Evaluation of Midpalatal Suture Maturation Stages among Adolescents and Adults using Cone Beam Computed Tomography
Article Sidebar
Main Article Content
Abstract
Background: Transverse maxillary constriction is commonly found in skeletal discrepancies. Growth of the maxilla in the transverse plane is reflected by midpalatal suture maturation status. Previous studies attempted to assess the midpalatal suture maturation. However, literature of the evaluation of MPS maturation using cone beam computed tomography (CBCT) still was limited. Objective: The purpose of the study was to evaluate the different maturation stages of midpalatal suture among adolescents and adults using CBCT. Materials and methods: The sample comprised 200 CBCT reports of subjects. The images were exported to 3D imaging software, where axial sections were used for the suture maturation stages evaluation. The investigators interpreted the images to establish the staging of suture maturation according to the morphologic characteristics in five maturational stages (A to E). The statistical analysis was performed (P < 0.05). Results: The most frequently observed maturational stage in midpalatal suture was stage D (52 %), followed by stage C (22.50 %) and stage E (22.50 %) in mixed age samples. Males showed a higher occurrence of stage D (56.31 %) compared to females (43.69 %). Conclusion: Stage D was the most common maturation stage observed. The common occurrence of stage D in the study group indicates a greater likelihood of open midpalatal suture in adolescents and young adults.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Chaurasia BD. Human anatomy regional and applied dissection and clinical. 4th ed. New Delhi: CBS Publishers; 2004.p.227-38.
Vahdat AS, Kachoei M, Ghoghani FE, Ghasemi S, Zarif P. Evaluation of midpalatal suture ossification based on age and gender using cone beam computed tomography (CBCT). Arch Pharm Pract 2020;11(1):44-50.
Melsen B. Palatal growth studied on human autopsy material: A histologic microradiographic study. Am J Orthod 1975;68(1):42-54.
Angelieri F, Cevidanes LH, Franchi L, Gonçalves JR, Benavides E, McNamara Jr JA. Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop 2013;144(5):759-69.
Brunelle JA, Bhat M, Lipton JA. Prevalence and distribution of selected occlusal characteristics in the US population, 1988-1991. J Dent Res 1996;75(2):706-13.
Gill D, Naini F, McNally M, Jones A. The management of transverse maxillary deficiency. Dent Update 2004;31(9):516-3.
Kapetanović A, Theodorou CI, Bergé SJ, Schols JGJH, Xi T. Efficacy of Miniscrew-assisted rapid palatal expansion (MARPE) in late adolescents and adults: a systematic review and meta-analysis. Eur J Orthod 2021;43(3):313-23.
Agostino P, Ugolini A, Signori A, Silvestrini‐Biavati A, Harrison JE, Riley P. Orthodontic treatment for posterior crossbites. Cochrane Database Syst Rev 2021;12(8):1-50.
Proffit WR, Fields JrHW, Sarver DM. Contemporary orthodontics. 4th ed. St Louis: Mosby Elsevier; 2007.p.599-656.
Plianbangchang S. Promoting adolescent health and development in South-East Asia. Indian J Community Med 2011;36(4):245-6.
Persson M, Thilander B. Palatal suture closure in man from 15 to 35 years of age. Am J Orthod 1977;72(1):42-52.
Grgic O, Shevroja E, Dhamo B, Uitterlinden AG, Wolvius EB, Rivadeneira F, et al. Skeletal maturation in relation to ethnic background in children of school age: The Generation R Study. Bone 2020;132:115180.
Ladewig VM, Capelozza-Filho L, Almeida-Pedrin RR, Guedes FP, de Almeida Cardoso M, de Castro Ferreira Conti AC. Tomographic evaluation of the maturation stage of the midpalatal suture in postadolescents. Am J Orthod Dentofacial Orthop 2018;153(6):818-24.
Darkwah WK, Kadri A, Adormaa BB, Aidoo G. Cephalometric study of the relationship between facial morphology and ethnicity: Review article. Transl Res Anat 2018;12:20-4
Narula K, Shetty S, Shenoy N, Srikant N. Evaluation of the degree of fusion of midpalatal suture at various stages of cervical vertebrae maturation. APOS Trends Orthod 2019;9(4):235-40.
Jimenez-Valdivia LM, Malpartida-Carrillo V, Rodríguez Cárdenas YA, Dias-Da Silveira HL, Arriola-Guillén LE. Midpalatal suture maturation stage assessment in adolescents and young adults using cone-beam computed tomography. Prog Orthod 2019;20:38.
Abo Samra D, Hadad R. Midpalatal suture: evaluation of the morphological maturation stages via bone density. Prog Orthod 2018;19(1):29.
Meeran NA, Parveen MJ. The scope and limitations of adult orthodontics. Indian J Multidiscip Dent 2011;2(1):383-7.
Timms DJ, Vero D. The relationship of rapid maxillary expansion to surgery with special reference to midpalatal synostosis. Br J Oral Surg 1981;19(3):180-96.
Lee Y, Mah Y. Evaluation of midpalatal suture maturation using cone-beam computed tomography in children and adolescents. J Korean Acad Pediatr Dent 2019;46(2):139-46.