Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Measuring Agreement of Modified MP3 and CVMS according to BMI Percentile

중지 중절골과 경추를 이용한 골령 평가의 체질량 지수에 따른 일치도

  • Yi, Seoksoon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Lee, Daewoo (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Yang, Yeonmi (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Kim, Jaegon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
  • 이석순 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 이대우 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 양연미 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 김재곤 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소)
  • Received : 2018.07.30
  • Accepted : 2018.08.27
  • Published : 2019.02.28
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Abstract

The objective of this study was to examine measuring agreement between middle phalanx of the third finger and cervical vertebrae analysis for assessing skeletal maturity according to body mass index percentile. A retrospective chart view was used to select patients with body mass index data, hand - wrist radiographs and lateral cephalograms of same day. The patients were divided into 4 groups by body mass index percentile. The hand - wrist radiographs were analyzed using modified middle phalanx of the third finger method and the lateral cephalograms were categorized according to cervical vertebral maturation stage. The degree of agreement between the 2 methods of analyzing skeletal maturation was measured by calculating weighted kappa statistic according to body mass index percentile group. There was a good agreement between the 2 methods in the entire body mass index percentile group. According to the body mass index percentile group, the agreement was found to be different, and the pattern was different between boys and girls. Pediatric dentist should consider sex and weight status when evaluating growing children and adolescents because it can affect the agreement of 2 method of analyzing skeletal maturation.

이 연구의 목적은 골격 성숙도를 평가하기 위해 3번째 손가락의 중간 지골을 이용하는 방법과 경추를 이용하는 방법 사이의 체질량 지수 백분위 수에 따른 일치도를 조사하는 것이다. 후향의 차트 분석을 통하여 체질량 지수 자료, 수완부 방사선 사진, 측방 두부 방사선 사진이 같은 날에 채득된 경우를 조사 대상으로 하였다. 조사 대상은 체질량 지수 백분위 수에 따라 4개 군으로 나뉘었다. 2가지 방법 사이의 체질량 지수 백분위 수 군에 따른 일치도는 가중치 카파 통계량을 계산하여 측정되었다. 전체 군에 대해 2가지 방법 간에 좋은 일치도를 보였지만 성별 및 체질량 지수 백분위 수 군에 따라서 일치도가 달랐다. 남자는 과체중 군에서 가장 큰 일치도를 보였으나 여자의 경우 저체중에서 비만으로 감에 따라 일치도가 더 증가하는 경향을 보였다. 어린이와 청소년의 성장을 평가할 때 성별과 체중 상태가 골령을 분석하는 2가지 방법의 일치도에 영향을 줄 수 있기 때문에 소아치과 의사는 이를 고려해야 한다.

Keywords

References

  1. Mack KB, Phillips C, Jain N, Koroluk LD : Relationship between body mass index percentile and skeletal maturation and dental development in orthodontic patients. Am J Orthod Dentofacial Orthop, 143:228-234, 2013. https://doi.org/10.1016/j.ajodo.2012.09.015
  2. Must A, Phillips SM, Hayes C, et al. : The association between childhood obesity and tooth eruption. Obesity, 20:2070-2074, 2012. https://doi.org/10.1038/oby.2012.23
  3. Giuca MR, Pasini M, Marzo G, et al. : Skeletal maturation in obese patients. Am J Orthod Dentofacial Orthop, 142:774-779, 2012. https://doi.org/10.1016/j.ajodo.2012.07.011
  4. DuPlessis EA, Araujo EA, Behrents RG, Kim KB : Relationship between body mass and dental and skeletal development in children and adolescents. Am J Orthod Dentofacial Orthop, 150:268-273, 2016. https://doi.org/10.1016/j.ajodo.2015.12.031
  5. Gaur R, Kumar P : Effect of undernutrition on deciduous tooth emergence among Rajput children of Shimla District of Himachal Pradesh, India. Am J Phys Anthropol, 148:54-61, 2012. https://doi.org/10.1002/ajpa.22041
  6. Gaur R, Boparai G, Saini K : Effect of under-nutrition on permanent tooth emergence among Rajputs of Himachal Pradesh, India. Ann Hum Biol, 38:84-92, 2011. https://doi.org/10.3109/03014460.2010.497499
  7. Olszewska K, Wazna-Olszewska M, Dunin-Wilczynska I : Obesity in children and Adolescents - a New Challenge in Orthodontic Practice. Dent Med Probl, 52:131-136, 2015.
  8. Korean Centers for Disease Control : 2017 Korean National Growth Charts. Available from URL: http://www.cdc.go.kr/CDC/contents/CdcKrContentView.jsp?cid=77683&menuIds=HOME001-MNU1130-MNU2743-MNU2748-MNU2744 (Accessed on February 4, 2018).
  9. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH : Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ, 320:1240-1243, 2000. https://doi.org/10.1136/bmj.320.7244.1240
  10. Cole TJ : A method for assessing age-standardized weightfor-height in children seen cross-sectionally. Ann Hum Biol, 6:249-268, 1979. https://doi.org/10.1080/03014467900007252
  11. Pecoraro P, Guida B, Pietrobelli A, et al. : Body mass index and skinfold thickness versus bioimpedance analysis: fat mass prediction in children. Acta Diabetol, 40:278-281, 2003. https://doi.org/10.1007/s00592-003-0086-y
  12. Maffeis C, Pietrobelli A, Tato L, et al. : Waist circumference and cardiovascular risk factors in prepubertal children. Obes Res, 9:179-187, 2001. https://doi.org/10.1038/oby.2001.19
  13. Perinetti G, Perillo L, Contardo L, et al. : Maturation of the middle phalanx of the third finger and cervical vertebrae: a comparative and diagnostic agreement study. Orthod Craniofac Res, 17:270-279, 2014. https://doi.org/10.1111/ocr.12052
  14. Ozer T, Kama JD, Ozer SY : A practical method for determining pubertal growth spurt. Am J Orthod Dentofacial Orthop, 130:131.e1-6, 2006. https://doi.org/10.1016/j.ajodo.2006.01.019
  15. Szemraj A, Wojtaszek Slominska A, Racka-Pilszak B : Is the cervical vertebral maturation (CVM) method effective enough to replace the hand-wrist maturation (HWM) method in determining skeletal maturation?-A systematic review. Eur J Radiol, 102:125-128, 2018. https://doi.org/10.1016/j.ejrad.2018.03.012
  16. Hagg U, Taranger J : Maturation indicators and the pubertal growth spurt. Am J Orthod, 82:299-309, 1982. https://doi.org/10.1016/0002-9416(82)90464-X
  17. Baccetti T, Franchi L, McNamara JA Jr : The Cervical Vertebral Maturation (CVM) Method for the Assessment of Optimal Treatment Timing in Dentofacial Orthopedics. Semin Orthod, 11:119-129, 2005. https://doi.org/10.1053/j.sodo.2005.04.005
  18. Fishman LS : Radiographic evaluation of skeletal maturation. A clinically oriented study based on hand-wrist films. Angle Orthod, 52:88-112, 1982.
  19. Greulich WW, Pyle SI : Radiographic Atlas of Skeletal Development of the Hand and Wrist, 2nd ed. Stanford University Press, 61-231, 1959.
  20. Rajagopal R, Kansal S : A comparison of modified MP3 stages and the cervical vertebrae as growth indicators. J Clin Orthod, 36:398-406, 2002.
  21. Abdel-Kader HM : The reliability of dental x-ray film in assessment of MP3 stages of the pubertal growth spurt. Am J Orthod Dentofacial Orthop, 114:427-429, 1998. https://doi.org/10.1016/S0889-5406(98)70188-X
  22. Wong RW, Alkhal HA, Rabie AB : Use of cervical vertebral maturation to determine skeletal age. Am J Orthod Dentofacial Orthop, 136:484.e1-6, 2009. https://doi.org/10.1016/j.ajodo.2007.08.033
  23. Hassel B, Farman AG : Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofacial Orthop, 107:58-66, 1995. https://doi.org/10.1016/S0889-5406(95)70157-5
  24. Franchi L, Baccetti T, McNamara JA Jr : Mandibular growth as related to cervical vertebral maturation and body height. Am J Orthod Dentofacial Orthop, 118:335-340, 2000. https://doi.org/10.1067/mod.2000.107009
  25. Nanda RS : The rates of growth of several facial components measured from serial cephalometric roentgenograms. Am J Orthod Dentofacial Orthop, 41:658-673, 1955. https://doi.org/10.1016/0002-9416(55)90112-3
  26. Gabriel DB, Southard KA, Southard TE, et al. : Cervical vertebrae maturation method: poor reproducibility. Am J Orthod Dentofacial Orthop, 136:478.e1-7, 2009. https://doi.org/10.1016/j.ajodo.2007.08.028
  27. Nestman TS, Marshall SD, Southard TE, et al. : Cervical vertebrae maturation method morphologic criteria: poor reproducibility. Am J Orthod Dentofacial Orthop, 140:182-188, 2011. https://doi.org/10.1016/j.ajodo.2011.04.013
  28. Muller R, Buttner P : A critical discussion of intraclass correlation coefficients. Stat Med, 13:2465-2476, 1994. https://doi.org/10.1002/sim.4780132310
  29. Flores Mir C, Burgess CA, Major PW, et al. : Correlation of skeletal maturation stages determined by cervical vertebrae and hand-wrist evaluations. Angle Orthod, 76:1-5, 2006.
  30. Tikku T, Khanna R, Sachan K, Agrawal S : Correlation of Improved Version of Cervical Vertebral Maturation Indicator with Other Growth Maturity Indicators. J Indian Orthod Soc, 47:28-32, 2013. https://doi.org/10.1177/0974909820130106
  31. Cericato GO, Bittencourt MA, Paranhos LR : Validity of the assessment method of skeletal maturation by cervical vertebrae: a systematic review and meta-analysis. Dentomaxillofac Radiol, 44:20140270, 2015. https://doi.org/10.1259/dmfr.20140270
  32. Danaei SM, Karamifar A, Ghodsi Boushehri S, et al. : Measuring agreement between cervical vertebrae and handwrist maturation in determining skeletal age: reassessing the theory in patients with short stature. Am J Orthod Dentofacial Orthop, 146:294-298, 2014. https://doi.org/10.1016/j.ajodo.2014.05.023
  33. Sandhu J, Ben-Shlomo Y, Davey Smith G, et al. : The impact of childhood body mass index on timing of puberty, adult stature and obesity: a follow-up study based on adolescent anthropometry recorded at Christ's Hospital (1936-1964). Int J Obes (Lond), 30:14-22, 2006. https://doi.org/10.1038/sj.ijo.0803156
  34. Fuente-Martin E, Argente-Arizon P, Chowen JA, et al. : Sex differences in adipose tissue: It is not only a question of quantity and distribution. Adipocyte, 2:128-134, 2013. https://doi.org/10.4161/adip.24075
  35. Sohrabi A, Babay Ahari S, Aghazadeh Z, et al. : The reliability of clinical decisions based on the cervical vertebrae maturation staging method. Eur J Orthod, 38:8-12, 2016. https://doi.org/10.1093/ejo/cjv030