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The cervical vertebral maturation method: A user's guide.

James A McNamara, Lorenzo Franchi

    The Angle Orthodontist
    |January 17, 2018
    PubMed
    Summary
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    The cervical vertebral maturation (CVM) method assesses craniofacial growth using cervical vertebrae morphology. This guide details CVM stages to improve clinical application and reproducibility for accurate skeletal maturation assessment.

    Area of Science:

    • Dentistry
    • Orthodontics
    • Anthropology

    Background:

    • Cervical vertebral maturation (CVM) is crucial for assessing craniofacial skeletal development.
    • The CVM method analyzes the morphology of cervical vertebrae (C2, C3, C4) from lateral cephalograms.
    • Accurate skeletal maturation assessment is vital for treatment planning in orthodontics and growth studies.

    Purpose of the Study:

    • To provide a detailed user's guide for the cervical vertebral maturation (CVM) method.
    • To enhance the understanding and application of CVM staging in clinical practice.
    • To address criticisms regarding the reproducibility and reliability of the CVM method.

    Main Methods:

    • Analysis of the morphology of the second (C2), third (C3), and fourth (C4) cervical vertebrae.
    Keywords:
    CVM methodCephalometricsCervical vertebraeMaturation

    Related Experiment Videos

  • Evaluation of the inferior borders (flat or concave) and shapes (trapezoidal to rectangular vertical) of vertebral bodies.
  • Categorization into six maturational stages (CS 1-6) correlating with pubertal development.
  • Main Results:

    • Six distinct cervical vertebral maturation stages (CS 1-6) are described based on vertebral morphology.
    • CS 1-2 are prepubertal, CS 3-4 are circumpubertal, and CS 5-6 are postpubertal.
    • Detailed descriptions aim to improve the consistency and reliability of CVM staging.

    Conclusions:

    • The CVM method offers a standardized approach to assess skeletal maturation.
    • This guide provides detailed insights to improve the clinical utility and reproducibility of the CVM method.
    • Accurate CVM staging supports effective orthodontic treatment planning and growth prediction.