Midpalatal sutur maturasyonunun yaş ve servikal vertebral maturasyonla ilişkisi: radyografik inceleme
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
Relationship between midpalatal suture maturation and age and maturation of cervical vertebrae: radiographic evaluation
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.
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- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 1984
- Yayıncı: Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi