Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation

Yıl 2018, Cilt: 35 Sayı: 3, 69 - 74, 14.08.2018

Hande Görücü Coşkuner , Ezgi Atik , Tülin Taner

https://doi.org/10.17214/gaziaot.406823

Cited By: 2

Öz

Objective: To
evaluate the stages of midpalatal suture (MPS) maturation in patients older
than 15 years, and to determine the correlation between the stage of MPS
maturation and age and cervical vertebral maturation (CVM).

Materials and Method: Cone-beam computed tomography (CBCT) scans of 50
patients (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 of
impacted canines or determination of orthognathic surgery were selected. The
CBCT images were evaluated at two different time intervals for determination of
the 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 correlations
between MPS maturation and chronological age and CVM were assessed using
Spearman’s rank correlation analysis.

Results: The
Kappa coefficients for intra-examiner agreement were 0.837 and 0.865 for
classification of the stages of MPS maturation and CVM, respectively. No
significant correlation was observed between chronological age and maturation
of MPS (r = 0.212, p = 0.139) and between the stages of CVM and maturation of
MPS (r = 0.030, p = 0.839).

Conclusion: The
limitation of our study was a small sample size, and, on the basis of our
results, neither CVM nor chronological age could be used as a convenient tool
to determine the stage of MPS maturation in 15–30-year-old patients.

Anahtar Kelimeler

Cone-beam computed tomography, growth and development, orthodontics

Midpalatal sutur maturasyonunun yaş ve servikal vertebral maturasyonla ilişkisi: radyografik inceleme

Öz

Amaç: Bu çalışmanın amacı 15 yaş ve
üstündeki bireylerde midpalatal sutur maturasyon aşamalarını değerlendirmek ve
bu aşamaların yaş ve servikal vertebral maturasyonla ilişkisini belirlemektir.

Gereç ve Yöntem: 50 bireyin (29 kadın, 21
erkek; ortalama yaş: 19.79 ± 4.09 yıl) konik ışınlı bilgisayarlı tomografi
(KIBT) görüntüleri incelendi. Gömülü kanin değerlendirmesi veya ortognatik
cerrahi planlaması için alınmış iyi kalitede KIBT görüntüleri olan 15-30 yaş
arasındaki bireyler çalışmaya dahil edildi. Midpalatal sutur ve servikal
vertebral maturasyon aşamalarının belirlenmesi için KIBT görüntüleri iki farklı
zamanda değerlendirildi. Midpalatal sutur maturasyon aşamaları, daha önceden
doğrulanmış bir yöntem ile, aksiyel kesitler değerlendirilerek A, B, C, D veya
E olarak sınıflandırıldı. Servikal vertebral maturasyon aşamaları ise KIBT
görüntülerinin sagital kesitlerinden belirlendi. Gözlemci içi güvenilirlik
Kappa testi ile değerlendirildi. Midpalatal sutur maturasyonu ile kronolojik
yaş ve servikal vertebral maturasyon arasındaki korelasyon Spearman’ın sıralama
korelasyon analizi ile değerlendirildi.

Bulgular: Gözlemci içi uyumu belirten
Kappa katsayıları, midpalatal sutur ve servikal vertabral maturasyon için
sırasıyla 0.837 ve 0.865’ti. Kronolojik yaş ve midpalatal sutur maturasyonu
arasında korelasyon önemli bulunmadı (r=0.212, p=0.139). Aynı şekilde, servikal
vertebral ve midpalatal sutur maturasyon aşamaları arasında da korelasyon
önemli bulunmadı (r=0.030, p=0.839).

Sonuç: Küçük örneklem çapında
gerçekleştirilmiş bu çalışmanın sınırları dahilinde ne servikal vertebral
maturasyon aşaması ne de kronolojik yaş, 15 yaş ve 30 yaş arasındaki bireylerde
midpalatal sutur maturasyon aşamasının belirlenmesi için uygun bir araç olarak
bulunmadı.

Anahtar Kelimeler

Büyüme ve gelişim, konik ışınlı bilgisayarlı tomografi, ortodonti

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