Cervical vertebral maturation method

  • 文章类型: Journal Article
    这项研究的目的是确定牙齿年龄(DA)之间的关系,中国男性单侧唇腭裂(UCLP)儿童的宫颈分期(CS)和实际年龄(CA)与无裂儿童相似。105名UCLP男性患者的全景和头部X光片,年龄从8岁到16岁,收集并与210名年龄匹配的健康对照男性进行比较。Demirjian和颈椎成熟(CVM)方法用于目视检查X线片,并使用Spearman\的相关分析来确定两组之间在CS方面的差异。DA和CA。两组中DA和CA之间均存在显着正相关,与对照组相比,UCLP儿童的平均CA-DA差异显着高于对照组(0.319vs.0.003,p<0.05)。在10至12岁的UCLP儿童中发现了牙齿发育的显着延迟。UCLP和对照组均显示CS和DA之间的高度相关性。钙化阶段D仅在CS3之前出现;然而,从CS5到6,所有牙齿几乎都完成了成熟期。与健康对照组相比,中国男性UCLP患者可能会出现牙齿发育延迟,特别是在快速增长的时期。评估牙齿矿化的阶段可以代表评估生长潜力的快速方法。
    The aim of this study was to determine whether the relationship between dental age (DA), cervical stage (CS) and chronological age (CA) in Chinese male children with unilateral cleft lip and palate (UCLP) is similar to that of children without clefts. Panoramic and cephalometric radiographs of 105 male UCLP patients, aged from 8 to 16 years, were collected and compared to 210 age-matched healthy control males. The Demirjian and cervical vertebral maturation (CVM) methods were used to visually examine the radiographs and Spearman\'s correlation analysis was used to identify differences between the two groups with regards to CS, DA and CA. There was a significant positive correlation between DA and CA in both groups and the mean CA-DA difference was significantly higher in children with UCLP when compared to controls (0.319 vs. 0.003, p < 0.05). A significant delay in tooth development was detected in UCLP children from 10 to 12 years-of-age. Both the UCLP and control groups showed high correlations between CS and DA. Calcification stage D appeared only before CS3; however, from CS5 to 6, all teeth have almost completed their maturation phase. Chinese male UCLP patients are likely to experience delayed tooth development compared to healthy controls, especially during the fast-growing period. Evaluating the stages of tooth mineralization could represent a rapid method to assess growth potential.
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  • 文章类型: Journal Article
    背景:已经提出了牙齿成熟度与骨骼成熟度之间的相关性,但其临床应用仍具有挑战性。此外,在不同的研究中观察到的不同的相关性表明针对特定人群进行研究的必要性。
    目的:使用牙齿成熟度百分位数比较具有牙齿成熟度的韩国儿童的骨骼成熟度。
    方法:从5133和395名年龄在4至16岁之间的健康韩国儿童获得牙科全景X光片和头颅X光片。用Demirjian的方法评估牙齿成熟度,而骨骼成熟度用颈椎成熟方法评估。通过分位数回归建立标准百分位曲线。第50百分位数定义了高级(93个男孩和110个女孩)和延迟(92个男孩和100个女孩)牙科成熟度组。
    结果:在男孩(CS1、2、3、4和6)和女孩(CS1、3、5和6)中,晚期组的多个宫颈阶段(CS)的骨骼成熟较早。显著差异,根据Mann-WhitneyU测试的结果,在CS1中观察到男孩(p=0.004)和CS4中观察到女孩(p=0.037)。所有组牙齿成熟度和颈椎成熟度之间的Spearman相关系数均超过0.826(p=0.000)。
    结论:牙齿和骨骼成熟度之间的相关性,以及晚期牙齿成熟度组中的晚期骨骼成熟度,被观察到。使用百分位曲线来确定牙齿成熟度可能有助于评估骨骼成熟度,在正畸诊断和治疗计划中具有潜在的应用。
    BACKGROUND: The correlation between dental maturity and skeletal maturity has been proposed, but its clinical application remains challenging. Moreover, the varying correlations observed in different studies indicate the necessity for research tailored to specific populations.
    OBJECTIVE: To compare skeletal maturity in Korean children with advanced and delayed dental maturity using dental maturity percentile.
    METHODS: Dental panoramic radiographs and cephalometric radiographs were obtained from 5133 and 395 healthy Korean children aged between 4 and 16 years old. Dental maturity was assessed with Demirjian\'s method, while skeletal maturity was assessed with the cervical vertebral maturation method. Standard percentile curves were developed through quantile regression. Advanced (93 boys and 110 girls) and delayed (92 boys and 100 girls) dental maturity groups were defined by the 50th percentile.
    RESULTS: The advanced group showed earlier skeletal maturity in multiple cervical stages (CS) in both boys (CS 1, 2, 3, 4, and 6) and girls (CS 1, 3, 4, 5, and 6). Significant differences, as determined by Mann-Whitney U tests, were observed in CS 1 for boys (p = 0.004) and in CS 4 for girls (p = 0.037). High Spearman correlation coefficients between dental maturity and cervical vertebral maturity exceeded 0.826 (p = 0.000) in all groups.
    CONCLUSIONS: A correlation between dental and skeletal maturity, as well as advanced skeletal maturity in the advanced dental maturity group, was observed. Using percentile curves to determine dental maturity may aid in assessing skeletal maturity, with potential applications in orthodontic diagnosis and treatment planning.
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  • 文章类型: Journal Article
    BACKGROUND: The ability to estimate the growth potential correctly is an important factor in taking effective actions with respect to orthodontic diagnosis, suitable treatment protocol and optimal timing of commencing the therapy.
    OBJECTIVE: The aim of this study was to compare skeletal maturity between the groups depending on the malocclusion as well as to define the optimal timing for particular orthodontic treatment procedures in children with miscellaneous types of malocclusion and compare it with the duration of treatment proposed by the National Health Fund (NFZ).
    METHODS: The delivery of the objectives of this study has been divided into 4 stages: the selection of the lateral head films (n = 180) of patients with malocclusion without congenital defect - diagnosing an orthodontic defect using Angle\'s classification, noting the chronological age (7-16 years) at the moment of taking the radiograph; the evaluation of the patients\' skeletal maturation stages determined by the cervical vertebrae; comparison of the skeletal maturity between the groups considering the calendar age and the type of malocclusion and analysis of 45 cephalometric RTG projections of patients with different malocclusions.
    RESULTS: The average age for children with malocclusion was significantly higher for class III as compared to class II or I in pubertal peak group (CS3 and CS4), and for class III as compared to class I or II after the puberty peak (CS5 and CS6). Our findings of the average age according to Angle\'s classification revealed significant differences between class II and class III at CS2, CS3, CS4, CS5, between class I and class III at CS3 and CS5, between class I and class II at CS4, between class III and I at CS5, and between all classes at CS6 maturity stage.
    CONCLUSIONS: Based on our research, it is concluded that the time of the refund of orthodontic treatment in Poland should be extended to 13.6 years of age for class II malocclusion and to 14.7 years of age for class III defects.
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