Zygomaticotemporal suture maturation evaluation in Chinese population using cone-beam computed tomography images.

IF 2.6 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Korean Journal of Orthodontics Pub Date : 2023-07-25 DOI:10.4041/kjod23.020

Yifan Li, Ruomei Li, Jiajun Shi, Yuhua Shan, Zhenqi Chen

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引用次数: 0

Abstract

Objective: This study aimed to evaluate the zygomaticotemporal suture (ZTS) maturation, analyze the age distribution patterns of ZTS maturation stages, and investigate the relationship between ZTS and cervical vertebral maturation (CVM).

Methods: A total of 261 patients who underwent cone-beam computed tomography (112 males, mean age, 13.1 ± 3.3 years; 149 females, mean age, 13.7 ± 3.1 years) were examined to evaluate the ZTS stages. The ZTS stages were defined based on a modified method from previous studies on zygomaticomaxillary sutures. Differences between groups and correlations between indicators were analyzed using the Spearman correlation test, intraclass coefficient of correlation (ICC), one-way analysis of variance and rank sum test. Statistical significance was set at p < 0.05. The diagnostic value of CVM stages in identifying ZTS maturation stages was evaluated using positive likelihood ratios (LRs).

Results: A positive relationship was found between the ZTS and CVM stage (r = 0.747, ICC = 0.621, p < 0.01) and between the ZTS stage and chronological age (r = 0.727, ICC = 0.330, p < 0.01). Positive LRs > 10 were found for several cervical stages (CSs), including CS1 and CS2 for the diagnosis of stage B, CS1 to CS3 for the diagnosis of stages B and C, and CS6 for the diagnosis of stages D and E.

Conclusions: The ZTS maturation stage may be more relevant to the CVM stage than to the chronological age. The CVM stages can be good indicators for clinical decisions regarding maxillary protraction, except for CS4 and CS5.

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用锥形束计算机断层成像评价中国人颧颞缝合线成熟度。

目的:评价颧颞缝合线(ZTS)的成熟程度，分析ZTS成熟阶段的年龄分布规律，探讨ZTS与颈椎成熟(CVM)的关系。方法:共261例患者行锥形束计算机断层扫描(男性112例，平均年龄13.1±3.3岁;对149名女性(平均年龄13.7±3.1岁)进行ZTS分期评估。ZTS分期的定义是基于一种改进的方法，从以前的研究颧腋缝合。采用Spearman相关检验、类内相关系数(intraclass coefficient of correlation, ICC)、单因素方差分析和秩和检验分析组间差异和指标间相关性。p < 0.05为差异有统计学意义。采用阳性似然比(LRs)评价CVM分期对ZTS成熟分期的诊断价值。结果:ZTS与CVM分期呈正相关(r = 0.747, ICC = 0.621, p < 0.01)， ZTS分期与实足年龄呈正相关(r = 0.727, ICC = 0.330, p < 0.01)。多个宫颈分期(CSs) LRs > 10，包括诊断B期的CS1 ~ CS2，诊断B期和C期的CS1 ~ CS3，诊断D期和e期的CS6。结论:ZTS成熟阶段可能与CVM分期的相关性大于实足年龄。除CS4和CS5外，CVM分期可以作为临床判断上颌前伸的良好指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Korean Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.50

自引率

10.50%

发文量

审稿时长

>12 weeks

期刊介绍： The Korean Journal of Orthodontics (KJO) is an international, open access, peer reviewed journal published in January, March, May, July, September, and November each year. It was first launched in 1970 and, as the official scientific publication of Korean Association of Orthodontists, KJO aims to publish high quality clinical and scientific original research papers in all areas related to orthodontics and dentofacial orthopedics. Specifically, its interest focuses on evidence-based investigations of contemporary diagnostic procedures and treatment techniques, expanding to significant clinical reports of diverse treatment approaches. The scope of KJO covers all areas of orthodontics and dentofacial orthopedics including successful diagnostic procedures and treatment planning, growth and development of the face and its clinical implications, appliance designs, biomechanics, TMJ disorders and adult treatment. Specifically, its latest interest focuses on skeletal anchorage devices, orthodontic appliance and biomaterials, 3 dimensional imaging techniques utilized for dentofacial diagnosis and treatment planning, and orthognathic surgery to correct skeletal disharmony in association of orthodontic treatment.