Property | Value |
Name | Elimination of hand wrist radiograph for skeletal maturity evaluation. |
Description | Original research article:-Orthodontics Prabhuraj Kambalyal 1 , Ronak Maniar 2*, Sudhanshu Sanadhya 3,Ramesh Nagarajappa4 & Prashant Nahar 5, & Mrudula Tak 6
1Professor,2Postgraduate student, Department of orthodontics,3Postgraduate student,4Head,6Senior lecturer, Department of community Dentistry, 5Professor,Department of oral medicine and radiology, Pacific Dental College and Hospital, Airport Road, Debari, Udaipur – 313024, Rajasthan.
Abstract:- Aims: To assess the skeletal age of an individual by interpretation of the cervical vertebrae as seen in lateral cephalogram obtained as a standard pre-treatment diagnostic record and to correlate and evaluate the changes in the shape and size of the cervical vertebrae with the skeletal maturity index on a hand wrist radiograph. Settings and design: A cross sectional radiographic study was carried out among 120, 8-14 years old children visiting Department of Orthodontics, Pacific Dental College and Hospital, Udaipur, India. Methods and Material: The hand wrist x-ray and lateral cephalogram were taken and traced for all subjects. The system developed by Fishman and Farman and Hassel modification of Lamparski’s criteria was used to determine skeletal maturation by hand wrist evaluation and cervical vertebrae respectively. Statistical analysis used: Descriptive statistics and percentage of similar assessments were calculated. Chi square, One way ANOVA and Spearman’s correlation tests were applied. Statistical significance was set at p≤0.05. Results: Mean age of the study population was 11.5 ± 1.715 years. With increase in age, the proportion of children with higher CVMI and SMI scores also increased significantly. Significantly greater proportion of females had higher CVMI and SMI scores than males. Positive correlation (r=0.935) between CVMI and SMI scores was observed. The overall percentage correlation was found to be 93.3%. Conclusion: The results of the present study validate the use of cervical vertebrae as a growth marker and authenticate its use as a reliable method for skeletal maturation assessment.
Key words:- Cervical Vertebrae Maturation Indicator, Hand wrist radiograph, lateral cephalogram, Skeletal Maturation Indicator.
References:- 1.Hassel B, Farman AG. Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofac Orthop 1995;107:58-66. 2.Hagg U, Taranger J. Maturation indicators and the pubertal growth spurt. Am J Orthod 1982;82:299-309. 3.Fishman LS. Radiographic evaluation of skeletal maturation. A clinically oriented method based on hand-wrist films. Angle Orthod 1982;52:88-112. 4.Kader HMA. The reliability of the dental X-ray film in assessment of the MP3 stages of the pubertal growth spurt. Am J Orthod Dentofacial Orthop 1998;114:427-9. 5.Fishman LS. Maturation patterns and prediction during adolescent. Angle Orthod 1987;57:178-93. 6.Joshi VV, Iyengar AR, Nagesh KS, Gupta J. Comparative study between cervical vertebrae and hand-wrist maturation for the assessment of skeletal age. Rev Clín Pesq Odontol 2010;6:207-13. 7.Fishman LS. Chronological versus skeletal Age, an evaluation of Craniofacial Growth. Angle Orthod 1979;49:181-9. 8.Sierra AM. Assessment of dental and skeletal maturity: A new approach. Angle Orthod 1987;57:194-208. 9.Bjork A, Helm S. Prediction of age of maximum puberty growth in body height. Angle Orthod 1967;37:134-43. 10.Stiehl J, Müller B, Dibbets J. The Development of the Cervical Vertebrae as an Indicator of Skeletal Maturity: Comparison with the Classic Method of Hand-wrist Radiograph. J Orofac Orthop 2009;70:327-35. 11.Hunter CJ. The correlation of facial growth with body height and skeletal maturation at adolescence. Angle Orthod 1966;36:44-54. 12.Gabriel DB, Southard KA, Qian F, Marshall SD, Franciscus RG, Southard TE. Cervical vertebrae maturation method: Poor Reproducibility. Am J Orthod Dentofacial Orthop 2009;136:478-80. 13.Garcia FP, Torre H, Flores LI, Rea. The cervical vertebrae as maturational indicators. J Clin orthod 1998;32:221-5. 14.Kucukkelea N, Acer A, Biren S, Arun T. Comparison between cervical vertebrae and hand-wrist maturation for the assessment of skeletal maturity. J Pediatr 1999;24:47-52. 15.Baccetti T, Lorenzo F, McNamara JA. An improved version of cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod 2002;72:316-23. 16.Santiago RC, de Miranda Costa LF, Vitral RW, Fraga MR, Bolognese AM, Maia LC. Cervical vertebral maturation as a biologic indicator of skeletal maturity. Angle Orthod 2012;82:1123-31. 17.Lai EH, Liu JP, Chang JZ, Tsai SJ, Yao CC, Chen MH, et al. Radiographic assessment of skeletal maturation stages for orthodontic patients: hand-wrist bones or cervical vertebrae? J Formos Med Assoc 2008;107:316-25. 18.Mahajan S. Evaluation of skeletal maturation by comparing the hand wrist radiograph and cervical vertebrae as seen in lateral cephalogram. Indian J Dent Res 2011;22:309-16. 19.Chang HP, Liao CH, Yang YH, Chang HF, Chen KC. Correlation of cervical vertebra maturation with hand-wrist maturation in children. Kaohsiung J Med Sci 2001;17:29-35. 20.Roman PS, Palma JC, Oteo D, Nevado E. Skeletal maturation determined by cervical vertebrae development. Eur J Orthod 2002;24:303-11. 21.Caltabiano M, Leonardi R, Zaborra G. Valutazione delle vertebre cervicali per la determinazione dell’eta scheletrica. Rivista Italiana di Odontoiatria Infantile 1990;1:15-20.
Copyright © 2013 Maniar Ronak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
|
Filename | Maniar Ronak et al.(573-581).pdf |
Filesize | 457.31 kB |
Filetype | pdf (Mime Type: application/pdf) |
Creator | admin |
Created On: | 02/05/2013 00:00 |
Viewers | Everybody |
Maintained by | Editor |
Hits | 3248 Hits |
Last updated on | 03/02/2013 08:41 |
Homepage | |
CRC Checksum | |
MD5 Checksum |