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Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation

Year 2018, Volume: 35 Issue: 3, 69 - 74, 14.08.2018
https://doi.org/10.17214/gaziaot.406823

Abstract

Objective: To
evaluate the stages of midpalatal suture (MPS) maturation in patients older
than 15 years, and to determine the correlation between the stage of MPS
maturation and age and cervical vertebral maturation (CVM).



Materials and Method: Cone-beam computed tomography (CBCT) scans of 50
patients (29 female and 21 male; mean age, 19.79 ± 4.09 years) were evaluated.
Good quality CBCT images from 15–30-year-old patients for evaluation of
impacted canines or determination of orthognathic surgery were selected. The
CBCT images were evaluated at two different time intervals for determination of
the stages of MPS and CVM. The stages of MPS maturation were classified as A,
B, C, D, or E using the axial sections by using a method validated previously.
The stages of CVM were classified using sagittal sections of the CBCT images.
Intra-examiner agreement was assessed using the Kappa test. The correlations
between MPS maturation and chronological age and CVM were assessed using
Spearman’s rank correlation analysis.



Results: The
Kappa coefficients for intra-examiner agreement were 0.837 and 0.865 for
classification of the stages of MPS maturation and CVM, respectively. No
significant correlation was observed between chronological age and maturation
of MPS (r = 0.212, p = 0.139) and between the stages of CVM and maturation of
MPS (r = 0.030, p = 0.839).



Conclusion: The
limitation of our study was a small sample size, and, on the basis of our
results, neither CVM nor chronological age could be used as a convenient tool
to determine the stage of MPS maturation in 15–30-year-old patients.

References

  • Haas AJ. The Treatment of Maxillary Deficiency by Opening the Midpalatal Suture. Angle Orthod 1965;35:200-17.
  • Haas AJ. Rapid expansion of the maxillary dental arch and nasal cavity by opening the mid-palatal suture. Angle Orthod 1961;31:73-90.
  • Liu S, Xu T, Zou W. Effects of rapid maxillary expansion on the midpalatal suture: a systematic review. Eur J Orthod 2015;37:651-5.
  • Camps-Pereperez I, Guijarro-Martinez R, Peiro-Guijarro MA, Hernandez-Alfaro F. The value of cone beam computed tomography imaging in surgically assisted rapid palatal expansion: a systematic review of the literature. Int J Oral Maxillofac Surg 2017;46:827-38.
  • Chrcanovic BR, Custodio AL. Orthodontic or surgically assisted rapid maxillary expansion. Oral Maxillofac Surg 2009;13:123-37.
  • Suri L, Taneja P. Surgically assisted rapid palatal expansion: a literature review. Am J Orthod Dentofacial Orthop 2008;133:290-302.
  • Lagravere MO, Major PW, Flores-Mir C. Long-term skeletal changes with rapid maxillary expansion: a systematic review. Angle Orthod 2005;75:1046-52.
  • Grunheid T, Larson CE, Larson BE. Midpalatal suture density ratio: A novel predictor of skeletal response to rapid maxillary expansion. Am J Orthod Dentofacial Orthop 2017;151:267-76.
  • Angelieri F, Cevidanes LH, Franchi L, Goncalves JR, Benavides E, McNamara JA, Jr. Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop 2013;144:759-69.
  • Angelieri F, Franchi L, Cevidanes LH, McNamara JA, Jr. Diagnostic performance of skeletal maturity for the assessment of midpalatal suture maturation. Am J Orthod Dentofacial Orthop 2015;148:1010-6.
  • Tonello DL, Ladewig VM, Guedes FP, Ferreira Conti ACC, Almeida-Pedrin RR, Capelozza-Filho L. Midpalatal suture maturation in 11- to 15-year-olds: A cone-beam computed tomographic study. Am J Orthod Dentofacial Orthop 2017;152:42-8.
  • Baccetti T, Franchi L, McNamara JA. The Cervical Vertebral Maturation (CVM) Method for the Assessment of Optimal Treatment Timing in Dentofacial Orthopedics. Semin Orthod 2005;11:119-29.
  • Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-74.
  • Baydas B, Yavuz I, Uslu H, Dagsuyu IM, Ceylan I. Nonsurgical rapid maxillary expansion effects on craniofacial structures in young adult females. A bone scintigraphy study. Angle Orthod 2006;76:759-67.
  • Davidovitch M, Efstathiou S, Sarne O, Vardimon AD. Skeletal and dental response to rapid maxillary expansion with 2- versus 4-band appliances. Am J Orthod Dentofacial Orthop 2005;127:483-92.
  • Korbmacher H, Schilling A, Puschel K, Amling M, Kahl-Nieke B. Age-dependent three-dimensional microcomputed tomography analysis of the human midpalatal suture. J Orofac Orthop 2007;68:364-76.
  • Knaup B, Yildizhan F, Wehrbein H. Age-related changes in the midpalatal suture. A histomorphometric study. J Orofac Orthop 2004;65:467-74.
  • Flores-Mir C, Burgess CA, Champney M, Jensen RJ, Pitcher MR, Major PW. Correlation of skeletal maturation stages determined by cervical vertebrae and hand-wrist evaluations. Angle Orthod 2006;76:1-5.
  • Fishman LS. Radiographic evaluation of skeletal maturation. A clinically oriented method based on hand-wrist films. Angle Orthod 1982;52:88-112.
  • Gandini P, Mancini M, Andreani F. A comparison of hand-wrist bone and cervical vertebral analyses in measuring skeletal maturation. Angle Orthod 2006;76:984-9.
  • Litsas G, Ari-Demirkaya A. Growth indicators in orthodontic patients. Part 1: comparison of cervical vertebral maturation and hand-wrist skeletal maturation. Eur J Paediatr Dent 2010;11:171-5.
  • Wehrbein H, Yildizhan F. The mid-palatal suture in young adults. A radiological-histological investigation. Eur J Orthod 2001;23:105-14.
  • Angelieri F, Franchi L, Cevidanes LH, Gonçalves JR, Nieri M, Wolford LM, et al. Cone beam computed tomography evaluation of midpalatal suture maturation in adults. Int J Oral Maxillofac Surg 2017;46:1557-61.
  • Haghanifar S, Mahmoudi S, Foroughi R, Mir AP, Mesgarani A, Bijani A. Assessment of midpalatal suture ossification using cone-beam computed tomography. Electron Physician 2017;9:4035-41.
  • Timms DJ, Vero D. The relationship of rapid maxillary expansion to surgery with special reference to midpalatal synostosis. Br J Oral Surg 1981;19:180-96.
  • Chaconas SJ, Caputo AA. Observation of Orthopedic Force Distribution Produced by Maxillary Orthodontic Appliances. Am J Orthod Dentofacial Orthop 1982;82:492-501.

Midpalatal sutur maturasyonunun yaş ve servikal vertebral maturasyonla ilişkisi: radyografik inceleme

Year 2018, Volume: 35 Issue: 3, 69 - 74, 14.08.2018
https://doi.org/10.17214/gaziaot.406823

Abstract

Amaç: Bu çalışmanın amacı 15 yaş ve
üstündeki bireylerde midpalatal sutur maturasyon aşamalarını değerlendirmek ve
bu aşamaların yaş ve servikal vertebral maturasyonla ilişkisini belirlemektir.

Gereç ve Yöntem: 50 bireyin (29 kadın, 21
erkek; ortalama yaş: 19.79 ± 4.09 yıl) konik ışınlı bilgisayarlı tomografi
(KIBT) görüntüleri incelendi. Gömülü kanin değerlendirmesi veya ortognatik
cerrahi planlaması için alınmış iyi kalitede KIBT görüntüleri olan 15-30 yaş
arasındaki bireyler çalışmaya dahil edildi. Midpalatal sutur ve servikal
vertebral maturasyon aşamalarının belirlenmesi için KIBT görüntüleri iki farklı
zamanda değerlendirildi. Midpalatal sutur maturasyon aşamaları, daha önceden
doğrulanmış bir yöntem ile, aksiyel kesitler değerlendirilerek A, B, C, D veya
E olarak sınıflandırıldı. Servikal vertebral maturasyon aşamaları ise KIBT
görüntülerinin sagital kesitlerinden belirlendi. Gözlemci içi güvenilirlik
Kappa testi ile değerlendirildi. Midpalatal sutur maturasyonu ile kronolojik
yaş ve servikal vertebral maturasyon arasındaki korelasyon Spearman’ın sıralama
korelasyon analizi ile değerlendirildi.

Bulgular: Gözlemci içi uyumu belirten
Kappa katsayıları, midpalatal sutur ve servikal vertabral maturasyon için
sırasıyla 0.837 ve 0.865’ti. Kronolojik yaş ve midpalatal sutur maturasyonu
arasında korelasyon önemli bulunmadı (r=0.212, p=0.139). Aynı şekilde, servikal
vertebral ve midpalatal sutur maturasyon aşamaları arasında da korelasyon
önemli bulunmadı (r=0.030, p=0.839).







Sonuç: Küçük örneklem çapında
gerçekleştirilmiş bu çalışmanın sınırları dahilinde ne servikal vertebral
maturasyon aşaması ne de kronolojik yaş, 15 yaş ve 30 yaş arasındaki bireylerde
midpalatal sutur maturasyon aşamasının belirlenmesi için uygun bir araç olarak
bulunmadı.

References

  • Haas AJ. The Treatment of Maxillary Deficiency by Opening the Midpalatal Suture. Angle Orthod 1965;35:200-17.
  • Haas AJ. Rapid expansion of the maxillary dental arch and nasal cavity by opening the mid-palatal suture. Angle Orthod 1961;31:73-90.
  • Liu S, Xu T, Zou W. Effects of rapid maxillary expansion on the midpalatal suture: a systematic review. Eur J Orthod 2015;37:651-5.
  • Camps-Pereperez I, Guijarro-Martinez R, Peiro-Guijarro MA, Hernandez-Alfaro F. The value of cone beam computed tomography imaging in surgically assisted rapid palatal expansion: a systematic review of the literature. Int J Oral Maxillofac Surg 2017;46:827-38.
  • Chrcanovic BR, Custodio AL. Orthodontic or surgically assisted rapid maxillary expansion. Oral Maxillofac Surg 2009;13:123-37.
  • Suri L, Taneja P. Surgically assisted rapid palatal expansion: a literature review. Am J Orthod Dentofacial Orthop 2008;133:290-302.
  • Lagravere MO, Major PW, Flores-Mir C. Long-term skeletal changes with rapid maxillary expansion: a systematic review. Angle Orthod 2005;75:1046-52.
  • Grunheid T, Larson CE, Larson BE. Midpalatal suture density ratio: A novel predictor of skeletal response to rapid maxillary expansion. Am J Orthod Dentofacial Orthop 2017;151:267-76.
  • Angelieri F, Cevidanes LH, Franchi L, Goncalves JR, Benavides E, McNamara JA, Jr. Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop 2013;144:759-69.
  • Angelieri F, Franchi L, Cevidanes LH, McNamara JA, Jr. Diagnostic performance of skeletal maturity for the assessment of midpalatal suture maturation. Am J Orthod Dentofacial Orthop 2015;148:1010-6.
  • Tonello DL, Ladewig VM, Guedes FP, Ferreira Conti ACC, Almeida-Pedrin RR, Capelozza-Filho L. Midpalatal suture maturation in 11- to 15-year-olds: A cone-beam computed tomographic study. Am J Orthod Dentofacial Orthop 2017;152:42-8.
  • Baccetti T, Franchi L, McNamara JA. The Cervical Vertebral Maturation (CVM) Method for the Assessment of Optimal Treatment Timing in Dentofacial Orthopedics. Semin Orthod 2005;11:119-29.
  • Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-74.
  • Baydas B, Yavuz I, Uslu H, Dagsuyu IM, Ceylan I. Nonsurgical rapid maxillary expansion effects on craniofacial structures in young adult females. A bone scintigraphy study. Angle Orthod 2006;76:759-67.
  • Davidovitch M, Efstathiou S, Sarne O, Vardimon AD. Skeletal and dental response to rapid maxillary expansion with 2- versus 4-band appliances. Am J Orthod Dentofacial Orthop 2005;127:483-92.
  • Korbmacher H, Schilling A, Puschel K, Amling M, Kahl-Nieke B. Age-dependent three-dimensional microcomputed tomography analysis of the human midpalatal suture. J Orofac Orthop 2007;68:364-76.
  • Knaup B, Yildizhan F, Wehrbein H. Age-related changes in the midpalatal suture. A histomorphometric study. J Orofac Orthop 2004;65:467-74.
  • Flores-Mir C, Burgess CA, Champney M, Jensen RJ, Pitcher MR, Major PW. Correlation of skeletal maturation stages determined by cervical vertebrae and hand-wrist evaluations. Angle Orthod 2006;76:1-5.
  • Fishman LS. Radiographic evaluation of skeletal maturation. A clinically oriented method based on hand-wrist films. Angle Orthod 1982;52:88-112.
  • Gandini P, Mancini M, Andreani F. A comparison of hand-wrist bone and cervical vertebral analyses in measuring skeletal maturation. Angle Orthod 2006;76:984-9.
  • Litsas G, Ari-Demirkaya A. Growth indicators in orthodontic patients. Part 1: comparison of cervical vertebral maturation and hand-wrist skeletal maturation. Eur J Paediatr Dent 2010;11:171-5.
  • Wehrbein H, Yildizhan F. The mid-palatal suture in young adults. A radiological-histological investigation. Eur J Orthod 2001;23:105-14.
  • Angelieri F, Franchi L, Cevidanes LH, Gonçalves JR, Nieri M, Wolford LM, et al. Cone beam computed tomography evaluation of midpalatal suture maturation in adults. Int J Oral Maxillofac Surg 2017;46:1557-61.
  • Haghanifar S, Mahmoudi S, Foroughi R, Mir AP, Mesgarani A, Bijani A. Assessment of midpalatal suture ossification using cone-beam computed tomography. Electron Physician 2017;9:4035-41.
  • Timms DJ, Vero D. The relationship of rapid maxillary expansion to surgery with special reference to midpalatal synostosis. Br J Oral Surg 1981;19:180-96.
  • Chaconas SJ, Caputo AA. Observation of Orthopedic Force Distribution Produced by Maxillary Orthodontic Appliances. Am J Orthod Dentofacial Orthop 1982;82:492-501.
There are 26 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Article
Authors

Hande Görücü Coşkuner

Ezgi Atik

Tülin Taner

Publication Date August 14, 2018
Published in Issue Year 2018 Volume: 35 Issue: 3

Cite

APA Görücü Coşkuner, H., Atik, E., & Taner, T. (2018). Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation. Acta Odontologica Turcica, 35(3), 69-74. https://doi.org/10.17214/gaziaot.406823
AMA Görücü Coşkuner H, Atik E, Taner T. Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation. Acta Odontol Turc. August 2018;35(3):69-74. doi:10.17214/gaziaot.406823
Chicago Görücü Coşkuner, Hande, Ezgi Atik, and Tülin Taner. “Relationship Between Midpalatal Suture Maturation and Age and Maturation of Cervical Vertebrae: Radiographic Evaluation”. Acta Odontologica Turcica 35, no. 3 (August 2018): 69-74. https://doi.org/10.17214/gaziaot.406823.
EndNote Görücü Coşkuner H, Atik E, Taner T (August 1, 2018) Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation. Acta Odontologica Turcica 35 3 69–74.
IEEE H. Görücü Coşkuner, E. Atik, and T. Taner, “Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation”, Acta Odontol Turc, vol. 35, no. 3, pp. 69–74, 2018, doi: 10.17214/gaziaot.406823.
ISNAD Görücü Coşkuner, Hande et al. “Relationship Between Midpalatal Suture Maturation and Age and Maturation of Cervical Vertebrae: Radiographic Evaluation”. Acta Odontologica Turcica 35/3 (August 2018), 69-74. https://doi.org/10.17214/gaziaot.406823.
JAMA Görücü Coşkuner H, Atik E, Taner T. Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation. Acta Odontol Turc. 2018;35:69–74.
MLA Görücü Coşkuner, Hande et al. “Relationship Between Midpalatal Suture Maturation and Age and Maturation of Cervical Vertebrae: Radiographic Evaluation”. Acta Odontologica Turcica, vol. 35, no. 3, 2018, pp. 69-74, doi:10.17214/gaziaot.406823.
Vancouver Görücü Coşkuner H, Atik E, Taner T. Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation. Acta Odontol Turc. 2018;35(3):69-74.