EVALUATION OF MAXILLARY CANINE CALCIFICATION AND SKELETAL MATURITY COMPARING MALES AND FEMALES SUBJECTS IN DIFFERENT FACIAL HEIGHTS

Yıl 2021, Cilt: 31 Sayı: 1, 15 - 21, 15.01.2021

Emel Oncan Seden Akan

https://doi.org/10.17567/ataunidfd.822459

Öz

Objective: The aim of the study is to evaluate skeletal maturity and calcification stages of maxillary canines, in relation to vertical, normal and horizontal facial types in females and males.
Material and Method: The sample consisted of 60 patients (30 females and 30 males), with skeletal Class I malocclusion. The subjects were divided into a high-angle group, a low-angle group, and a normal-angle group. Cervical vertebral maturity index (CVM) and Demirjian index (DI) were used to assess the cervical vertebrae maturation level and calcification stages of maxillary canines.
Results: CVM stages of the low angle group were found to show a higher tendency for CVM4 in the female group (r=0.484) than in the male group (r=0.439). However, in the high angle group, a higher tendency for CVM6 stage was found in the female group(r=-1.014), and a higher tendency of CVM5 was observed in the male group (r=0.00).The median value of maxillary canine DI stage is stage F in the low-angle and normal-angle groups and G in the high angle group. The DI stages of maxillary canines in the male group are left skewed (r =-1.035), which means that there is a tendency toward low values of maxillary canine DI stages. The DI stages of maxillary canines in the female group are right skewed (r=0.0911), implying that there is a slight tendency toward high values of maxillary canine DI stages.
Conclusion: Comparisons between the sexes and facial heights revealed that cervical maturity and tooth calcification stages of maxillary canines are more advanced in females and in the high angle group.
Keywords: Cervical Vertebra, Tooth Calcification, Cephalometry, Dental Radiography

Farklı Yüz Yüksekliğine Sahip Erkek ve Kız Hastalarda Maksiller Kanin Kalsifikasyonu ve İskeletsel Maturasyonun Değerlendirilmesi
Öz
Amaç: Bu çalışmanın amacı kız ve erkek bireylerde uzun, normal ve kısa yüz tiplerine göre, iskeletsel maturasyon ve maksiller kanin diş kalsifikasyon ilişkisini değerlendirmektir.
Gereç ve Yöntem: Örneklem grubu Sınıf I maloklüzyona sahip, 9-13 yaş aralığında 60 bireyden (30 kız ve 30 erkek) oluşturulmuştur. Bireyler uzun yüz büyümesi, normal yüz büyümesi ve kısa yüz büyümesi olmak üzere 3 gruba ayrılarak; servikal vertebral maturasyon evrelerinin değerlendirmesi için Servikal vertebral maturasyon indeksi (CVM), maksiller kanin dişlerin kalsifikasyon aşamalarını değerlendirmek için Demirjian İndeksi (DI) kullanılmıştır.
Bulgular: Kısa yüz büyümesine sahip bireylerde CVM evrelerinden CVM4 görülme oranı kızlarda (r=0.484) erkeklere (r=0.439) oranla daha yüksektir. Bununla birlikte uzun yüz büyümesi olan hastalarda ise, kızlarda CVM6 evresinde (r=-1.014), erkeklerde (r=0.00) ise CVM5 evresinde yoğunluk fazla bulunmuştur. Normal büyüme ve kısa yüz büyümesi gruplarında maksiller kanin dişin DI evresi ortancası F döneminde iken, uzun yüz grubunda ise G dönemindedir. Erkek grubunda maksiller kaninin DI evresi sola eğimli (r = -1.035) bulunmuştur, bu durum daha düşük evrelere eğilim olduğu anlamına gelir. Kız grubunda ise maksiller kaninin DI evresi sağa (r= 0.0911) eğimlidir, bu durum daha yüksek evrelere eğilim olduğu anlamına gelir.
Sonuç: Cinsiyetler ve yüz yükseklikleri arasındaki karşılaştırmalar, maksiller kanin dişlerde kalsifikasyon ve servikal olgunluk aşamalarının kızlarda ve uzun yüz büyümesi olan grupta daha ileri olduğunu ortaya koymuştur.
Anahtar Kelimeler: Servikal vertebra, Diş kalsifikasyonu, Sefalometri, Dental Radyografi

Anahtar Kelimeler

Tooth Calcification, Cervical Vertebra,, Cephalometry, Dental Radiography

Kaynakça

• 1. Rasool G, Hussain U, Shah SS. Evaluation of the skeletal maturation using lower canine mineralization. Pak Oral Dental J 2014;34:629-34.
• 2. Nolla CM. The development of permanent teeth. J Dent Child 1960;27:254-66.
• 3. Proffit WR. Contemporary Orthodontics. 5th ed. St. Louis: Mosby; 2013.
• 4. Hassel B, Farman AG. Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofacial Orthop 1995;107:58-66.
• 5. Baccetti T, Franchi L, McNamara JAJr. The cervical vertebral maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics. Semin Orthod 2005; 11: 119-29.
• 6. Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol 1973;45:211-27.
• 7. Pandey M, Hamdani S, Ali SM, Goswami S, Rajpara. Dental age assessment of 7 to 15 years-old children of Rajasthan using Demirjian’s method. Indian J Dent Res Rev 2012;8-10.
• 8. Leurs IH, Wattel E, Aartman IH, Etty E, Prahl‑Andersen B. Dental age in Dutch children. Eur J Orthod 2005;27:309‑14.
• 9. Ozveren N, Serindere G. Comparison of the applicability of demirjian and willems methods for dental age estimation in children from the thrace region, Turkey. Forensic Sci Int 2018; 285:38-43.
• 10. Celikoglu M, Cantekin K, Ceylan I. Dental age assessment: the applicability of Demirjian method in eastern Turkish children. J Forensic Sci 2011;56:220-22.
• 11. Apaydin B K, Yasar F. Accuracy of the demirjian, willems and cameriere methods of estimating dental age on turkish children. Niger J Clin Pract 2018; 21:257-63.
• 12.Kamal A, Shaikh A, Fida M. Assessment of skeletal maturity using the calcification stages of permanent mandibular teeth. Dental Press J Orthod 2018;23:44E1-E8.
• 13.Lee YS, Choi SH, Kim KH, Hwang CJ. Evaluation of skeletal maturity in the cervical vertebrae and hand-wrist in relation to vertical facial types. Korean J Orthod 2019;49:319-25.
• 14.Bolanos MV, Manrique MV, Bolanos MJ, Briones MT. Approaches to chronological age assessment based on dental calcification. Forensic Sci Int 2000;110:97-106.
• 15.Perinetti G, Callovi M, Salgarello S, Biasotto M, Contardo L. Eruption of the permanent maxillary canines in relation to mandibular second molar maturity. Angle Orthod 2013;83:578-83
• 16.Nanda SK. Patterns of vertical growth in the face. Am J Orthod Dentofacial Orthop 1988;93:103-16.
• 17.Sachan K, Sharma VP, Tandon P.A correlative study of dental age and skeletal maturation. Indian J Dent Res 2011;22:882-5.
• 18.Džemidžić V, Tiro A, Zukanović A, Redžić I, Nakaš E. Skeletal maturity assessment using mandibular canine calcification stages. Acta Medica Academica 2016;45:128-34.
• 19.Kumar S, Roy AS, Garg A, Hamid SB, Tyagi S, Kumar A. Correlation between maxillary canine calcification and skeletal maturation. J Clin Diagn Res 2017;11:ZC13–6.
• 20. Graber LW, Vanarsdall RL, Vig KW, Huang GJ. Orthodontics: current principles and techniques. New York: Elsevier Health Sciences; 2016.
• 21. Esenlik E, Atak A, Atlun C. Evaluation of dental maturation in children according to sagittal jaw relationship. Eur J Dent 2014;8:38-43.
• 22. Kurita LM, Menezes AV, Casanova MS, Haiter-Neto F. Dental maturity as an indicator of chronological age: radiographic assessment of dental age in a Brazilian population. J Appl Oral Sci 2007;15:99-104.
• 23. Neves LS, Pinzan A, Janson G, Canuto CE, de Freitas MR, Cançado RH. Comparative study of the maturation of permanent teeth in subjects with vertical and horizontal growth patterns. Am J Orthod Dentofacial Orthop 2005;128:619-23.
• 24. Janson GR, Martins DR, Tavano O, Dainesi EA. Dental maturation in short and long facial types. Is there a difference? Eur J Orthod 1998;20:73-8.
• 25. Kim KH. A longitudinal study on the skeletal maturity of the hand and wrist among various malocclusion groups (I) Korean J Orthod 1999;29:183-95.
• 26. Jamroz GM, Kuijpers-Jagtman AM, van't Hof MA, Katsaros C. Dental maturation in short and long facial types. Is there a difference? Angle Orthod 2006;76:768-72.
• 27. Verulkar A, Singla P, Patil HA, Tekale PD. Assessment of skeletal and dental maturity indicators and comparison of maturity indicators in vertical and horizontal growth pattern individuals with normal growth pattern individuals. Int J Orthod Rehabil 2017;8:108-11
• 28. Nanda SK. Patterns of vertical growth in face. Am J Orthod Dentofacial Orthop 1988;93:103-16.