Diagnostic assessment of tooth maturation of the mandibular second molars as a skeletal maturation indicator: A retrospective longitudinal study

Rodrigo Oyonarte, Fernando Sánchez-Ugarte, Juan Montt, Alejandra Cisternas, Rolando Morales-Huber, Valeria Ramirez-Lobos, Guilherme Janson

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction: Our aim was to analyze the correlation between growth status in height and chronological age, carpal maturation, cervical maturation, and dental maturation, and assess the diagnostic performance of Demirjian's dental maturation as an indicator of the pubertal growth spurt, through a retrospective longitudinal study. Methods: Records of 60 Canadian patients obtained from the Burlington Growth Centre, which included height and weight charts and a set of x-rays at 6 points in time, were analyzed. The images at each point in time included 1 hand and wrist radiograph, a lateral cephalometric x-ray, and one 45° oblique cephalometric radiograph of each side, which were analyzed using the methods of Fishman, Baccetti, and Demirjian on the mandibular left and right second molars, respectively. The onset of the pubertal growth peak in height (distance to growth peak [DGP]) was identified, and the correlation between methods with DGP was assessed. Results: High levels of correlation were obtained between the methods of Fishman, Baccetti, and Demirjian with DGP. The cutoff point between prepubertal and postpubertal stages was F stage for women and G stage for men, with statistically significant levels of sensitivity and specificity for the test. Conclusions: The use of the method of Demirjian applied to mandibular second molars is plausible as a predictor of the occurrence of the DGP for the studied population.

Original languageEnglish
Pages (from-to)383-390
Number of pages8
JournalAmerican Journal of Orthodontics and Dentofacial Orthopedics
Volume158
Issue number3
DOIs
StatePublished - Sep 2020

Bibliographical note

Funding Information:
The authors thank Dr Bryan Tompson and Diana Tucker, whose support made the use of longitudinal records from the Burlington Growth Centre possible.

Publisher Copyright:
© 2020 American Association of Orthodontists

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