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Maturation indicators and the pubertal growth spurt

U Hägg, J Taranger

    American Journal of Orthodontics
    |October 1, 1982
    PubMed
    Summary
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    Swedish children

    Area of Science:

    • Pediatric Endocrinology
    • Orthodontics
    • Human Growth and Development

    Background:

    • Understanding the timing and variation of pubertal development is crucial for clinical orthodontics.
    • Longitudinal data on growth spurts, dental, skeletal, and pubertal maturation in children are essential.
    • Previous studies may lack representativeness or detailed longitudinal tracking.

    Purpose of the Study:

    • To investigate the pubertal growth spurt and associated dental, skeletal, and pubertal development in Swedish children.
    • To assess the utility of various maturation indicators for clinical orthodontics.
    • To analyze sex differences and individual variations in developmental timing.

    Main Methods:

    • Prospective longitudinal study of 212 randomly selected Swedish children from birth to adulthood.

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  • Utilized maturation level indicators suitable for clinical orthodontics.
  • Statistical analysis accounted for low dropout rates and missing examinations.

    • Main Results:

    • A 2-year sex difference was observed in the timing of the pubertal growth spurt for standing height, with individual variations of approximately 6 years.
    • Dental development was more advanced in boys, while skeletal development showed sex differences at different stages of the growth spurt.
    • Dental emergence stages (DES) were not effective indicators of the pubertal growth spurt.

    Conclusions:

    • The peak and end of the pubertal growth spurt can be assessed using skeletal and pubertal development indicators, but not dental emergence.
    • Skeletal maturation of the hand and wrist, along with menarche and voice change, are useful indicators for assessing the pubertal growth spurt.
    • Results are representative of Swedish children due to study design and low attrition.