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SKELATAL MATURITY
INDICATORS AS SEEN IN
THE TRANSVERSE SECTION
OF THE MANDIBLE
 
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www.indiandentalacademy.com
NANDA
HUNTER
BJORK
BROWN
BISHARA
BODY HEIGHT
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JHONSTON
BERGERSON
GRAVE
PITESKI AND
FISHMAN
HAND AND WRIST
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HAGG
LEWIS
DEMINJIAN
SEXUAL
MATURITY
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CHERTKOW
ENGSTROM
COUTINHO
DENTAL
INDICATORS
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LAMPARSKI
O’REILLY
CERVICAL VERTEBRAE
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HAND WRIST
RADIOGRAPHS
CERVICAL VERTEBRAL
MATURITY
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Differential of
normal growth
In search of achieving a
more reliable and
accurate skeletal
maturity indicator
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MATERIALS AND METHODS
A.B.SHETTY MEMORIAL
INSTITUTE OF
DENTAL SCIENCES
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Sample size: 60(30 males, 30 females)
Age group: 9-16yrs
Radiographs taken:
Lateral cephalogram Transverse slicing
sections
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C o m p le t io n
M a t u r a t io n
D e c e le r a t io n
T r a n s it io n
A c c e le r a t io n
G R O U P A
m a le s
C o m p le t io n
M a t u r a t io n
D e c e le r a t io n
T r a n s it io n
A c c e le r a t io n
G R O U P B
fe m a le s
S U B J E C T S
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Condylion
Gnathion
Gonion
Mandibular
measurements
recorded
Ascending ramus length
Mandibular corpus length
Effective mandibular length
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Measurements taken of the symphysis
region
Buccal cortical thickness
Lingual cortical thickness
Lower border thickness
Mandibular symphysis height
Mandibular symphysis depth
Symphysial index = sym height 
sym depth
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Measurements recorded in the
TSS view
Buccal cortical thickness
Lingual cortical thickness
Lower border thickness
Mandibular corpus height
Mandibular corpus depth
Corpus index = corpus height
corpus depth
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COMPARISON
CORPUS INDEX
MANDIBULAR LENGTH
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RESULTS
0
0.5
1
1.5
2
2.5
3
acceleration transition deceleration maturation completion
0
20
40
60
80
100
120
140
corpus index effective mandibular length
Corpus
index
Mandibular
length
1.84 99.3
2.05 107.7
2.17 110.5
2.3 115
2.56 125
Group A
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Corpus
index
Mandibular
length
1.83 99.5
2.08 108
2.16 108
2.3 114
2.51 124
Group B
0
0.5
1
1.5
2
2.5
3
acceleration transition deceleration maturation completion
0
20
40
60
80
100
120
140
corpus index effective mandibular length
www.indiandentalacademy.com
COMPARISON
SYMPHYSIAL INDEX
MANDIBULAR LENGTHwww.indiandentalacademy.com
Symphysial
index
Mandibular
length
1.4 99.3
1.5 107.7
1.7 110.5
1.4 115
1.5 125 0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
acceleration transition deceleration maturation completion
0
20
40
60
80
100
120
140
symphysial index effective mandibular length
Group A
www.indiandentalacademy.com
Symphysial
index
Mandibular
length
1.5 99.5
1.4 108
1.5 108
1.3 114
1.5 124 0
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.8
acceleration transition deceleration maturation completion
0
20
40
60
80
100
120
140
symphysial index effective mandibular length
Group B
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EVIDENCE
SIGNIFICANT AND
RELATIVELY SIMPLE
RELATIONSHIP
STRUCTURES OF THE
MANDIBULAR BODY
AND ITS MATURITY.
www.indiandentalacademy.com
www.indiandentalacademy.com
DISCUSSION
Mandible
Greatest
growth
Strongest,
Largest bone
Cause for
most
malocclusions
Anterior-posterior
Relationship +
www.indiandentalacademy.com
Mandible
Grows longer,more
than maxilla
Various Growth
Modulationprocedures=
Unfortunately untimely
treatment may lead to relapse
due to the continual growth of
the mandible
www.indiandentalacademy.com
Reliable
indicator
Intrinsic
indicator
Valuable tool
Better diagnosis
and treatment
planning
www.indiandentalacademy.com
SUMMARY
www.indiandentalacademy.com
Further study with
a larger sample
Confirm
Longitudinal
study
Useful and
appreciated.
www.indiandentalacademy.com
www.indiandentalacademy.com

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Skelatal maturity indicators as seen in the transverse section of the mandible

Editor's Notes

  1. Keeping in mind the differential seen in the normal growth within an individual, the assessment of maturation of a structure based on the evaluation of another may not be accurate. Hence, understanding the importance of skeletal maturation in the diagnosis and treatment planning of an individual this study was undertaken in search of achieving a more reliable and accurate skeletal maturity indicator
  2. A definite curvi-linear increase was observed between the values of the mandibular corpus and the effective mandibular length. A similar increase of corpus index was observed corresponding with each stage of CVM. A definite intrinsic indicator scoring was observed with each stage of the cervical vertebral maturation.
  3. no significant co relation was found.
  4. According to Hassel and Farman’s description of the CVM stages,
  5. The cephalo-caudal gradient of growth shows the mandible being farther away from the brain grows for a longer time and more than the maxilla.