Assessing The Relationship Between The Cervical Vertebrae Maturation Stages And Permanent Maxillary Canine Calcification Stages - A Retrospective Study

2020 ◽  
Vol 32 (3) ◽  
pp. 205
Author(s):  
Tessa Rebecca Sihombing ◽  
Mimi Marina Lubis

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.


Author(s):  
Ceren Aktuna Belgin ◽  
Seval Bayrak ◽  
Kaan Orhan ◽  
Handan Ankarali

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.


Author(s):  
Dong‐Wook Kim ◽  
Jinhee Kim ◽  
Taesung Kim ◽  
Taewoo Kim ◽  
Yoon‐Ji Kim ◽  
...  

2012 ◽  
Vol 52 (4) ◽  
pp. 233
Author(s):  
Neni Sumarni ◽  
Muhammad Sholeh Kosim ◽  
Mohammad Supriatna ◽  
Eddy Sudijanto

Background Ventilator􀁖associated pneumonia (VAP) is anosocomial infection in patients who have received mechanicalventilation (MV), either by endotracheal intubation ortracheostomy, for more than 48 hours. YAP represents 80% ofall hospital􀁖acquired pneumonias. VAP incidence varies from5.1 %􀁖33.3%. The modified clinical pulmonary infection scoreis a criteria for diagnosing suspected YAP and typically includesradiographic evidence. YAP is associated with significantmorbidity and mortality.Objective To determine the relationship between chest x􀁖rayfindings and outcomes in children Mth suspected VAP.Methods This retrospective study was held in Dr. Kariadi Hospitalfrom January - December 2010. Data was collected from medicalrecords of pediatric ICU (PICU) patients with suspected VAP.Chest x􀁖ray findings and patient outcomes were recorded. X􀁖rayfindings were assessed by the on􀁖duty radiologist. Chi square testwas used for statistical analysis.Results Subjects were 30 children consisting of 14 males and 16females. Patient outcomes were 23 patients survived and 7 patientsdied. Chest x􀁖ray findings were categorized into the followinggroups and compared to patient survivability: diffuse infiltrates76.7% (OR􀁗0.694; P􀁗0.532; 95% CI 0.102 to 4.717), localhedinfiltrates 13.3% (OR􀁗4.200; P􀁗 0.225; 95% CI 0.470 t037.49),and no infiltrates 10% (OR􀁗 1.222; P􀁗 0.436; 95% CI 0.593 to0.926). None of the x􀁖ray findings had a significant correlationto patient outcomes.Conclusion There was no significant relationship between chestx􀁖ray findings and outcomes in children with suspected VAP.[Paediatr rndones. 2012;52:233-8].


2017 ◽  
Vol 08 (07) ◽  
pp. 299-304
Author(s):  
Fatin R. Polat ◽  
Yasin Duran ◽  
Havva Nur Alparslan Yümün ◽  
Gülay Sariçam

2020 ◽  
Author(s):  
Soohyuk Yoon ◽  
Seokha Yoo ◽  
Min Hur ◽  
Sun-Kyung Park ◽  
Hyung-Chul Lee ◽  
...  

Abstract Background The relationship between intraoperative low bispectral index (BIS) values and poor clinical outcomes has been controversial. Intraoperative hypotension is associated with postoperative complication. The purpose of this study was to investigate the influence of intraoperative low BIS values and hypotension on postoperative mortality in patients undergoing major abdominal surgery. Methods This retrospective study analyzed 1,862 cases of general anesthesia. We collected the cumulative time of BIS values below 20 and 40 as well as electroencephalographic suppression and documented the incidences in which these states were maintained for at least 5 minutes. Durations of intraoperative mean arterial pressures (MAP) less than 50 mmHg were also recorded. Multivariable logistic regression was used to evaluate the association between suspected risk factors and postoperative mortality. Results Ninety-day mortality and 180-day mortality were 1.5% and 3.2% respectively. The cumulative time in minutes for BIS values falling below 40 coupled with MAP falling below 50 mmHg was associated with 90-day mortality (odds ratio, 1.26; 95% confidence interval, 1.04-1.53; P = .019). We found no association between BIS related values and 180-day mortality. Conclusions Delicate adjustment of anesthetic depth is important to avoid excessive brain suppression and hypotension, which could be associated with postoperative mortality.


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