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Oral Radiology
Published in: Oral Radiology 4/2020

01-10-2020 | Digital Volume Tomography | Original Article

Comparative determination of skeletal maturity by hand–wrist radiograph, cephalometric radiograph and cone beam computed tomography

Authors: Alperen Tekın, Kader Cesur Aydın

Published in: Oral Radiology | Issue 4/2020

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Abstract

Objectives

The purpose of this study is to assess the stages of skeletal maturity in cone beam computed tomography (CBCT), hand–wrist radiography (HWR) and cephalometric radiography (CR) techniques of orthodontic patients, and associate skeletal maturity stages with chronological age, in a Turkish subpopulation.

Methods

Hand–wrist radiographs, cephalometric radiographs and CBCT of 105 patients were evaluated. For evaluation of HWR, the “Hand Bone Age A Digital Atlas of Skeletal Maturity” of Vicente Gilsanz and Osman Ratib (2005) was used. Skeletal maturation in the cephalometric radiographs and sagittal sections of cervical vertebrae obtained by CBCT were evaluated with Hassel and Farman’s method (1995). All results were re-evaluated 3 weeks later to assess intra-observer reliability.

Results

Intra-observer reliability coefficients of the skeletal maturity stages in HWR, CR, and CBCT were 0.912, 0.595, 0.756 respectively (p < 0.05). Spearman’s correlation coefficient value between skeletal developmental stages in in HWR, CR, and CBCT was found to be 0.785, 0.875, and 0.791, respectively (p < 0.05).

Conclusion

Results of this study reveal that the determination of the skeletal development status with analysis of cervical vertebrae using cephalometric radiographs and CBCT is as reliable method as the evaluation of the hand–wrist radiographs and is compatible with chronological age in a subgroup of the Turkish population. When assessing the skeletal development stages of patients, both CBCT and CR can be used validly, so no extra hand–wrist radiography is required. This information is important for the prevention of increased radiation doses in patients.
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Metadata
Title
Comparative determination of skeletal maturity by hand–wrist radiograph, cephalometric radiograph and cone beam computed tomography
Authors
Alperen Tekın
Kader Cesur Aydın
Publication date
01-10-2020
Publisher
Springer Singapore
Published in
Oral Radiology / Issue 4/2020
Print ISSN: 0911-6028
Electronic ISSN: 1613-9674
DOI
https://doi.org/10.1007/s11282-019-00408-y

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