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Cervical vertebrae maturation: a blinded trial study.

A Lucchese1,2, G Caldara1,2, L Montebugnoli3

  • 1Department of Orthodontics, Vita-Salute San Raffaele University, Milan, Italy.

Journal of Biological Regulators and Homeostatic Agents
|May 4, 2018
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Summary
This summary is machine-generated.

This study found significant correlations between cervical vertebrae maturation (CVM) and mandibular tooth mineralization (TMS) stages in orthodontic patients. These findings aid in predicting growth spurts using dental and skeletal maturation indicators.

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Area of Science:

  • Orthodontics and Dental Development
  • Skeletal Maturation Assessment

Background:

  • Accurate assessment of skeletal and dental maturation is crucial for orthodontic treatment planning.
  • The Cervical Vertebrae Maturation (CVM) method and Demirjian's Tooth Mineralization Stages (TMS) are commonly used indicators.

Purpose of the Study:

  • To investigate the correlation between CVM stages and TMS stages of mandibular teeth.
  • To determine if these maturation methods can be used together to predict growth spurts in orthodontic patients.

Main Methods:

  • Analysis of panoramic and cephalometric radiographs from 500 orthodontic patients.
  • Evaluation of CVM stages and TMS (second molar, premolars, canine) by blinded operators.
  • Statistical correlation and multiple regression analysis performed by a blinded statistician.

Main Results:

  • Significant correlations were found between CVM and TMS stages for each evaluated tooth.
  • Significant age differences were noted for CVM, second molar, and second premolar stages (p<0.05).
  • Specific TMS stages (D, G, H) showed significant correlations with distinct CVM stages (I-II, III, V-VI respectively), particularly for the second molar.

Conclusions:

  • A significant relationship exists between cervical vertebrae maturation and mandibular tooth mineralization.
  • Second molar stage G in both sexes indicates the ongoing growth spurt.
  • Specific stages (G for boys, H for girls) correlate with the late pubertal growth spurt (PGS).