TY  - JOUR
T1  - Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation
TT  - Midpalatal sutur maturasyonunun yaş ve servikal vertebral maturasyonla ilişkisi: radyografik inceleme
AU  - Görücü Coşkuner, Hande
AU  - Atik, Ezgi
AU  - Taner, Tülin
PY  - 2018
DA  - August
DO  - 10.17214/gaziaot.406823
JF  - Acta Odontologica Turcica
JO  - Acta Odontol Turc
PB  - Gazi University
WT  - DergiPark
SN  - 2147-690X
SP  - 69
EP  - 74
VL  - 35
IS  - 3
LA  - en
AB  - Objective: Toevaluate the stages of midpalatal suture (MPS) maturation in patients olderthan 15 years, and to determine the correlation between the stage of MPSmaturation and age and cervical vertebral maturation (CVM).Materials and Method: Cone-beam computed tomography (CBCT) scans of 50patients (29 female and 21 male; mean age, 19.79 ± 4.09 years) were evaluated.Good quality CBCT images from 15–30-year-old patients for evaluation ofimpacted canines or determination of orthognathic surgery were selected. TheCBCT images were evaluated at two different time intervals for determination ofthe stages of MPS and CVM. The stages of MPS maturation were classified as A,B, C, D, or E using the axial sections by using a method validated previously.The stages of CVM were classified using sagittal sections of the CBCT images.Intra-examiner agreement was assessed using the Kappa test. The correlationsbetween MPS maturation and chronological age and CVM were assessed usingSpearman’s rank correlation analysis.Results: TheKappa coefficients for intra-examiner agreement were 0.837 and 0.865 forclassification of the stages of MPS maturation and CVM, respectively. Nosignificant correlation was observed between chronological age and maturationof MPS (r = 0.212, p = 0.139) and between the stages of CVM and maturation ofMPS (r = 0.030, p = 0.839).Conclusion: Thelimitation of our study was a small sample size, and, on the basis of ourresults, neither CVM nor chronological age could be used as a convenient toolto determine the stage of MPS maturation in 15–30-year-old patients.
KW  - Cone-beam computed tomography
KW  - growth and development
KW  - orthodontics
N2  - Amaç: Bu çalışmanın amacı 15 yaş veüstündeki bireylerde midpalatal sutur maturasyon aşamalarını değerlendirmek vebu aşamaların yaş ve servikal vertebral maturasyonla ilişkisini belirlemektir. Gereç ve Yöntem: 50 bireyin (29 kadın, 21erkek; ortalama yaş: 19.79 ± 4.09 yıl) konik ışınlı bilgisayarlı tomografi(KIBT) görüntüleri incelendi. Gömülü kanin değerlendirmesi veya ortognatikcerrahi planlaması için alınmış iyi kalitede KIBT görüntüleri olan 15-30 yaşarasındaki bireyler çalışmaya dahil edildi. Midpalatal sutur ve servikalvertebral maturasyon aşamalarının belirlenmesi için KIBT görüntüleri iki farklızamanda değerlendirildi. Midpalatal sutur maturasyon aşamaları, daha öncedendoğrulanmış bir yöntem ile, aksiyel kesitler değerlendirilerek A, B, C, D veyaE olarak sınıflandırıldı. Servikal vertebral maturasyon aşamaları ise KIBTgörüntülerinin sagital kesitlerinden belirlendi. Gözlemci içi güvenilirlikKappa testi ile değerlendirildi. Midpalatal sutur maturasyonu ile kronolojikyaş ve servikal vertebral maturasyon arasındaki korelasyon Spearman’ın sıralamakorelasyon analizi ile değerlendirildi.Bulgular: Gözlemci içi uyumu belirtenKappa katsayıları, midpalatal sutur ve servikal vertabral maturasyon içinsırasıyla 0.837 ve 0.865’ti. Kronolojik yaş ve midpalatal sutur maturasyonuarasında korelasyon önemli bulunmadı (r=0.212, p=0.139). Aynı şekilde, servikalvertebral ve midpalatal sutur maturasyon aşamaları arasında da korelasyonönemli bulunmadı (r=0.030, p=0.839). Sonuç: Küçük örneklem çapındagerçekleştirilmiş bu çalışmanın sınırları dahilinde ne servikal vertebralmaturasyon aşaması ne de kronolojik yaş, 15 yaş ve 30 yaş arasındaki bireylerdemidpalatal sutur maturasyon aşamasının belirlenmesi için uygun bir araç olarakbulunmadı.
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UR  - https://doi.org/10.17214/gaziaot.406823
L1  - https://dergipark.org.tr/en/download/article-file/523706
ER  -