Factors Associated with Skeletal Maturation at the Growth Spurt Period Using a Cervical Vertebrae Maturation Stage
Study of Orthodontic Patients Aged 9-11 Years at RSGM-P FKG USAKTI
Abstract
Introduction: The growth spurt period is the right time to optimize various aspects of orthodontic treatment. The period of growth spurt in a person can be assessed through biological age which can be determined based on skeletal maturation. Skeletal maturation can be determined by assessing the development of the cervical vertebrae on the lateral cephalogram, namely by using the Cervical Vertebrae Maturation Stage (CVMS) based on the Baccetti method. This simple and widely used method is inserted into the first to sixth stages of the cervical. This method focuses on the second, third, and fourth cervical vertebrae. Objective: To determine the factors associated with skeletal maturation in orthodontic patients aged 9-11 years at RSGM-P FKG USAKTI using the Cervical Vertebrae Maturation Stage (CVMS). Methods: This analytic observational study was conducted by tracing 96 lateral cephalograms of patients aged 9-11 years at RSGM-P FKG USAKTI to determine skeletal maturation using the Cervical Vertebrae Maturation Stage (CVMS) based on the Baccetti method. Chi-Square test is used to determine the relationship between the level of skeletal maturation with gender and age. Results: The majority of skeletal maturation levels in patients aged 9-11 years were in the second cervical stage, 36 patients (37.5%), with female patients in the second cervical stage, 20 samples (41.7%) and the majority of male patients occurred in the first cervical stage with a total of 17 samples (35.4%). In this study there was no relationship between gender and the level of skeletal maturation (p>0.05), but there was a relationship between age and the level of skeletal maturation (p<.05). Conclusion: This study concluded that age is a factor that can be related to the level of skeletal maturation (p<0.05).
References
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Alkhal HA, Wong RWK, Rabie ABM. Correlation between chronological age, cervical vertebral maturation and fishman’s skeletal maturity indicators in southern chinese. Angle Orthodontist. 2008; 78(4): 591-6.
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Purbaningsih M, Chusida A, Soegeng B. Penentuan usia growth spurt pubertal mandibula perempuan berdasarkan cervical vertebral maturation indicators. Jurnal PDGI. 2012; 61(1): 15-9.
Mardiati E, Soemantri ES, Halim H. Determination of the duration of various pubertal growth stages in Indonesian boys and girls using hand-wrist radiographs. J World Fed Orthod. 2018 Dec;7(4):146–9.
Mahendra P, Pradopo S, Puteri MM. Pubertal growth spurt peak in angle class I and II malocclusions using cervical vertebrae maturation analysis in deutero-malay children. 2022;56(10):5.
Shim KS. Pubertal growth and epiphyseal fusion. Ann Pediatr Endocrinol Metab. 2015; 20(1): 8-12.
Zhao XG, Lin J, Jiang JH, Wang Q, Hong S. Validity and reliability of a method for assessment of cervical vertebral maturation. Angle Orthodontist. 2012; 82(2): 229-34.
Vijan U. Perbedaan pola pertumbuhan skeletal vertikal wajah dan hubungan insisal pada pasien ortodonti lepasan di klinik RSGMP FKG USU. Universitas Sumatera Utara. 2017.p.1-54.
Tarvade SM, Ramkrishna S. Skeletal maturity indicators. Journal of Orthodontic Research. 2015; 3(3): 158-61.
Hashim HA, Mansoor H, Mohamed MHH. Assessment of skeletal age using hand-wrist radiographs following bjork system. J Int Soc Prev Community Dent. 2018; 8(6): 482-7.
Pawinru AS. Analisis radiografi tangan pada perawatan ortodonti. Makassar Dent J. 2015; 4(2): 67-70.
Wijaya H, Hidayat A, Gandadinata I, Kusnoto J. Hubungan antara kedalaman sinus frontalis dan maturasi tulang tangan (correlation between frontal sinus depth and hand wrist maturity). Dentika Dent J. 2009; 14(2): 103-8.
Serdar B, Emir M. A review of the use of artificial intelligence in orthodontics. J Exp Clin Med. 2021; 38(S2): 157-62.
Mohammed RB, Kalyan VS, Tircouveluri S. The reliability of fishman method of skeletal maturation for age estimation in children of south indian population. J Nat Sci Biol Med. 2014; 5(2): 297-302.
Mora S, Gilsanz V. Pubertal growth of the male skeleton. Elsevier, Inc. 2010; 95-103.
Murthy V, Begum A, Kumar P, Lalitha CH. Reliability of an objective method of evaluating skeletal maturity based on cervical vertebral bone age as compared with the TW2 method. The Journal of Indian Orthodontic Society. 2013; 47(4): 202-6.
Phulari RG. Textbook of Dental Anatomy, Physiology and Occlusion. India: Jaype Brothers Medical Publisher. 2014.p.46
Chalasani S, Kumar J, Prasad M, Shetty BSK, Kumar TA. An evaluation of skeletal maturation by hand-wrist bone analysis and cervical vertebral analysis: a comparitive study. The Journal of Indian Orthodontic Society. 2013; 47(4): 433-7.
Majeed O, Quadeer TA. Assessment of skeletal maturation and its correlation to chronological age using the cervical vertebral maturation method in a tertiary care hospital. JPDA. 2014; 23(4).
Baccetti T, Franchi L, Mcnamara J. The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. J Seminars in Orthodontics. 2005: 119-28.
Garnett JM, Viera A. Understanding interobserver agreement: The kappa statistic. Family Medicine. 2005; 37(5): 360-3.
Soliman A, Sanctis VD, Elalaily R, Bedair S. Advances in pubertal growth and factors influencing it: can we increase pubertal growth? Indian J Endocrinol Metab. 2014; 18: 53-62.
Moyers RE. Handbook of Orthodontics: 4th Edition. Year Book Medical Publishers. 1988.p.52.
Vermilion J, Lubis MM. Perbedaan maturasi skeletal ditinjau dari berat badan dan jenis kelamin pada anak usia 8-12 tahun. Jurnal Kedokteran Gigi Universitas Padjadjaran. 2021; 33(1): 31-7.
Pichai S, Rajesh M, Reddy N, Adusumilli, Reddy J, Joshi B. A comparison of hand wrist bone analysis with two different cervical vertebral analysis in measuring skeletal maturation. Journal of International Oral Health. 2014; 6(5): 36-41.
Premkumar S. Textbook of Orthodontics. Elsevier. 2015.p.307.
Alkhal HA, Wong RWK, Rabie ABM. Correlation between chronological age, cervical vertebral maturation and fishman’s skeletal maturity indicators in southern chinese. Angle Orthodontist. 2008; 78(4): 591-6.
Chutasripanich N, Mahatumarat K, Panmeklate S. Relationship between the midpalatal suture maturation, cervical vertebral maturation and dental age in 8-18 years old patients. NGRC. 2020: 1-8.
Published
2023-06-24
How to Cite
PUTRIDWITA, Ailsa Fadhilah; SAHELANGI, Olivia Piona.
Factors Associated with Skeletal Maturation at the Growth Spurt Period Using a Cervical Vertebrae Maturation Stage.
Journal of Indonesian Dental Association, [S.l.], v. 6, n. 1, p. 23-29, june 2023.
ISSN 2621-6175.
Available at: <http://jurnal.pdgi.or.id/index.php/jida/article/view/977>. Date accessed: 03 july 2024.
doi: https://doi.org/10.32793/jida.v6i1.977.
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Section
Research Article
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
