Association between mandibular second molars calcification stages in the panoramic images and cervical vertebral maturity in the lateral cephalometric images

Mohammad-Hossein Toodehzaeim; Elahe Rafiei; Seyyed-Hadi Hosseini; Alireza Haerian; Milad Hazeri-Baqdad-Abad

doi:10.4317/jced.56402

Association between mandibular second molars calcification stages in the panoramic images and cervical vertebral maturity in the lateral cephalometric images

J Clin Exp Dent. 2020 Feb 1;12(2):e148-e153. doi: 10.4317/jced.56402. eCollection 2020 Feb.

Authors

Mohammad-Hossein Toodehzaeim¹, Elahe Rafiei², Seyyed-Hadi Hosseini³, Alireza Haerian², Milad Hazeri-Baqdad-Abad⁴

Affiliations

¹ Associate Professor, Department of Orthodontics, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
² Assistant Professor, Department of Orthodontics, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
³ Dental Student, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
⁴ Assistant, Department of Orthodontics Dentistry, Dental School, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Abstract

Background: Determination of maturation and evaluation of growth potential is extremely important in clinical orthodontics. The purpose of this study was to evaluate the diagnostic performance of the mandibular second molar calcification stages for identification of growth phases.

Material and methods: In this cross-sectional descriptive study, samples were derived from panoramic radiographs and lateral cephalograms of 125 subjects (61 males and 64 females) with age ranging from 8 to 17 years and estimates of dental maturity (Demirjian Index [DI]) and skeletal maturity (Cervical vertebral maturation indicators CVMI]) were made. Correlations between DI and CVMI were shown by Spearman's correlation. The diagnostic performance of the DI for the identification of the growth phase were evaluated using positive likelihood ratios (LHRs), with a threshold of ≥10 for satisfactory performance.

Results: Correlations between second molar calcification and growth phase were 0.819 for females and 0.805 for males (P-value< 0.0001). LHR ≥10 was only observed for the identification of the post-pubertal growth phase for the H stage of the second molar.

Conclusions: In spite of the high correlation coefficients between mandibular second molar calcification stages and skeletal maturity, these stages are reliable only for the identification of the post pubertal growth phase. Key words:Skeletal maturation, demirjian Index, mandibular second molar.