Hand skeletal maturity and its correlation with mandibular dental development
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Bagherpour, Ali; Pousti, Maryam; Adelianfar, Elahe
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Aquest document és un/a article, creat/da en: 2014
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Objectives: Assessment of pubertal status and pubertal growth spurt in orthodontic patients has a considerable
impact on the diagnosis, treatment plan and the outcome of orthodontic treatments. Hand-wrist radiography is
routinely used to evaluate skeletal development. Some studies have shown that there is an association between bone
development and different stages of dental calcification; therefore, the stages of dental calcification can be used as
the first tool for diagnosis, in case there is an association. This study was performed with the aim to evaluate the
association between the phases of dental development and the stages of skeletal maturity.
Study design: In this study, a total of 52 patients (26 males and 26 females), referring to Mashhad School of Den
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tistry for orthodontic treatment, were evaluated; the subjects were within the age range of 9-14 years. Hand-wrist
radiographic evaluation of skeletal maturation was performed using Fishman method. Also, the Demirjian method
was used to identify the stages of dental calcification by panoramic radiographs. Independent t-test and Spearman
correlation coefficient were used for data analyses.
Results: The mean age of males and females was 11.05 ± 1.05 and 10.62 ± 1.12 years, respectively (p=0.156). The
Spearman correlation coefficients between skeletal maturity indicators (SMIs) and developmental stages of mandi
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bular left and right canines and second molars were significant in males only (p<0.05). Also, correlation coefficients
were significant between adductor sesamoid ossification and mandibular right and left canines developmental sta
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ges in males (p<0.05).
Conclusions: Findings of this study showed that the correlation between dental developmental stages and skeletal
maturity only were significant in males; thus, different skeletal maturity patterns in males and females might be
perceptible.
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