Is the cervical vertebral maturation method a reliable predictor of midpalatal suture maturation? A retrospective study.

IF 3 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

American Journal of Orthodontics and Dentofacial Orthopedics Pub Date : 2025-09-12 DOI:10.1016/j.ajodo.2025.07.009

Davide Brilli, Federica Altieri, Martina Mezio, Michele Cassetta

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引用次数: 0

Abstract

Introduction: The study aimed to assess the correlations among chronological age, cervical vertebral maturation (CVM), midpalatal suture (MPS) maturation, and MPS density (MPSD), and to evaluate the association between the CVM and MPS.

Methods: Records derived from the analysis of lateral cephalometric radiographs and cone-beam computed tomography scans of 200 subjects, grouped by sex, were used to determine CVM, MPS, and MPSD ratio. Statistical analysis included descriptive statistics. Spearman correlation and positive likelihood ratio were used to determine the possible correlations.

Results: In males, strong correlations were observed between CVM stage (CS) and age (r = 0.864), CVM and MPS stage (r = 0.826). Moderate correlation was found between CS and MPSD ratio (r = 0.488). Strong correlations were found between MPS stages and age (r = 0.729) and MPSD ratio (r = 0.622). Among females, strong correlations appeared between CVM and age (r = 0.872), between CS and MPS stage (r = 0.899), and between CVM and MPSD ratio (r = 0.618). Further strong correlations were found between MPS stages and age (r = 0.8), and between MPS stages and MPSD (r = 0.716). In both sexes, the positive likelihood ratio test demonstrated strong associations between CS1 and stage A, CS5 and stage D, and CS6 and stage E.

Conclusions: Significant correlations exist between chronological age, CVM, MPS, and MPSD. The CVM method demonstrated a high predictive value in identifying stages A, D, and E. The CVM method could be considered as a decision-making indicator in crossbite treatment; however, it should be confirmed by further prospective studies.

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颈椎成熟度法是中腭缝合成熟度的可靠预测指标吗？回顾性研究。

前言：本研究旨在评估实足年龄、颈椎成熟度（CVM）、中腭缝合（MPS）成熟度和MPS密度（MPSD）之间的相关性，并评估CVM与MPS之间的关系。方法：分析200名受试者的侧位头颅x线片和锥束计算机断层扫描记录，按性别分组，确定CVM， MPS和MPSD比率。统计分析包括描述性统计。采用Spearman相关和正似然比确定可能的相关性。结果：男性CVM分期与年龄（r = 0.864）、CVM分期与MPS分期（r = 0.826）有较强相关性。CS与MPSD比值呈正相关（r = 0.488）。MPS分期与年龄（r = 0.729）及MPSD比值（r = 0.622）有较强的相关性。在女性中，CVM与年龄（r = 0.872）、CS与MPS分期（r = 0.899）、CVM与MPSD比值（r = 0.618）有较强的相关性。进一步发现MPS分期与年龄（r = 0.8）、MPS分期与MPSD （r = 0.716）之间存在强相关性。在两性中，正似然比检验显示CS1与A期、CS5与D期、CS6与e期之间存在较强的相关性。结论：实足年龄、CVM、MPS和MPSD之间存在显著相关性。CVM方法对a、D、e期有较高的预测价值，可作为牙合治疗的决策指标；然而，这需要进一步的前瞻性研究来证实。

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

American Journal of Orthodontics and Dentofacial Orthopedics 医学-牙科与口腔外科

CiteScore

4.80

自引率

13.30%

发文量

432

审稿时长

66 days

期刊介绍： Published for more than 100 years, the American Journal of Orthodontics and Dentofacial Orthopedics remains the leading orthodontic resource. It is the official publication of the American Association of Orthodontists, its constituent societies, the American Board of Orthodontics, and the College of Diplomates of the American Board of Orthodontics. Each month its readers have access to original peer-reviewed articles that examine all phases of orthodontic treatment. Illustrated throughout, the publication includes tables, color photographs, and statistical data. Coverage includes successful diagnostic procedures, imaging techniques, bracket and archwire materials, extraction and impaction concerns, orthognathic surgery, TMJ disorders, removable appliances, and adult therapy.