Evaluation of the Pubertal Growth Spurt Times on Different Malocclusions: A Cross Sectional Study

Yıl 2024, Cilt: 6 Sayı: 3, 288 - 293, 30.12.2024

Musa Bulut , Yasin Hezenci

https://doi.org/10.51122/neudentj.2025.127

Öz

Objective: This study aims to compare and examine the relationship between pubertal growth spurt time and malocclusion types.
Methods: Hand-wrist and lateral cephalometric radiographs of 1500 patients were examined. Among these records, 279 patients in the peak period of the pubertal growth spurt were included in the study. Skeletal malocclusion of the patients was determined with cephalometric analysis via ANB (˚) angle. If the ANB angle was between 0˚ and 4˚, it was recorded as skeletal Class I; if it was greater than 4˚, it was recorded as Class II; and if it was less than 0˚, it was recorded as Class III. Data were analyzed with one-way analysis of variance and Tukey post hoc tests. Kappa test was also performed to check intraobserver reliability.
Results: Intraobserver reliability was found to be excellent. The mean age at the pubertal growth spurt was 12.08 ± 0.8 years in girls and 13.71 ± 1 years in boys. When the age of the pubertal growth spurt was examined according to malocclusion, a statistically significant difference was found between the mean ages of Class I, Class II and Class III. When pubertal growth spurt ages were compared between sexes, a statistically significant difference was found between girls and boys in all malocclusion types.
Conclusion: Girls in all malocclusion groups started the pubertal growth spurt earlier than boys. Additionally, it was observed that girls with Class III malocclusion reached pubertal growth spurt earlier than other groups.

Anahtar Kelimeler

malocclusion, puberty, radiography

Maloklüzyon Tiplerine Göre Pubertal Büyüme Atılım Zamanlarının İncelenmesi: Kesitsel Bir Çalışma

Öz

Amaç: Bu çalışmanın amacı pubertal büyüme atılımı zamanının maloklüzyon tipleri ile arasındaki ilişkinin karşılaştırılarak incelenmesidir.
Gereç ve Yöntemler: 1500 hastanın el bilek ve lateral sefalometrik radyografileri incelendi. Bu kayıtlar arasından pubertal büyüme atılımının zirve döneminde bulunan 279 hasta çalışmaya dahil edildi. Sefalometrik analiz ile elde edilen ANB değerine göre iskeletsel maloklüzyon sınıflaması yapıldı. ANB (˚) açısı, 0˚- 4˚ arası ise iskeletsel Sınıf I, 4˚’den büyük ise Sınıf II ve 0˚’den küçük ise Sınıf III olarak kaydedildi. Elde edilen veriler tek yönlü varyans analizi ve tukey post hoc testleri ile analiz edildi. Gözlemci içi güvenirliliğin kontrolü için de kappa testi yapıldı.
Bulgular: Gözlemci içi güvenilirliğin mükemmel olduğu bulundu. Pubertal büyüme atılımının zirve zamanındaki ortalama yaş kızlarda 12.08 ± 0.8 yıl, erkeklerde 13.71 ± 1 yıl olarak ölçüldü. Maloklüzyona göre pubertal büyüme atılımı zamanı incelendiğinde yaş ortalaması Sınıf I, Sınıf II ve Sınıf III gruplar arasında istatistiksel olarak anlamlı fark bulundu. Cinsiyetler arasında pubertal büyüme atılım zamanları karşılaştırıldığında ise bütün maloklüzyon tiplerinde kızlar ve erkekler arasında istatistiksel olarak anlamlı fark bulundu.
Sonuç: Tüm maloklüzyon gruplarındaki kızlarda, erkeklerden daha önce pubertal büyüme atılımının başladığı bulundu. Ayrıca Sınıf III maloklüzyona sahip kızların diğer gruplardaki kızlara ve erkeklere göre daha erken dönemde pubertal büyüme atılımına ulaştığı görüldü.

Anahtar Kelimeler

maloklüzyon, puberte, radyografi

Kaynakça

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