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Evaluation of Midpalatal Suture Ossification Using Cone-Beam Computed Tomography: A Digital Radiographic Study.

Girish Katti1, Syed Shahbaz2, Chandrika Katti3

  • 1Department of Oral Medicine and Radiology, Al-Badar Dental College and Hospital, Kalaburgi, Karnataka, India.

Acta Medica (Hradec Kralove)
|December 23, 2020
PubMed
Summary

Cone beam computed tomography (CBCT) reveals significant variations in mid-palatal suture ossification across age groups. Age alone is not a reliable indicator of suture maturity, highlighting diverse ossification patterns in the palate.

Keywords:
CBCTmaturationmaxillary suturemidpalatal sutureossification

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Area of Science:

  • Oral and Maxillofacial Radiology
  • Dental Imaging Techniques
  • Craniofacial Development

Background:

  • Cone beam computed tomography (CBCT) offers advanced, noninvasive 3D imaging for oral diagnostics.
  • Traditional 2D radiography limited assessment of the palate's curved mid-palatal suture and its ossification.
  • CBCT enables detailed evaluation of mid-palatal suture morphology and ossification stages.

Purpose of the Study:

  • To assess and classify mid-palatal suture morphology using CBCT imaging.
  • To analyze variations in suture ossification across different age groups.
  • To correlate CBCT findings with the Angelieri classification of mid-palatal suture maturity.

Main Methods:

  • Evaluation of 200 CBCT scans (95 male, 105 female).
  • Classification of mid-palatal sutures into five categories (A-E) based on ossification degree (Angelieri classification).
  • Statistical analysis using the Chi-Square test (SPSS version 23.0).

Main Results:

  • Statistically significant differences in mid-palatal suture maturity stages were observed across age groups.
  • Stage B was most prevalent in Group 1 (50%).
  • Stage C was most common in Group 2 (60%) and Group 3 (40%), while Stage E was more frequent in Group 4 (50%).

Conclusions:

  • Significant variability exists in the timing, degree, and morphology of mid-palatal suture ossification.
  • While suture closure generally increases with age, chronological age is not a definitive predictor of suture status.
  • Findings underscore the diverse ossification patterns of maxillary sutures, crucial for orthodontic and surgical planning.