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Classification of the midpalatal suture maturation in individuals older than 15 years: a cone beam computed tomographic study

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Abstract

Purpose

The aim of this study was to classify the maturation of the midpalatal suture (MPS) in a sample of individuals aged 15 years and older.

Methods

Tomographic images in axial sections of the MPS of 289 female individuals and 198 male individuals aged between 15 and 40 years were analyzed and classified in stages of maturation (A, B, C, D, and E), stage A represents the earliest maturation stage of the suture and in stage E the fusion of the MPS has occurred in the maxilla. The Kruskal–Wallis and Student–Newman–Kells tests were used to compare the chronological ages among different maturation stages. Spearman’s correlation coefficient was used to assess the correlation between patient’s age and the maturation stages of the MPS.

Results

Stage A was not observed in the sample. Stages B and C represent, respectively, 1.03% and 34.09% of the sample, stage D was found in 16.63% of the sample while stage E was the most prevalent stage found (48.25%). For females, it was revealed no statistically significant difference in the mean ages among stages C, D and E (p = 0.4753). For males, a statistically significant difference was observed, with the mean age of individuals in stages D and E of the MPS maturation higher than in other stages (p = 0.0001). There was a significant, but weak, correlation between patient’s age and the maturation stages of the suture (rs = 0.11/p = 0.01).

Conclusion

No individuals in stage A of suture maturation were found and stage B was identified in only 1% of the sample. The majority of the patients (64.88%) presented at least partial fusion of the MPS (stages D and E).

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References

  1. Alpern MC, Yurosko JJ (1987) Rapid palatal expansion in adults with and without surgery. Angle Orthod 57(3):245–263

    CAS  PubMed  Google Scholar 

  2. Angelieri F, Cevidanes LH, Franchi L, Gonçalves JR, Benavides E, McNamara JA Jr (2013) Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop 144(5):759–769. https://doi.org/10.1016/j.ajodo.2013.04.022

    Article  PubMed  PubMed Central  Google Scholar 

  3. Angelieri F, Franchi L, Cevidanes LHS, Gonçalves JR, Nieri M, Wolford M et al (2017) Cone beam computed tomography evaluation of midpalatal suture maturation in adults. Int J Oral Maxillofac Surg 46(12):1557–1561. https://doi.org/10.1016/j.ijom.2017.06.021

    Article  CAS  PubMed  Google Scholar 

  4. Angell EC (1860) Treatment of irregularities of the permanent or adult teeth. Dent Cosmos 1(541–4):599–600

    Google Scholar 

  5. Baccetti T, Franchi L, Cameron CG, McNamara JA Jr (2001) Treatment timing for rapid maxillary expansion. Angle Orthod 71(5):343–350

    CAS  PubMed  Google Scholar 

  6. Bell RA (1982) A review of maxillary expansion in relation to rate of expansion and patient's age. Am J Orthod 81(1):32–37

    Article  CAS  Google Scholar 

  7. Bishara SE, Staley RN (1987) Maxillary expansion: clinical implications. Am J Orthod Dentofacial Orthop 91(1):3–14

    Article  CAS  Google Scholar 

  8. Cochran WG (1963) Sampling techniques. Wiley, New York

    Google Scholar 

  9. da Silva Filho OG, Magro AC, Capellozza Filho L (1998) Early treatment of the class III malocclusion with rapid maxillary expansion and maxillary protraction. Am J Orthod Dentofacial Orthop 113(2):196–203

    Article  Google Scholar 

  10. Haas AJ (1961) Rapid expansion of the maxillary dental arch and nasal cavity by opening the mid-palatal suture. Angle Orthod 31(2):73–90

    Google Scholar 

  11. Handelman C (2011) Palatal expansion in adults: the nonsurgical approach. Am J Ortod Dentofacial Orthop 140(4):462–466. https://doi.org/10.1016/j.ajodo.2011.07.002

    Article  Google Scholar 

  12. Huang J, Li CY, Jiang JH (2018) Facial soft tissue changes after nonsurgical rapid maxillary expansion: a systematic review. Head Face Med 14(1):6. https://doi.org/10.1186/s13005-018-0162-8

    Article  PubMed  PubMed Central  Google Scholar 

  13. Isfeld D, Lagravere M, Leon-Salazar V, Flores-Mir C (2017) Novel methodologies and technologies to assess mid-palatal suture maturation: a systematic review. Head Face Med 13(1):13. https://doi.org/10.1186/s13005-017-0144-2

    Article  PubMed  PubMed Central  Google Scholar 

  14. Knaup B, Yildizhan F, Wehrbein H (2004) Age-related changes in the midpalatal suture. A histomorphometric study. J Orofac Orthop 65(6):467–474

    Article  Google Scholar 

  15. Korbmacher H, Schilling A, Püschel K, Amling M, Kahl-Nieke B (2007) Age-dependent three-dimensional microcomputed tomography analysis of the human midpalatal suture. J Orofac Orthop 68(5):364–376

    Article  Google Scholar 

  16. Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33(1):159–174

    Article  CAS  Google Scholar 

  17. McNamara JA (2000) Maxillary transverse deficiency. Am J Othod Dentofacial Orthop 117(5):567–570. https://doi.org/10.1016/s0889-5406(00)70202-2

    Article  CAS  Google Scholar 

  18. Melsen B (1975) Palatal growth studied on human autopsy material. A histologic microradiographic study. Am J Orthod 68(1):42–54

    Article  CAS  Google Scholar 

  19. Persson M, Thilander B (1977) Palatal suture closure in man from 15 to 35 years of age. Am J Orthod 72(1):42–52

    Article  CAS  Google Scholar 

  20. Revelo B, Fishman LS (1994) Maturational evaluation of ossification of the midpalatal suture. Am J Orthod Dentofacial Orthop 105(3):288–292

    Article  CAS  Google Scholar 

  21. Sato FR, Mannarino FS, Asprino L, de Moraes M (2014) Prevalence and treatment of dentofacial deformities on a multiethnic population: a retrospective study. Oral Maxillofac Surg 18(2):173–179. https://doi.org/10.1007/s10006-013-0396-3

    Article  PubMed  Google Scholar 

  22. Tonello DL, Ladewig VM, Guedes FP, Ferreira Conti ACC, Almeida-Pedrin RR, Capelozza-Filho L (2017) Midpalatal suture maturation in 11–15-year-olds: a cone-beam computed tomographic study. Am J Orthod Dentofacial Orthop 152(1):42–48. https://doi.org/10.1016/j.ajodo.2016.11.028

    Article  PubMed  Google Scholar 

  23. Wehrbein H, Yildizhan F (2001) The mid-palatal suture in young adults. A radiological-histological investigation. Eur J Orthod 23(2):105–114

    Article  CAS  Google Scholar 

  24. Wertz RA (1970) Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod 58(1):41–66

    Article  CAS  Google Scholar 

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Funding

This study did not receive funding.

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Authors and Affiliations

  1. Faculty of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil

    Luisa Gatti Reis

  2. Department of Social and Pediatric Dentistry, Faculty of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil

    Rosangela Almeida Ribeiro & Robert Willer Farinazzo Vitral

  3. Faculty of Medical and Health Sciences, SUPREMA, Juiz de Fora, MG, Brazil

    Henrique Nogueira Reis

  4. Department of Dental Clinic, Faculty of Dentistry, Federal University of Juiz de Fora, Rua José Lourenço Kelmer, s/n, São Pedro, Juiz de Fora, MG, 36036-900, Brazil

    Karina Lopes Devito

Authors
  1. Luisa Gatti Reis
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  2. Rosangela Almeida Ribeiro
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  3. Robert Willer Farinazzo Vitral
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  4. Henrique Nogueira Reis
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  5. Karina Lopes Devito
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Contributions

LGR: project development, data collection, data analysis, manuscript writing. RAR, RWFV and HNR: data analysis, manuscript editing. KLD: project development, data collection, data analysis, manuscript writing.

Corresponding author

Correspondence to Karina Lopes Devito.

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Conflict of interest

The authors declare no conflict of interest.

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Approval was obtained by the Ethics Committee of the Federal University of Juiz de Fora, Protocol No. 2.450.263.

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Reis, L.G., Ribeiro, R.A., Vitral, R.W.F. et al. Classification of the midpalatal suture maturation in individuals older than 15 years: a cone beam computed tomographic study. Surg Radiol Anat 42, 1043–1049 (2020). https://doi.org/10.1007/s00276-020-02518-3

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  • DOI: https://doi.org/10.1007/s00276-020-02518-3

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