Evaluation of Mid Palatal Suture Maturation and its Correlation with Maxillary Second Molar Mineralization in Growing Individuals

Authors

  • Salka Urooj Rehman College of Dentistry, Peshawar
  • Ayesha Iftikhar Rehman College of Dentistry, Peshawar
  • Sohrab Shaheed Rehman College of Dentistry, Peshawar

DOI:

https://doi.org/10.37762/jgmds.13-3.839

Keywords:

Mid-Palatal Suture Maturation, Mps, Demirjian Index, Moral Mineralization, CBCT

Abstract

ABSTRACT

OBJECTIVES

This study aimed to evaluate and correlate, using CBCT, the maturation stages of the mid-palatal suture (MPS) and the mineralization stages of the maxillary second molars in subjects to determine whether molar mineralization can predict MPS maturation.

METHODOLOGY

This study (cross-sectional) was conducted on 33 participants (aged 10-18 years). MPS maturation was assessed according to Angelieri et al., and second molar mineralization was evaluated using the Demirjian index from CBCTs. Spearman's correlation was used to assess the relationship between MPS maturation and second molar mineralization. Furthermore, partial correlation analysis was conducted to assess the relationship between these variables while controlling for age. Intra-examiner reliability was calculated utilizing intraclass correlation coefficients (ICC).

RESULTS
Intra-examiner reliability was high (ICC = 0.86). A significant moderate positive correlation was found between MPS maturation stages and second molar mineralization (ρ = 0.479, p = 0.005). When analyzed by gender, females showed a significant moderate correlation (ρ = 0.522, p = 0.018), whereas males showed a positive but non-significant correlation (ρ = 0.402, p = 0.173). Partial correlation analysis revealed a diminishing correlation between MPS maturation and molar mineralization (ρ = 0.282, p = 0.117).

CONCLUSION

Percutaneous nephrostomy was associated with higher short-term treatment effectiveness than double-J stenting in obstructive uropathy. Clinical context and underlying etiology should guide treatment selection.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Salka Urooj, Rehman College of Dentistry, Peshawar

3rd Year Resident, 
Department of Orthodontics,
Rehman College of Dentistry, Peshawar

Ayesha Iftikhar, Rehman College of Dentistry, Peshawar

Associate Professor, 
Department of Orthodontics,
Rehman College of Dentistry, Peshawar

Sohrab Shaheed, Rehman College of Dentistry, Peshawar

Professor,
Department of Orthodontics,
Rehman College of Dentistry, Peshawar

References

Macena MC, Katz CRT, Rosenblatt A. Prevalence of posterior crossbite and sucking habits in Brazilian children aged 18–59 months. Eur J Orthod. 2009;31(4):357–61. https://doi.org/10.1093/ejo/cjn108 PMID: 19174489 DOI: https://doi.org/10.1093/ejo/cjn128

Jimenez-Valdivia LM, Malpartida-Carrillo V, Rodríguez-Cárdenas YA, Dias-Da-Silveira HL, Arriola-Guillén LE. Midpalatal suture maturation stage assessment in adolescents and young adults using cone-beam computed tomography. Prog Orthod. 2019;20(1):38. https://doi.org/10.1186/s40510-019-0291-8 PMID: 31606855 DOI: https://doi.org/10.1186/s40510-019-0291-z

Luz CN, Pasqua BPM, Paiva JB, Rino-Neto J. Cervical vertebrae maturation assessment as a predictive method for midpalatal suture maturation stages in 11- to 14-year-olds: a retrospective study. Clin Interv Orthod. 2022;81(1):43–49 DOI: https://doi.org/10.1080/13440241.2022.2042036

Silva-Montero JC, Faus-Matoses I, Ribas-Pérez D, Pourhamid H, Solano-Mendoza B. Analysis of the frequency and correlated factors of midpalatal suture maturation stages in young adults based on cone-beam computed tomography imaging. J Clin Med. 2022;11(23):6959. https://doi.org/10.3390/jcm11236959 PMID: 36498336 DOI: https://doi.org/10.3390/jcm11236959

Angelieri F, Cevidanes LHS, Franchi L, Gonçalves JR, Benavides E, McNamara JA Jr. Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2013;144(5):759–69. https://doi.org/10.1016/j.ajodo.2013.07.007 PMID: 24182592 DOI: https://doi.org/10.1016/j.ajodo.2013.04.022

Mahdian A, Safi Y, Dalaie K, Kavousinejad S, Behnaz M. Correlation assessment of cervical vertebrae maturation stage and midpalatal suture maturation in an Iranian population. J World Fed Orthod. 2020;9(3):112–16. https://doi.org/10.1016/j.ejwf.2020.05.001 PMID: 32859491 DOI: https://doi.org/10.1016/j.ejwf.2020.05.004

Oliveira RS, Oliveira CJM, Panzarella FK, Cintra Junqueira JL. Maturation stages of the median palatine suture evaluated with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2021;160(4):567–72. https://doi.org/10.1016/j.ajodo.2020.06.038 PMID: 34561042 DOI: https://doi.org/10.1016/j.ajodo.2020.05.026

Sayar G, Kılınç DD. Rapid maxillary expansion outcomes according to midpalatal suture maturation levels. Prog Orthod. 2019;20(1):27. https://doi.org/10.1186/s40510-019-0285-6 PMID: 31385053 DOI: https://doi.org/10.1186/s40510-019-0278-9

Christovam IO, Lisboa CO, Vilani GN, Brandão RC, Visconti MA, Mattos CT, et al. Tomographic analysis of the midpalatal suture prior to rapid maxillary expansion. Dent Press J Orthod. 2021;26(3):e2119300. https://doi.org/10.1590/2177-6709.26.3.e2119300.oar PMID: 34346984 DOI: https://doi.org/10.1590/2177-6709.26.3.e2119300.oar

Munusamy N, Tandon P, Singh G, Nagar A, Patil R. Evaluation of the midpalatal suture and its correlation with cervical vertebral maturation stages and second molar mineralization stages: a CBCT study. J Indian Orthod Soc. 2023;57(4):406–14. https://doi.org/10.1177/03015742231170032

Šefeldaitė S, Mitalauskienė A, Trakinienė G, Vasiliauskas A, Lopatienė K, Venskutonis T. Correlation between third molar mineralization and midpalatal suture maturity: a cone-beam computed tomography study. Med Sci Monit. 2023;29:e940539. https://doi.org/10.12659/MSM.940539 PMID: 37586095 DOI: https://doi.org/10.12659/MSM.940539

Dadgar S, Hadian H, Ghobadi M, Sobouti F, Rakhshan V. Correlations among chronological age, cervical vertebral maturation index, and Demirjian developmental stage of the maxillary and mandibular canines and second molars. Surg Radiol Anat. 2021;43(1):131–43. https://doi.org/10.1007/s00276-020-02582-9 PMID: 32915394 DOI: https://doi.org/10.1007/s00276-020-02541-4

Liu H, Feng L, Wang L. Diagnostic value of cervical vertebral maturation stages for midpalatal suture maturation assessment: a study in the Chinese population. BMC Oral Health. 2023;23(1):504. https://doi.org/10.1186/s12903-023-03187-2 PMID: 37473869 DOI: https://doi.org/10.1186/s12903-023-03220-7

Angelieri F, Franchi L, Cevidanes LHS, McNamara JA Jr. Diagnostic performance of skeletal maturity for the assessment of midpalatal suture maturation. Am J Orthod Dentofacial Orthop. 2015;148(6):1010–16. https://doi.org/10.1016/j.ajodo.2015.06.022 PMID: 26672610 DOI: https://doi.org/10.1016/j.ajodo.2015.06.016

Chávez-Sevillano MG, Tenorio-Estrada J, Blanco-Victorio DJ, Lagravère-Vich MO, Abdo Quintão CC, Palomino-Gómez SP. Evaluation of suture ossification level according to age and sex in children, adolescents, and adults: a cross-sectional observational 3D study. Int Orthod. 2021;19(1):67–75. https://doi.org/10.1016/j.ortho.2020.10.006 PMID: 33342674 DOI: https://doi.org/10.1016/j.ortho.2020.12.002

Gao L, Gu Y. Chinese morphological stages of the midpalatal suture and its correlation with Demirjian dental age. J Peking Univ Health Sci. 2021;53(1):133–38. PMID: 33640738

Firouzinia M, Khafri S, Mirzaie M, Abesi F, Hamzeh M. Correlation between skeletal maturation and developmental stages of canines and second molars among an Iranian population. J Dent (Shiraz). 2022;23(2):95–101. https://doi.org/10.30476/DENTJODS.2021.90339.1492 PMID: 35845588

Booth E, Viana G, Shirazi S, Miller S, Sellke T, Elnagar M, Viana M, Atsawasuwan P. Correlations of spheno-occipital synchondrosis, cervical vertebrae, midpalatal suture, and third molar maturation stages. Angle Orthod. 2024;94(6):641–47. https://doi.org/10.2319/120423-924.1 PMID: 38713262 DOI: https://doi.org/10.2319/041224-295.1

Downloads

Published

2026-06-30

How to Cite

Urooj, S., Iftikhar, A. ., & Shaheed, S. (2026). Evaluation of Mid Palatal Suture Maturation and its Correlation with Maxillary Second Molar Mineralization in Growing Individuals. Journal of Gandhara Medical and Dental Science, 13(3), 14–19. https://doi.org/10.37762/jgmds.13-3.839