Growth Indicators
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandenta...
INTRODUCTION
In orthodontics the assessment of

skeletal age and

pubertal growth spurt (in particular)
are of prime imp...
INDICATIONS FOR GROWTH
STATUS
1.

When maxillomandibular changes are
indicated in the treatment of
a.
b.
c.

2.

3.

4.

S...
BIOLOGICAL AGE





DENTAL AGE (CANINE, 3RD MOLAR)
CHRONOLOGICAL AGE
ONSET OF PUBERTY
SKELETAL AGE
Hand wrist radiogra...
GROWTH RHYTHM




Pubertal growth spurts are gender
dependent and vary in their relation to the
chronological age
Averag...
Skeletal age






We all know that long bones grow
at the ends called epiphysis.
The newly formed bone starts
getting
...
HAND RADIOGRAPH

www.indiandentalacademy.com
Acc JULIAN SINGER
Stage 1 EARLY
a) Abcence of
Pissiform
b) Abcence of Hook
of the hamate
c) Epiphysis of
proximal phalanx
...
Stage II PREPUBERTAL
a) Proximal phalanx of
second digit (pp2)
and its Epiphysis
are in equal in width
b) Initial ossifica...
Stage III PUBERAL ONSET






Beginning calcification
of Ulnar sesamoid
Increased width of
epiphysis of PP2
Increased c...
Stage IV PUBERAL
Calcified Ulnar
sesamoid
 Mp3 capping
(capping of shaft of
middle phalanx of
3rd digit by its
epidhysis)...
Stage V PUBERAL
DECELARATION







Ulnar sesamoid
FullyCalcified
Dp3 U
All Phalanges and
carpals fully calcified
Epip...
Stage V Growth Completion
•No remaining
growth

www.indiandentalacademy.com
MP3
STAGING
www.indiandentalacademy.com
MP3 STAGE I
(ONSET)

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MP3 STAGE II
(ACCELERATION)

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MP3 STAGE III
(PEAK)

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MP3 STAGE IV
(DECELLERATION)

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MP3 STAGE V
(END)

www.indiandentalacademy.com
Advantages











The procedure is very simple and
easy.
Focus is on a single skeletal maturity
indicator.
Enhan...
THA K Y
N OU
For more details please visit
www.indiandentalacademy.com

www.indiandentalacademy.com
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A simple method of growth prediction /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.


Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078

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A simple method of growth prediction /certified fixed orthodontic courses by Indian dental academy

  1. 1. Growth Indicators INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. INTRODUCTION In orthodontics the assessment of  skeletal age and  pubertal growth spurt (in particular) are of prime importance in 1. 2. 3. Diagnosis treatment planning Retention. www.indiandentalacademy.com
  3. 3. INDICATIONS FOR GROWTH STATUS 1. When maxillomandibular changes are indicated in the treatment of a. b. c. 2. 3. 4. Skeletal Skeletal Skeletal Class III cases, Class II cases or open bites In patients with marked discrepancy between dental and chronological age Patients requiring orthognathic surgery if undertaken between 16-20 years of age Prior to rapid maxillary expansion (Transverse Plane) www.indiandentalacademy.com
  4. 4. BIOLOGICAL AGE     DENTAL AGE (CANINE, 3RD MOLAR) CHRONOLOGICAL AGE ONSET OF PUBERTY SKELETAL AGE Hand wrist radiograph Cervical vertebrae Frontal sinus PHV etc. www.indiandentalacademy.com
  5. 5. GROWTH RHYTHM   Pubertal growth spurts are gender dependent and vary in their relation to the chronological age Average values • Girls 10-12 yrs • Boys 12-14 yrs  A disturbance of growth rhythm is considered if a difference of +/- 2 yrs exists between chronological and biologic age www.indiandentalacademy.com
  6. 6. Skeletal age    We all know that long bones grow at the ends called epiphysis. The newly formed bone starts getting mineralized at the metaphysis and the most matured bone is seen at the diaphysis. The epiphysis initially forms as a cartilage tissue which later ossifies and fuses with the metaphysis as it matures. www.indiandentalacademy.com
  7. 7. HAND RADIOGRAPH www.indiandentalacademy.com
  8. 8. Acc JULIAN SINGER Stage 1 EARLY a) Abcence of Pissiform b) Abcence of Hook of the hamate c) Epiphysis of proximal phalanx of second digit (pp2) narrower than its shaft www.indiandentalacademy.com
  9. 9. Stage II PREPUBERTAL a) Proximal phalanx of second digit (pp2) and its Epiphysis are in equal in width b) Initial ossification of Hook of the hamate & Pissiform www.indiandentalacademy.com
  10. 10. Stage III PUBERAL ONSET    Beginning calcification of Ulnar sesamoid Increased width of epiphysis of PP2 Increased calcification Hook of the hamate & Pissiform www.indiandentalacademy.com
  11. 11. Stage IV PUBERAL Calcified Ulnar sesamoid  Mp3 capping (capping of shaft of middle phalanx of 3rd digit by its epidhysis)  www.indiandentalacademy.com
  12. 12. Stage V PUBERAL DECELARATION     Ulnar sesamoid FullyCalcified Dp3 U All Phalanges and carpals fully calcified Epiphysis of radius and ulna not fully calcified www.indiandentalacademy.com
  13. 13. Stage V Growth Completion •No remaining growth www.indiandentalacademy.com
  14. 14. MP3 STAGING www.indiandentalacademy.com
  15. 15. MP3 STAGE I (ONSET) www.indiandentalacademy.com
  16. 16. MP3 STAGE II (ACCELERATION) www.indiandentalacademy.com
  17. 17. MP3 STAGE III (PEAK) www.indiandentalacademy.com
  18. 18. MP3 STAGE IV (DECELLERATION) www.indiandentalacademy.com
  19. 19. MP3 STAGE V (END) www.indiandentalacademy.com
  20. 20. Advantages       The procedure is very simple and easy. Focus is on a single skeletal maturity indicator. Enhanced image clarity. Drastically decreases radiation exposure. Cost effective solution to circumvent hand wrist radiographs. Practical feasibility for the general dental practitioner. www.indiandentalacademy.com
  21. 21. THA K Y N OU For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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