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Published on: January 5, 2015
Efficacy of the Cervical Vertebral Maturation Method: A Systematic Review
Alessandra Lucchese1, Lars Bondemark2, Marco Farronato3
1Unit of Orthodontics, Division of Dentistry IRCCS Ospedale San Raffaele Scientific Institute, Milan, Italy; Unit of Orthodontics, School of Dentistry, Vita-Salute San Raffaele University, Milan, Italy; Unit of Dentistry, Research Center for Oral Pathology and Implantology, IRCCS Ospedale San Raffaele, Milan, Italy.
The cervical vertebral maturation (CVM) method effectively predicts the pubertal growth spurt. This systematic review confirms its utility alongside other skeletal indices for assessing growth in patients.
Area of Science:
- Orthodontics
- Pediatric dentistry
- Radiographic assessment
Background:
- Assessing skeletal maturity is crucial for orthodontic treatment planning.
- The cervical vertebral maturation (CVM) method is a widely used radiographic technique.
Purpose of the Study:
- To systematically evaluate the effectiveness of the CVM method in predicting the pubertal growth spurt.
- To provide a qualitative and quantitative assessment of CVM's predictive capabilities.
Main Methods:
- A comprehensive systematic review of literature from 1970 to June 2019.
- Searched databases including PubMed, Scopus, and Web of Science using specific keywords related to cervical vertebrae and growth.
- Utilized PRISMA guidelines and quality assessments based on STROBE and STARD criteria.
Main Results:
- 43 studies met the inclusion criteria from an initial 1284 articles.
- Study quality varied, with 16 low, 25 moderate, and 2 high scores.
- A moderate to high statistically significant correlation was found between CVM and other maturation methods.
Conclusions:
- The cervical vertebral maturation (CVM) method is an effective tool for assessing skeletal maturity.
- CVM can be utilized in conjunction with other skeletal indices for radiographic assessment.
- The CVM method aids in identifying the growth peak in growing patients.

