Cervical vertebral maturation as a predictor of the adolescent growth spurt

Grave, Keith; Townsend, Grant

doi:10.2478/aoj-2003-0004

Abstract

The aim of this study was to investigate the application of an improved version of the Cervical Vertebral Maturation (CVM) method in a group of indigenous Australians and to relate the ossification events to the timing of peak growth in both stature and the mandible. Data were obtained from longitudinal records of 74 Australian Aboriginal children living at Yuendumu Settlement in the Northern Territory of Australia. CVM stages were limited to particular growth periods: in a large percentage of subjects stage 1 occurred in the pre-peak period of growth, stages 2 and 3 in the peak period, and stages 4 and 5 in the post-peak period. Our findings were similar to those reported in other ethnic groups, suggesting that they can be applied more generally in orthodontic practice to assess a child’s growth activity. In the majority of boys, CVM stage 2 would appear to be a good time to commence an orthopaedic phase of treatment, whereas in girls, results would support an earlier more cautious approach, sometime before stage 2 is reached. Peak growth occurs between stages 2 and 3 and timing is extremely important to maximize the effects of growth in the treatment process.

References

Helm S, Siersback-Nielsen S, Skieller V, Björk A. Skeletal maturation of the hand in relation to maximum pubertal growth in body height. Tandlaegebladet 1971; 75: 1223–34.
Search in Google Scholar Back to article
Björk A, Helm S. Prediction of the age of maximum puberal growth in body height. Angle Orthod 1967; 37: 134–43.
Search in Google Scholar Back to article
Grave KC. Timing of facial growth in Australian aborigines. M.D.S. thesis, University of Adelaide 1971.
Search in Google Scholar Back to article
Brown T, Barrett MJ, Grave KC. Facial growth and skeletal maturation at adolescence. Tandlaegebladet 1971; 75: 1211–22.
Search in Google Scholar Back to article
Fishman LS. Maturation patterns and prediction during adolescence. Angle Orthod 1987; 57: 178–93.
Search in Google Scholar Back to article
Bowden BD. Sesamoid bone appearance as an indicator of adolescence. Aust Orthod J 1971; 12: 242–48.
Search in Google Scholar Back to article
Chapman SM. Ossification of the adductor sesamoid and the adolescent growth spurt. Angle Orthod 1972; 42: 236–44.
Search in Google Scholar Back to article
Bowden BD. Epiphyseal changes in the hand/wrist area as indicator of adolescent stage. Aust Orthod J 1976; 4: 87–104.
Search in Google Scholar Back to article
Hägg U, Taranger J. Skeletal stages of the hand and wrist as indicators of the pubertal growth spurt. Acta Odontol Scand 1980; 38: 187–200.
Search in Google Scholar Back to article
Grave, KC. Timing of facial growth: A study of relations with stature and ossification in the hand around puberty. Aust Orthod J 1973; 3: 117–22.
Search in Google Scholar Back to article
Tofani MI. Mandibular growth at puberty. Am J Orthod 1972; 62: 176–95.
Search in Google Scholar Back to article
Hassel B, Farman AG. Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofac Orthop 1995; 107: 58–66.
Search in Google Scholar Back to article
Garcia-Fernandez P, Torre H, Flores L, Rea J. The cervical vertebrae as maturational indicators. J. Clin Orthod 1998; 32: 221–5.
Search in Google Scholar Back to article
Franchi L, Baccetti T, McNamara JA Jr. Mandibular growth as related to cervical vertebral maturation and body height. Am J Orthod Dentofac Orthop 2000; 118: 335–40.
Search in Google Scholar Back to article
Baccetti T, Franchi L, McNamara JA Jr. An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod 2002; 72: 316–23.
Search in Google Scholar Back to article
Roman PS, Palma JC, Oteo MD, Nevado E. Skeletal maturation determined by cervical verte-brae development. Eur J Orthod 2002; 24: 303–11.
Search in Google Scholar Back to article
Lamparski DG. Skeletal age assessment utilizing cervical vertebrae (Master’s thesis). Pittsburg Penn: Department of Orthodontics, The University of Pittsburg, 1972.
Search in Google Scholar Back to article
Fishman LS. Readers’ Forum. Ask us. Am J Orthod Dentofac Orthop 2002; 122: 18A–19A.
Search in Google Scholar Back to article
Brown T, Townsend G. Dentofacial morphology, growth and genetics: a study of Australian Aborigines. In: Dasgupta P, Hauspie R, eds. Perspectives in human growth, development and maturation. Boston: Kluwer Academic, 2001; 109–22.
Search in Google Scholar Back to article
Björk A. The relationship of the jaws to the cranium. Lundstrom A. ed. In: Introduction to orthodontics, New York: McGraw-Hill, 1960; 104–40.
Search in Google Scholar Back to article
Hägg U, Pancherz H. Dentofacial orthopedics in relation to chronological age, growth period and skeletal development. An analysis of 72 male patients with Class II division 1 malocclusion treated with the Herbst appliance. Eur J Orthod 1988; 10: 169–76.
Search in Google Scholar Back to article
O’Reilly MT, Yanniello GJ. Mandibular growth changes and maturation of cervical vertebrae – A longitudinal cephalometric study. Angle Orthod 1998; 58: 179–84.
Search in Google Scholar Back to article
Baccetti T, Franchi L, Toth LR, McNamara JA Jr. Treatment timing for Twin-block therapy. Am J Orthod Dentofac Orthop 2000; 118: 159–70.
Search in Google Scholar Back to article
Baccetti T, Franchi L, McNamara JA Jr. The cervical vertebral maturation method: some need for clarification. Am J Orthod Dentofac Orthop 2003; 123: 19A–20A.
Search in Google Scholar Back to article

Cervical vertebral maturation as a predictor of the adolescent growth spurt

Abstract

Paradigm

My account