresponding MPM stage (in months).Results: Only sex yielded significant associations, with females having anticipated attainment of each of the circumpubertal MPM stage. Conclusion:These results show no significant correlations of the different sagittal and vertical cephalometric parameters with the age of attainment of the circumpubertal skeletal maturation phases. 12South Eur J Orthod Dentofac Res Perinetti G. et al. MPM and craniofacial growth

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Relationships between skeletal maturity estimated from hand-wrist radiographs and the timing of the adolescent growth spurt

Cited by 69 publications

References 13 publications

Cervical vertebral maturation as a biologic indicator of skeletal maturity

Cervical vertebral maturation as a biologic indicator of skeletal maturity

Caracterización de los estadios de maduración esquelética y la maduración sexual en niños entre 8-13 años

Sagittal and vertical craniofacial growth and attainment of circumpubertal middle phalanx maturation (MPM) stages: A multiple regression study

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