scholarly journals Hubungan tingkat maturitas vertebra servikalis dengan panjang mandibulaRelationship between cervical vertebrae maturity and mandibular length

2020 ◽  
Vol 32 (3) ◽  
pp. 205
Author(s):  
Tessa Rebecca Sihombing ◽  
Mimi Marina Lubis
Keyword(s):  
Orthodontic Treatment ◽  
Cervical Vertebrae ◽  
Maturity Level ◽  
Lateral Cephalogram ◽  
Cross Sectional ◽  
Mandibular Growth ◽  
Strong Conclusion ◽  
Maturation Stages ◽  
Cervical Vertebral Maturation ◽  
The Relationship

Pendahuluan: Beberapa tahun terakhir, hubungan antara cervical vertebral maturation (CVM) dengan pertumbuhan mandibula yang dinilai melalui panjang mandibula mendapat perhatian. Pemahaman mengenai pertumbuhan dan perkembangan kraniofasial pasien sangat penting dalam membantu menegakkan diagnosis, merencanakan perawatan, dan keberhasilan perawatan ortodonti. Waktu perawatan ortodonti berhubungan dengan keparahan dan tipe maloklusi yang dikaitkan dengan tingkat maturitas pasien. Tujuan penelitian ini adalah untuk menganalisis hubungan tingkat maturitas vertebra servikalis dengan panjang mandibula. Metode: Jenis penelitian analitik dengan rancangan cross sectional. Sampel penelitian menggunakan 100 foto sefalogram lateral pasien usia 8-18 tahun dengan Klas I skeletal. Kualitas foto sefalogram lateral baik dan berasal dari laboratorium yang sama. Pengumpulan data dilakukan dengan menganalisis tingkat maturitas vertebra servikalis dan mengukur panjang mandibula pada sefalogram lateral. Uji statistik yang digunakan ANOVA dan Kruskal-Wallis, analisis korelasi menggunakan Pearson. Hasil: Terdapat perbedaan yang bermakna pada panjang mandibula laki-laki dan perempuan, dengan nilai p=0,009. Panjang mandibula pada laki-laki lebih besar dibandingkan perempuan. Peningkatan panjang mandibula tertinggi pada laki-laki terjadi dari cervical vertebrae maturation stages (CVMS) 3 ke CVMS 4 sebesar 8,19±5,79 mm dan pada perempuan terjadi dari CVMS 3 ke CVMS 4 sebesar 6,38±4,51 mm. Hubungan yang paling erat adalah pada tahap CVMS 3 ke CVMS 4 sebesar 0,858 yang bersifat kuat. Simpulan: Terdapat hubungan antara tingkat maturitas vertebra servikalis dengan panjang mandibula, pada setiap tingkat maturitas vertebra servikalis terjadi peningkatan panjang mandibula. Hal ini menunjukkan bahwa pertumbuhan mandibula sejalan dengan maturitas vertebra servikalis.Kata kunci: Maturitas, vertebra servikalis, panjang mandibula. ABSTRACTIntroduction: In recent years, the relationship between cervical vertebral maturation (CVM) and mandibular growth assessed by mandibular length has received attention. Understanding the patient’s craniofacial growth and development is very important in helping make the diagnosis, planning treatment, and the success of orthodontic treatment. The orthodontic treatment timing was related to the severity and type of malocclusion associated with the patient’s maturity level. This study was aimed to analyse the relationship between cervical vertebrae maturity level and mandibular length. Methods: This was an analytic study with a cross-sectional design. The study sample used 100 lateral cephalogram photos of patients aged 8-18 years with skeletal Class I. The quality of the lateral cephalogram images was good and came from the same laboratory. Data collection was carried out by analysing the cervical vertebrae’s maturity level and measuring the mandibular length on the lateral cephalogram. The statistical test used was ANOVA and Kruskal-Wallis, and the correlation analysis used was Pearson. Results: There were significant differences in the male and female mandibular length, with the p-value = 0.009. The mandibular length in male was higher than in the female. The highest increase in the male mandibular length occurred from cervical vertebrae maturation stages (CVMS) 3 to CVMS 4 by 8.19 ± 5.79 mm, and in women occurred from CVMS 3 to CVMS 4 by 6.38 ± 4.51 mm. The closest relationship was at the CVMS 3 to CVMS 4 stage of 0.858, which was categorised as strong. Conclusion: There is a relationship between the maturity level of the cervical vertebrae and the mandibular length. At each maturity level of the cervical vertebrae, there is an increase in the mandibular length. These results suggest that the mandibular growth is in line with the maturity of the cervical vertebrae.Keywords: Maturity, cervical vertebrae, mandibular length.

Evaluation of Maxillary and Mandibular Growth Pattern Based on Cervical Vertebral Maturation in Japanese

2021 ◽  
Author(s):  
Asuka Manabe ◽  
Takayoshi Ishida ◽  
Eiichiro Kanda ◽  
Takashi Ono
Keyword(s):  
Growth Pattern ◽  
Orthodontic Treatment ◽  
Cervical Vertebrae ◽  
Bone Age ◽  
Japanese Patients ◽  
Individual Development ◽  
Physiological Age ◽  
Maturation Stages ◽  
Maxilla And Mandible ◽  
Cervical Vertebral Maturation

Abstract Appropriate evaluation of maxillofacial growth and development is important for effective orthodontic treatment. The evaluation of growth is not based on chronological age, but on the physiological age that is evaluated according to individual development. The cervical vertebral bone age is one approach to evaluate physiological age. In the present study, we evaluated the growth pattern of maxilla and mandible in Japanese patients using the age of the cervical vertebrae as an index. Lateral cephalometric radiographs taken before the start of the orthodontic treatment were traced to evaluate the age of the cervical vertebrae and mandible. Altogether, 400 patients were allocated to groups based on the cervical vertebral maturation stages (CVMS), namely, CVMS I to V, with 80 patients in each group. In this study, stratified random sampling was used to obtain the required samples. We measured ANS-PNS as an index of maxillary length, whereas Ar-Go as an index of mandibular height and Go-Pog as an index of mandibular length on the cephalograms. It was found that ANS-PNS increased significantly between CVMS II and CVMS III, while both Ar-Go and Go-Pog increased significantly between CVMS III and CVMS IV in men. On the other hand, such significant increases in consecutive stages were not found in women. Based on these observations, it was suggested that CVMS is effective in evaluating the growth pattern of the maxilla and mandible.

Multiple Regression Modeling for Age Estimation by Assessment and Comparison of Spheno-Occipital Synchondrosis Fusion and Cervical Vertebral Maturation Stages

2021 ◽  
Author(s):  
Ceren Aktuna Belgin ◽  
Seval Bayrak ◽  
Kaan Orhan ◽  
Handan Ankarali
Keyword(s):  
Regression Analysis ◽  
Multiple Regression ◽  
Age Estimation ◽  
Rank Correlation ◽  
Cone Beam ◽  
Spearman Rank Correlation Analysis ◽  
Maturation Stages ◽  
Multiple Regression Modeling ◽  
Cervical Vertebral Maturation ◽  
The Relationship

Abstract Objectives The aim of this study was (1) to evaluate the relationship between spheno-occipital synchondrosis (SOS) fusion stages, cervical vertebral maturation (CVM) stages, and clivus sizes with chronological age on cone-beam computed tomography (CBCT) images, and (2) to compare these methods for accurate age estimation using regression analysis. Materials and Methods The CBCT images of 200 individuals (102 females and 98 males) were included in the study. The SOS fusion stages and CVM stages were evaluated. The width and length of the clivus were measured. The effects of SOS fusion stages, CVM stages, clivus width, and clivus length on age estimation were evaluated by univariate tests and the effects of coexistence with ANCOVA and regression model. Spearman rank correlation analysis was also used to investigate the relationship between the SOS fusion stage, CVM stage, clivus width, and clivus length. Results The SOS stages, CVM stages, and clivus width were not shown statistically significant differences between the sexes (p-values = 0.205, 0.162, and 0.277, respectively), whereas clivus length was significantly longer in males (42.9 ± 4.26 mm) than in females (41.04 ± 3.74 mm). Multiple regression analysis showed 80% success when all parameters (SOS fusion stages, CVM stages, clivus width, and clivus length) were taken into consideration. Conclusion In conclusion, with the use of CVM stages and SOS fusion stages together, an accurate and reliable age estimation can be obtained in forensic medicine.

scholarly journals Prevalence of Microdontia among Patients Undergoing Orthodontic Treatment

2020 ◽  
Keyword(s):  
Orthodontic Treatment ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Single Tooth ◽  
Chi Square Test ◽  
Pre Treatment ◽  
And Gender ◽  
The Relationship

Objective: This study was carried out to determine the prevalence of microdontia among patients undergoing orthodontic treatment. Materials and Methods: This was a cross-sectional study conducted at Sindh Institute of Oral Health Sciences, (JSMU) from January-2020 to May-2020. Pre-treatment casts were taken of 140 subjects. The mesiodistal dimension of each tooth was recorded through the vernier caliper. Frequency and percentage were calculated for the presence of microdontia. The test applied was Pearson’s Chi-square test to assess the relationship between microdontia and variables like age and gender. P-value <0.05 was taken as statistically significant. Data analysis was performed on SPSS version 22. Results: A total of 140 subjects were selected i.e. 105 (75%) females and 35 (25%) males aged range 13 -30 years with mean age 18.29 ± 3.88. Out of 42, single tooth microdontia was found in 3 (7.1%), more than one tooth microdontia, and generalized microdontia was present in 36 (85.7%) and 3 (7.1%) respectively. Microdontia was found to be more common in the maxilla (n=42, 100%) than the mandible (n=14, 33.3%). It was found more common in females (n=37, 35.2%) as compared to males (n=5, 14.3%). Statistically significant relationship was found among gender and prevalence of microdontia (p=0.019) with a statistically insignificant relationship between age and presence of microdontia (p=0.228). Conclusions: Microdontia was found to be a frequent dental anomaly, was more common in maxilla and females with a significant association with gender.

scholarly journals A Comparison of Hand-wrist Bone and Cervical Vertebral Analyses in Measuring Skeletal Maturation

2006 ◽  
Vol 76 (6) ◽  
pp. 984-989 ◽  
Author(s):  
Paola Gandini ◽  
Marta Mancini ◽  
Federico Andreani
Keyword(s):  
Radiation Exposure ◽  
Cervical Vertebrae ◽  
Skeletal Maturation ◽  
Maturation Stage ◽  
Concordance Index ◽  
Lateral Cephalogram ◽  
Stage 4 ◽  
Cervical Vertebral Maturation

Abstract Objective: To compare skeletal maturation as measured by hand-wrist bone analysis and by cervical vertebral analysis. Materials and Methods: A radiographic hand-wrist bone analysis and cephalometric cervical vertebral analysis of 30 patients (14 males and 16 females; 7–18 years of age) were examined. The hand-wrist bone analysis was evaluated by the Bjork index, whereas the cervical vertebral analysis was assessed by the cervical vertebral maturation stage (CVMS) method. To define vertebral stages, the analysis consisted of both cephalometric (13 points) and morphologic evaluation of three cervical vertebrae (concavity of second, third, and fourth vertebrae and shape of third and fourth vertebrae). These measurements were then compared with the hand-wrist bone analysis, and the results were statistically analyzed by the Cohen κ concordance index. The same procedure was repeated after 6 months and showed identical results. Results: The Cohen κ index obtained (mean ± SD) was 0.783 ± 0.098, which is in the significant range. The results show a concordance of 83.3%, considering that the estimated percentage for each case is 23.3%. The results also show a correlation of CVMS I with Bjork stages 1–3 (interval A), CVMS II with Bjork stage 4 (interval B), CVMS III with Bjork stage 5 (interval C), CVMS IV with Bjork stages 6 and 7 (interval D), and CVMS V with Bjork stages 8 and 9 (interval E). Conclusions: Vertebral analysis on a lateral cephalogram is as valid as the hand-wrist bone analysis with the advantage of reducing the radiation exposure of growing subjects.

scholarly journals Physiological maturation stage of cervical vertebrate index in cleft lip/palate and non-cleft lip/palate patients

2019 ◽  
Vol 4 (3) ◽  
pp. 149
Author(s):  
Wenti Komala ◽  
Endah Mardiati ◽  
Eky Soeria Soemantri ◽  
Isnaniah Malik
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cervical Vertebrae ◽  
Maturation Stage ◽  
Lateral Cephalogram ◽  
Significant Difference ◽  
Cleft Lip Palate ◽  
Stage Transition ◽  
Maturation Index ◽  
Cervical Vertebral Maturation

Cleft lip and palate is one of the most common congenital anomalies. Cleft lip and palate patients encounter growth problems in lip and palate area, although their overall growth and development remains unknown. Cervical vertebral maturation are indicators of physiological maturation used in interceptive treatment and orthognathic surgery. The present study aims to determine physiological maturation stage of cervical vertebrae maturation index in cleft andnon-cleft patients. Lateral cephalogram of 26 cleft patients and 27 non-cleft patients with a range of chronological age from 8-16 years old were involved. The cervical vertebrae maturation were analyzed in six stages of cervical vertebrae maturation method of Hassel and Farman. Data were analyzed using t-test (p≤ 0.05). The result shows that physiologicalmaturation stage of cervical vertebrae maturation index in cleft and non-cleft patients has no significant difference in stage acceleration (p= 0.38), stage transition (p= 0.41) and deceleration (p= 0.39). Likewise, there is no significant difference in physiological maturation stage of cervical vertebrae maturation index between cleft and non-cleft patients. 

MOTIVASI GAYA KEPEMIMPINAN DAN KOMITMEN ORGANISASI BERHUBUNGAN ERAT DENGAN KEPUASAN KERJA PERAWAT DI RUMAH SAKIT BHAYANGKARA POLDA D.I YOGYAKARTA

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Supriyadi Supriyadi ◽  
Sendy Komarudin ◽  
Sri Nur Hartiningsih
Keyword(s):  
Job Satisfaction ◽  
Organizational Commitment ◽  
Human Resources ◽  
Leadership Style ◽  
Dominant Factor ◽  
P Value ◽  
Cross Sectional ◽  
Multivariate Test ◽  
Strong Conclusion ◽  
The Relationship

Background: The quality of hospital services is strongly influenced by several factors, among which the most dominant factor is human resources. Human resources are the key to the success and success of the organization. Human resources related to the provision of health services in hospitals are nurses. managing human resources is not an easy thing because it involves many important factors that must be considered, one of which is the factor of job satisfaction. There are several indicators that must be considered by the hospital, one of which is to pay attention to the level of job satisfaction nurse (Simamora, 2012).   Objective: This study aims to determine the relationship of motivation leadership style and organizational commitment with job satisfaction Nurse at Bhayangkara Hospital POLDA D.I. Yogyakarta.   Methods: The research design used in this research is descriptive correlation research with cross sectional approach. Sampling technique with total sampling. Pupulation in this research is nurse counted 33 people. Bivariate statistical test using kendal tau while multivariate test using multiple linear regression with significant level 95%.   Result: Result of research got all variable that is motivation, leadership style, and organizational commitment influence nurse job satisfaction with p value 0.001, 0.003, 0.000 (p<0.05). Multivariate test obtained value of R 0.662 means the relationship between motivation, leadership style and organizational commitment with job satisfaction is strong.  Conclusion: there is a relationship between motivation, leadership style and organizational commitment with job satisfaction

scholarly journals The cervical vertebral maturation method: A user's guide

2018 ◽  
Vol 88 (2) ◽  
pp. 133-143 ◽  
Author(s):  
James A. McNamara ◽  
Lorenzo Franchi
Keyword(s):  
Cervical Vertebrae ◽  
Second Step ◽  
Everyday Clinical Practice ◽  
Lateral Cephalogram ◽  
Typical Sequence ◽  
Specific Time Point ◽  
Maturational Stage ◽  
Vertebral Bodies ◽  
Inferior Border ◽  
Cervical Vertebral Maturation

ABSTRACT The cervical vertebral maturation (CVM) method is used to determine the craniofacial skeletal maturational stage of an individual at a specific time point during the growth process. This diagnostic approach uses data derived from the second (C2), third (C3), and fourth (C4) cervical vertebrae, as visualized in a two-dimensional lateral cephalogram. Six maturational stages of those three cervical vertebrae can be determined, based on the morphology of their bodies. The first step is to evaluate the inferior border of these vertebral bodies, determining whether they are flat or concave (ie, presence of a visible notch). The second step in the analysis is to evaluate the shape of C3 and C4. These vertebral bodies change in shape in a typical sequence, progressing from trapezoidal to rectangular horizontal, to square, and to rectangular vertical. Typically, cervical stages (CSs) 1 and CS 2 are considered prepubertal, CS 3 and CS 4 circumpubertal, and CS 5 and CS 6 postpubertal. Criticism has been rendered as to the reproducibility of the CVM method. Diminished reliability may be observed at least in part due to the lack of a definitive description of the staging procedure in the literature. Based on the now nearly 20 years of experience in staging cervical vertebrae, this article was prepared as a “user's guide” that describes the CVM stages in detail in attempt to help the reader use this approach in everyday clinical practice.

scholarly journals Relationship between dental calcification and skeletal maturation in a Peruvian sample

2017 ◽  
Vol 22 (3) ◽  
pp. 89-96 ◽  
Author(s):  
Rocío M. Lecca-Morales ◽  
Marcos J. Carruitero
Keyword(s):  
Cervical Vertebrae ◽  
Skeletal Maturation ◽  
Growth Spurt ◽  
Mandibular Growth ◽  
Exact Test ◽  
Second Molar ◽  
Pubertal Growth ◽  
Mandibular Molar ◽  
Maturation Stages ◽  
Mandibular Second Molar

ABSTRACT Objective: the objective of the study was to determine the relationship between dental calcification stages and skeletal maturation in a Peruvian sample. Methods: panoramic, cephalometric and carpal radiographs of 78 patients (34 girls and 44 boys) between 7 and 17 years old (9.90 ± 2.5 years) were evaluated. Stages of tooth calcification of the mandibular canine, first premolar, second premolar, and second molar and the skeletal maturation with a hand-wrist and a cervical vertebrae method were assessed. The relationships between the stages were assessed using Spearman’s correlation coefficient. Additionally, the associations of mandibular and pubertal growth peak stages with tooth calcification were evaluated by Fisher’s exact test. Results: all teeth showed positive and statistically significant correlations, the highest correlation was between the mandibular second molar calcification stages with hand-wrist maturation stages (r = 0.758, p < 0.001) and with vertebrae cervical maturation stages (r = 0.605, p < 0.001). The pubertal growth spurt was found in the G stage of calcification of the second mandibular molar, and the mandibular growth peak was found in the F stage of calcification of the second molar. Conclusion: there was a positive relationship between dental calcification stages and skeletal maturation stages by hand-wrist and cervical vertebrae methods in the sample studied. Dental calcification stages of the second mandibular molar showed the highest positive correlation with the hand-wrist and cervical vertebrae stages.

Does the Duration of Fixed Orthodontic Treatment Affect Caries Activity among Adolescents and Young Adults?

2018 ◽  
Vol 52 (6) ◽  
pp. 463-467 ◽  
Author(s):  
Alice S. Pinto ◽  
Luana Severo Alves ◽  
Marisa Maltz ◽  
Cristiano Susin ◽  
Julio Eduardo A. Zenkner
Keyword(s):  
Treatment Duration ◽  
Orthodontic Treatment ◽  
Median Number ◽  
Cross Sectional Study ◽  
Orthodontic Appliances ◽  
Cross Sectional ◽  
Caries Activity ◽  
Fixed Orthodontic Appliances ◽  
The Relationship ◽  
Caries Lesions

This cross-sectional study assessed the relationship between fixed orthodontic treatment duration and caries activity. Two hundred and sixty 10- to 30-year-olds were divided into 4 groups (n = 65): no fixed orthodontic appliances (G0), orthodontic treatment for 1 year (G1), 2 years (G2), or 3 years (G3). Orthodontic treatment duration was significantly associated with active caries: prevalence was 1.5% for G0, 27.7% for G1, and 72.3% for G2 and G3; the median number of lesions was 0 for G0 and G1 and 2 for G2 and G3. No differences were observed between G2 and G3. The longer the duration of orthodontic treatment, the higher the prevalence/extent of active caries lesions.

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