The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
권호 표지
DOI QR코드

DOI QR Code

Evaluation of skeletal maturity in the cervical vertebrae and hand-wrist in relation to vertical facial types

  • Lee, Ye-Seul (Department of Orthodontics, Yonsei University College of Dentistry) ;
  • Choi, Sung-Hwan (Department of Orthodontics, Yonsei University College of Dentistry) ;
  • Kim, Kyung-Ho (Institute of Craniofacial Deformity, Yonsei University College of Dentistry) ;
  • Hwang, Chung-Ju (Department of Orthodontics, Yonsei University College of Dentistry)
  • Received : 2019.02.18
  • Accepted : 2019.06.17
  • Published : 2019.09.25
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: To evaluate differences in skeletal maturity in relation to vertical facial types and to compare differences in the skeletal maturity of the cervical vertebrae and hand-wrist in females. Methods: This study included 59 females aged 7 to 9 years with skeletal Class I malocclusion. The participants were categorized into three groups (low, normal, and high) according to the mandibular plane angle. Skeletal maturity was measured using skeletal maturity indicators (SMIs) and the Tanner-Whitehouse III (TW3) method on hand-wrist radiographs and by using cervical vertebrae maturation indicators (CVMIs) on lateral cephalometric radiographs. Results: The SMI was higher in the high-angle group than in the low-angle group (p = 0.014). The median TW3 bone age was 11.4 months higher in the high-angle group than in the low-angle group (p = 0.032). There was no significant difference in CVMI among the three groups. Skeletal maturity showed a weakly positive correlation with the mandibular plane angle (SMI, r = 0.391; TW3, r = 0.333; CVMI, r = 0.259). Conclusions: The skeletal maturity of the hand-wrist in females with a high mandibular plane angle was higher than that in females with a low mandibular plane angle. Obtaining additional hand-wrist radiographs may facilitate evaluation of skeletal maturity of females. In females with a high mandibular angle, the time to commence orthodontic treatment may be earlier than that in females with a low mandibular angle.

Keywords

References

  1. Fishman LS. Chronological versus skeletal age, an evaluation of craniofacial growth. Angle Orthod 1979;49:181-9.
  2. Demirjian A, Buschang PH, Tanguay R, Patterson DK. Interrelationships among measures of somatic, skeletal, dental, and sexual maturity. Am J Orthod 1985;88:433-8. https://doi.org/10.1016/0002-9416(85)90070-3
  3. Flores-Mir C, Nebbe B, Major PW. Use of skeletal maturation based on hand-wrist radiographic analysis as a predictor of facial growth: a systematic review. Angle Orthod 2004;74:118-24.
  4. Fishman LS. Radiographic evaluation of skeletal maturation. A clinically oriented method based on hand-wrist films. Angle Orthod 1982;52:88-112.
  5. Tanner JM, Healy MJR, Goldstein H, Cameron N. Assessment of skeletal maturity and prediction of adult height (TW3 method). Philadelphia: Saunders, 2001.
  6. Hagg U, Taranger J. Skeletal stages of the hand and wrist as indicators of the pubertal growth spurt. Acta Odontol Scand 1980;38:187-200. https://doi.org/10.3109/00016358009004719
  7. Hassel B, Farman AG. Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofacial Orthop 1995;107:58-66. https://doi.org/10.1016/S0889-5406(95)70157-5
  8. Cericato GO, Bittencourt MA, Paranhos LR. Validity of the assessment method of skeletal maturation by cervical vertebrae: a systematic review and metaanalysis. Dentomaxillofac Radiol 2015;44:20140270. https://doi.org/10.1259/dmfr.20140270
  9. Nanda SK. Patterns of vertical growth in the face. Am J Orthod Dentofacial Orthop 1988;93:103-16. https://doi.org/10.1016/0889-5406(88)90287-9
  10. Verulkar A, Singla P, Patil HA, Tekale PD. Assessment of skeletal and dental maturity indicators and comparison of maturity indicators in vertical and horizontal growth pattern individuals with normal growth pattern individuals. Int J Orthod Rehabil 2017;8:108-11. https://doi.org/10.4103/ijor.ijor_20_17
  11. Park IO, Sohn BH. A longitudinal study of the changes in the anteroposterior apical base relationship between 6 and 13 years of age. Korean J Orthod 1989;19:137-51.
  12. Kim KH, Choy KC, Lee JY. A study on horizontal reference planes in lateral cephalogram in Korean children. Korean J Orthod 1999;29:251-64.
  13. Prion S, Haerling KA. Making sense of methods and measurement: Spearman-rho ranked-order correlation coefficient. Clin Simul Nurs 2014;10:535-6. https://doi.org/10.1016/j.ecns.2014.07.005
  14. Berberoglu M. Precocious puberty and normal variant puberty: definition, etiology, diagnosis and current management. J Clin Res Pediatr Endocrinol 2009;1:164-74. https://doi.org/10.4274/jcrpe.v1i4.3
  15. Lee HK, Choi SH, Fan D, Jang KM, Kim MS, Hwang CJ. Evaluation of characteristics of the craniofacial complex and dental maturity in girls with central precocious puberty. Angle Orthod 2018;88:582-9. https://doi.org/10.2319/112317-809.1
  16. Kim KH. A longitudinal study on the skeletal maturity of the hand and wrist among various malocclusion groups (I). Korean J Orthod 1999;29:183-95.
  17. Kim KH, Baik HS, Son ES. A study on menarche and skeletal maturity among various malocclusion groups. Korean J Orthod 1998;28:581-9.
  18. Neves LS, Pinzan A, Janson G, Canuto CE, de Freitas MR, Cancado RH. Comparative study of the maturation of permanent teeth in subjects with vertical and horizontal growth patterns. Am J Orthod Dentofacial Orthop 2005;128:619-23. https://doi.org/10.1016/j.ajodo.2004.05.026
  19. Ricketts RM. Cephalometric analysis and synthesis. Angle Orthod 1961;31:141-56.
  20. Ashizawa K, Kumakura C, Zhou X, Jin F, Cao J. RUS skeletal maturity of children in Beijing. Ann Hum Biol 2005;32:316-25. https://doi.org/10.1080/03014460500087725
  21. Kannus P, Haapasalo H, Sievanen H, Oja P, Vuori I. The site-specific effects of long-term unilateral activity on bone mineral density and content. Bone 1994;15:279-84. https://doi.org/10.1016/8756-3282(94)90289-5
  22. Martin DD, Neuhof J, Jenni OG, Ranke MB, Thodberg HH. Automatic determination of left- and right-hand bone age in the First Zurich Longitudinal Study. Horm Res Paediatr 2010;74:50-5. https://doi.org/10.1159/000313369
  23. Shin YH, Chyang I, Kang HY. A comparison of bone maturation between dominant hand and non-dominant hand of boys in childhood by means of Tanner-Whitehouse 3 (TW3) method. Korean J Sports Sci 2014;23:1459-66.

Cited by

  1. Evaluation of cephalometric characteristics and skeletal maturation of the cervical vertebrae and hand-wrist in girls with central precocious puberty vol.50, pp.3, 2019, https://doi.org/10.4041/kjod.2020.50.3.181
  2. Evaluation of Skeletal and Dental Maturity in Relation to Vertical Facial Types and the Sex of Growing Children vol.48, pp.4, 2019, https://doi.org/10.5933/jkapd.2021.48.4.414