Skeletal Maturity Assessment using Mandibular Canine Calcification Stages

Abstract

Objective: To determine the correlation between cervical vertebral maturation stages on a lateral cephalo-gram and Dimerijan canine calcification stages on an Orthopan-tomogram for assessment of skeletal maturity

Study Design: Cross-sectional study.

Place and Duration of Study: Orthodontics Department, Armed Forces Institute of Dentistry (AFID), Rawalpindi Pakistan, from Dec 2021 to Apr 2022.

Methodology: The subjects of either gender, aged 9 to 16 years, in good physical, mental and oral health were included in the study. Two radiographs, a lateral cephalogram and Orthopantomogram, were taken for each patient. Hassel and Farman and Demirjian stages were used to asses skeletal maturity and canine classification, respectively.

Results: The mean age of the sample was 13.29±1.86 years. The Hassel and Farman CVM stages on a lateral cephalometric radiograph and Dimerijan canine calcification stages on a panoramic radiograph showed a significant positive correlation (r= 0.785, p= 0.000)

Conclusion: There is a high correlation between CVM stages by Hassel and Farman and Dimerijan canine calcification stages to assess skeletal maturity. Therefore, any of these radiographs can be employed to assess the skeletal maturity status of the patient without exposing the patient to additional radiographic radiation.
Keywords: Cervical vertebral maturation (CVM) stages, Canine calcification stages, Dental maturity, Skeletal maturity.