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VOLUME 11 , ISSUE 2 ( March-April, 2020 ) > List of Articles

ORIGINAL RESEARCH

A Comparison of Accuracy of Skeletal Maturity Indicators Using Cone-beam Computed Tomography, Lateral Cephalogram, and Hand-wrist Radiograph in Circumpubertal Dravidian Population

Munaif Vyshyambath, Raghunath Nagasundara Rao, Jyothikiran Hurkadle

Keywords : Cone beam computed tomography, Hand-wrist, Lateral cephalogram, Skeletal maturation

Citation Information : Vyshyambath M, Rao RN, Hurkadle J. A Comparison of Accuracy of Skeletal Maturity Indicators Using Cone-beam Computed Tomography, Lateral Cephalogram, and Hand-wrist Radiograph in Circumpubertal Dravidian Population. World J Dent 2020; 11 (2):139-145.

DOI: 10.5005/jp-journals-10015-1705

License: CC BY-NC 4.0

Published Online: 01-09-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aims: The study aims to evaluate and compare cervical maturation stage using lateral cephalogram, cone-beam computed tomography (CBCT), and skeletal maturation using hand-wrist radiograph. Materials and methods: Forty-eight patients of circumpubertal Dravidian population were chosen. Subjects were advised to take CBCT of cervical region, lateral cephalogram, and hand-wrist radiograph with adequate protective measures. The CBCT and lateral cephalogram were evaluated using the Lamparski index modified by Hassel and Farman as a reference to determine skeletal maturity using cervical vertebra. Hand-wrist radiograph was evaluated for different stages of maturation according to Fishman's index. Stages of maturity between hand-wrist radiograph, lateral cephalogram and CBCT were evaluated in circumpubertal male and female subjects for reliability and accuracy. Results: When evaluating skeletal maturity indicator using these three diagnostic aids, it was found that all three were reliable with p value <0.05 in all groups. The accuracy between CBCT, lateral cephalogram, and hand-wrist shows skeletal maturity indicator using CBCT was highly accurate than lateral cephalogram and hand-wrist radiographs. Conclusion: Cervical vertebrae maturation index (CVMI) using lateral cephalogram and CBCT shows high reliability in prepubertal, pubertal, and post-pubertal male and female subjects. The skeletal maturity indicator using hand-wrist shows reliable tool for skeletal maturity. When the accuracy between the aids was compared, it revealed that CBCT is the most accurate diagnostic aid in assessing skeletal maturity indicator. Clinical significance: The results of this study suggest that CBCT can be used to assess skeletal maturity and, therefore, we can avoid an additional radiogram (hand-wrist radiography) whenever CBCT is considered as an investigating tool for orthodontic patients.


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  1. Todd TW. Atlas of skeletal maturation. Part 1, hand. London, United Kingdom: Kimpton; 1937.
  2. Baccetti T, Franchi L, McNamara Jr JA. The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. Semin Orthod 2005;11(3):119–129. DOI: 10.1053/j.sodo.2005.04.005.
  3. Byun B-R, Kim Y-I, Yamaguchi T, et al. Quantitative assessment of cervical vertebral maturation using cone beam computed tomography in Korean girls. Comput Math Methods Med 2015;2015:405912. DOI: 10.1155/2015/405912.
  4. Bonfim MAE, Costa ALF, Fuziy A, et al. A study of cervical vertebrae maturation index estimates on cone beam CT: 3D reconstructions vs sagittal sections. Dentomaxillofac Radiol 2016;45:20150162. DOI: 10.1259/dmfr.20150162.
  5. Cho S-M, Hwang C-J. Skeletal maturation evaluation using mandibular third molar development in adolescents. Korean J Orthod 2009;39(2):120–129. DOI: 10.4041/kjod.2009.39.2.120.
  6. O'Reilly MT, Yanniello GJ. Mandibular growth changes and maturation of cervical vertebrae--a longitudinal cephalometric study. Angle Orthod 1988;58(2):179–184. DOI: 10.1043/0003-3219(1988)058<0179:MGCAMO>2.0.CO;2.
  7. Chatzigiannia A, Halazonetis DJ. Geometric morphometric evaluation of cervical vertebrae shape and its relationship to skeletal maturation. Am J Orthod Dentofacial Orthop 2009;136(4):481.e1–481.e910.1016/j.ajodo.2009.04.017.
  8. Joshi V, Yamaguchi T, Matsuda Y, et al. Skeletal maturity assessment with the use of cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;113(6):841–849. DOI: 10.1016/j.oooo.2011.11.018.
  9. Shi H, Scarfe WC, Farmanc AG. Three-dimensional reconstruction of individual cervical vertebrae from cone-beam computed-tomography images. Am J Orthod Dentofacial Orthop 2007;131(3):426–432. DOI: 10.1016/j.ajodo.2005.12.031.
  10. Fishman LS. Radiographic evaluation of skeletal maturation, a clinically oriented method based on hand-wrist films. Angle Orthod 1982;52(2):88–112. DOI: 10.1043/0003-3219(1982)052<0088:REOSM>2.0.CO;2.
  11. Sidlauskas A, Zilinskaite L, Svalkauskiene V. Mandibular pubertal growth spurt prediction. Part one: method based on the hand-wrist radiographs. Stomatologija 2005;7(1):16–20.
  12. Grave KC, Brown T. Skeletal ossification and the adolescent growth spurt. Am J Orthod Dentofacial Orthop 1976;69(6):611–619. DOI: 10.1016/0002-9416(76)90143-3.
  13. Alkhal HA, Wong RWK, Rabie ABM. Correlation between chronological age, cervical vertebral maturation and fishman's skeletal maturity indicators in Southern Chinese. Angle Orthod 2008;78(4):591–596. DOI: 10.2319/0003-3219(2008)078[0591:CBCACV]2.0.CO;2.
  14. Gandini P, Mancini M, Andreani F. A comparison of hand-wrist bone and cervical vertebral analyses in measuring skeletal maturation. Angle Orthod 2006;76(6):984–989. DOI: 10.2319/070605-217.
  15. Choi Y-K, Kim J, Yamaguchi T. Cervical vertebral body's volume as a new parameter for predicting the skeletal maturation stages. Biomed Res Int 2016;2016:8696735. DOI: 10.1155/2016/8696735.
  16. Gribel BF, Gribel MN, Frazäo DC, et al. Accuracy and reliability of craniometric measurements on lateral cephalometry and 3D measurements on CBCT scans. Angle Orthod 2011;81(1):26–35. DOI: 10.2319/032210-166.1.
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