Correlation of Dental and Skeletal Maturity Using Dimirgian and Cervical Vertebral Maturation Indices in Orthodontic Patients
DOI:
https://doi.org/10.37762/jgmds.9-4.312Keywords:
CVMI, Demirjian Index, Dental Maturity, Skeletal MaturityAbstract
OBJECTIVES
To determine the correlation between skeletal and dental maturity using the cervical vertebral maturation (CVM) index (CVMI) and Demirjian index (DI) in orthodontic patients.
METHODOLOGY
Panoramic and lateral cephalogram radiographs of 105 patients pretreatment records were retrieved. Tooth calcification stages for mandibular left molar were recorded using Demirjian Index on the panoramic radiograph. The skeletal maturation stages were evaluated on a lateral cephalogram through CVMI staging. Fisher’s exact test and Cramer’s V values were estimated to determine the correlation between DI and CVMI. Weighted kappa statistics were used to determine the reproducibility of inter-observer assessment of DI and CVMI. A p-value of ≤ 0.05 was taken to be statistically significant.
RESULTS
A statistically significant correlation is present among the various stages of DI and CVMI for the males (Fisher exact = 25.006, Cramer’s V = 0.848, p = < 0.001) and females (Fisher exact = 41.006, Cramer’s V = 0.623, p = <0.001). A comparison of DI with respect to CVMI shows a more advanced skeletal stage in males than for female subjects.
CONCLUSION
The correlation between CVMI and DI stages was found to be highly significant. Stage D and F of DI were significantly correlated with stage 3 and stage 4 of CVMI in females and males respectively.
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Mohan R, Jain RK, Balakrishnan N. Correlation between chronological age and skeletal age using cvmi and modified MP3 methods. Bioinformation. 2020;16(12):1045-50
Fleming PS. Timing orthodontic treatment: early or late? Aust Dent J. 2017;62 Suppl 1:11-19.
Cho SM, Hwang CJ. Skeletal maturation evaluation using mandibular third molar development in adolescents. Korean Journal of Orthodontics. 2009;39(2):120-9
Jeon JY, Kim CS, Kim JS, Choi SH. Correlation and Correspondence between Skeletal Maturation Indicators in Hand-Wrist and Cervical Vertebra Analyses and Skeletal Maturity Score in Korean Adolescents. Children (Basel). 2021;8(10):910
Palanisamy V, Rao A, Shenoy R, Baranya SS. Correlation of dental age, skeletal age, and chronological age among children aged 9-14 years: A retrospective study. J Indian Soc Pedod Prev Dent. 2016;34(4):310-4
H. O. Al-Balbeesi, N. W. Al-Nahas, L. F. Baidas, S. M. Bin Huraib, R.'a. Alhaidari, and G. Alwadai. Correlation between skeletal maturation and developmental stages of canines and third molars among Saudi subject. The Saudi Dental Journal. 2018;(30):74–84
G. Songra, T. K. Mittal, J. C. Williams, J. Puryer, J. R. Sandy, and A. J. Ireland. Assessment of growth in orthodontics. Orthodontic Update. 2017;10(1):16–23
Yang R, Wang L, Wu C, et al. Nomogram for Predicting Bone Development State of Female Children and Adolescents-A Fast Screening Approach Based on Pubes Stages for Growth and Development. Front Pediatr. 2021;9:694958
Palanisamy V, Rao A, Shenoy R, Baranya SS. Correlation of dental age, skeletal age, and chronological age among children aged 9-14 years: A retrospective study. J Indian Soc Pedod Prev Dent. 2016;34(4):310-4
Avinash B, Shivalinga M, Balasubramanian SS. The index of orthodontic treatment need-a review. International Journal of Scientific Research. 2015;6(8):1
Esan TA, Schepartz LA. The timing of permanent tooth development in a Black Southern African population using the Demirjian method. International Journal of Legal Medicine. 2019 Jan;133(1):257-68
Vedovello SA, Dos Santos PR, de Carvalho AL, Vedovello Filho M, Ambrosano GM, Pereira AC, Meneghim MD. Exploring the perception of orthodontic treatment need using the Dental Aesthetic Index and Index of Orthodontic Treatment Need. American Journal of Orthodontics and Dentofacial Orthopedics. 2019 Dec 1;156(6):818-22
Siegel JA, McCollough CH. 5.4. Advocating for use of the ALARA principle in the context of medical imaging fails to recognize that the risk is hypothetical and so serves to reinforce patient's fears of radiation. Controversies in Medical Physics: a Compendium of Point/Counterpoint Debates Volume 3. 2017 Dec:253
Verma M, Verma N, Sharma R, Sharma A. Dental age estimation methods in adult dentitions: An overview. Journal of forensic dental sciences. 2019 May;11(2):57
Yadav V, Loomba A, Autar R. A comparative evaluation of dental calcification stages and skeletal maturity indicators in North-Indian children. National Journal of Maxillofacial Surgery. 2017 Jan;8(1):26
Ojha A, Prasanth MA, Singh V, Sihag T, Bhati V, Tomar H. Assessment of correlation between dental calcification stages and skeletal maturity indicators. Journal of Forensic Dental Sciences. 2018 Sep;10(3):132
Macha M, Lamba B, Avula JS, Muthineni S, Margana PG, Chitoori P. Estimation of correlation between chronological age, skeletal age and dental age in children: a cross-sectional study. Journal of clinical and diagnostic research: JCDR. 2017 Sep;11(9):ZC01
Hashim HA, Mansoor H, Mohamed MH. Assessment of skeletal age using hand-wrist radiographs following Bjork system. Journal of International Society of Preventive & Community Dentistry. 2018 Nov;8(6):482
Lecca-Morales RM, Carruitero MJ. Relationship between dental calcification and skeletal maturation in a Peruvian sample. Dental press journal of orthodontics. 2017 May;22:89-96
Mithun, K. Evaluation of skeletal maturation using Mandibular second molar calcification in south Indian population. International Journal of Current Research. 2017;9(07): 54632-54637
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Copyright (c) 2022 Shahab Adil, ZAFAR UL ISLAM, KULSOOM KAREEM, Hassan ALI RAZA, Sanam Tauheed , Sohaib Hassan
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