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Correlation between cervical vertebrae maturation and midpalatal suture fusion in patients aged between 10 and 20 years: A cross-sectional and 3D study - 07/08/22

Doi : 10.1016/j.ortho.2022.100659 
Janet Tenorio Estrada 1, , Manuel Mattos Vela 2, Maria Gamarra Contreras 3, Daniel José Blanco Victorio 3, Manuel Oscar Lagravère 4, , Cátia Cardoso Abdo Quintão 5, Manuel Gustavo Chávez-Sevillano 1
1 Department of Surgical Medical Stomatology, Faculty of Dentistry, National University of San Marcos, Lima, Perú 
2 Department of Preventive Stomatology, Faculty of Dentistry, National University of San Marcos, Lima, Perú 
3 Department of Medicine, Faculty of Health Sciences, University of Señor de Sipán, Lambayeque, Perú 
4 Division of Orthodontics, Faculty of Dentistry. University of Alberta, Edmonton, Alberta, Canada 
5 Department of Orthodontics, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil 

Manuel Lagravère, Faculty of Medicine and Dentistry, School of Dentistry, University of Alberta, 5-488 Edmonton Clinic Health Academy, avenue NW, Edmonton, Alberta, Canada T6G 1C9.Faculty of Medicine and Dentistry, School of Dentistry, University of Alberta, 5-488 Edmonton Clinic Health Academyavenue NWEdmontonAlbertaCanada T6G 1C9Janet Tenorio Estrada, Department of Surgical Medical Stomatology, Faculty of Dentistry, National University of San Marcos, Av. Germán Amézaga 375, Cercado de Lima, Lima, PerúDepartment of Surgical Medical Stomatology, Faculty of Dentistry, National University of San MarcosAv. Germán Amézaga 375, Cercado de LimaEdmontonLimaPerú

Summary

Objective

This study aimed to correlate the cervical vertebrae maturation (CVM) stages with the bone fusion stages of the midpalatal suture (MPS).

Materials and methods

The sample consisted of 351 cone-beam computed tomographies (CBCTs) of patients divided into two groups: 10–15 years old and 16–20 years old. Both CVM and MPS stages were correlated using Spearman's correlation analysis. To assess the diagnostic performance of the CVM stages in identifying the bone fusion stages of the MPS, the likelihood ratio (LHR) test was applied.

Results

In the whole sample, a low positive correlation was found between CVM and MPS bone fusion level (P<0.001; Rho=0.395). In the younger age group, the correlation was moderate in the male (P<0.001; Rho=0.616) and low in the female (P<0.001; Rho=0.394) patients. In the 16–20 years age group, there was no correlation between CVM and MPS fusion. A moderate increase in the probability of determining CS1 for stage A (38%) and CS2 for stage B (42.2%) of MPS ossification was found among the 10–15 year old female patients.

Conclusion

A low and moderate positive correlation was found between CVM and MPS level of bone fusion in female and male patients respectively, but the diagnostic performance of the CVM stages in the identification of MPS bone fusion stages did not have a high correlation. Therefore, the CVM stages indicated no conclusive probability of determining the MPS bone fusion stage.

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Keywords : Cone-Beam Computed Tomography, Palatal expansion technique, Cervical vertebrae, Midpalatal suture


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Vol 20 - N° 3

Articolo 100659- settembre 2022 Ritorno al numero
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