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Hand Wrist Radiographs
&
Maturity Indicators
www.indiandentalacademy.com
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com

www.indiandentalacademy.com






Understanding of growth events is of primary
importance in orthodontics.
Individual variations regarding timing, ...
Skeletal Maturity
“a measure of how far the bones of an area have
progressed towards maturity, not in size, but in
shape a...
Why study maturity indicators ?
Exact status of growth ( magnitude & direction )
For treatment planning.
…potential vector...
“Chronologic age is not a reliable developmental
yardstick , as it is not necessarily correlated with
the maturational age...


Key to successful treatment
of growth .



To take advantage of growth we must have an
idea of its magnitude, directio...
Handwrist radiograph
Numerous small bones which show a predictable
sequence of ossification from birth to maturity
Ossific...
Components of hand and wrist

Phalanges
Metacarpals
Carpals
www.indiandentalacademy.com


Adductor sesamoid – Small nodular bone
present in region of thumb.



To obtain an estimate of timing of adolescent
gr...
www.indiandentalacademy.com
Stages of ossification of phalanges

capping

www.indiandentalacademy.com

fusion
Fishman Skeletal Maturity
Assessment (1982)
11 Skeletal Maturity Indicators
4 stages of bone maturation
6 anatomical sites...
www.indiandentalacademy.com
A) WIDTH OF EPIPHYSIS EQUALS DIAPHYSIS
1. PP3 =
2. MP3 =
3. MP5 =
B) OSSIFICATION
4. Adductor sesamoid of thumb
P
ubertal ...
Adolescent period of development
Accelerating Growth (SMI 1 to 3)
Peak velocity of growth (SMI 4 to 7)
Decelerating growth...
www.indiandentalacademy.com
Thank you
www.indiandentalacademy.com
Leader in continuing dental education

www.indiandentalacademy.com
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Hand wrist radiographs /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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Hand wrist radiographs /certified fixed orthodontic courses by Indian dental academy

  1. 1. Hand Wrist Radiographs & Maturity Indicators www.indiandentalacademy.com
  2. 2. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  3. 3.    Understanding of growth events is of primary importance in orthodontics. Individual variations regarding timing, velocity of growth. To assess growth, prediction of amount of growth left SKELETAL MATURITY INDICATORS are used. www.indiandentalacademy.com
  4. 4. Skeletal Maturity “a measure of how far the bones of an area have progressed towards maturity, not in size, but in shape and in their relative positions one to another, as visualized in a radiograph”. Hand Wrist Radiograph Cervical Vertebrae www.indiandentalacademy.com
  5. 5. Why study maturity indicators ? Exact status of growth ( magnitude & direction ) For treatment planning. …potential vector of facial development… …growth potential left.. ….onset of treatment timing… …type of effective treatment… Functional appliance, orthodontic fixed treatment, Orthognathic surgery. ....treatment prognosis. www.indiandentalacademy.com
  6. 6. “Chronologic age is not a reliable developmental yardstick , as it is not necessarily correlated with the maturational age of the patient” www.indiandentalacademy.com
  7. 7.  Key to successful treatment of growth .  To take advantage of growth we must have an idea of its magnitude, direction & timing.  Timing Knowledge of skeletal maturity indicators is important. www.indiandentalacademy.com Utilization
  8. 8. Handwrist radiograph Numerous small bones which show a predictable sequence of ossification from birth to maturity Ossification of the bones of hand and wrist is standard for skeletal development. Calculation of skeletal age Ossification and development of bones form a chronology of skeletal development www.indiandentalacademy.com
  9. 9. Components of hand and wrist Phalanges Metacarpals Carpals www.indiandentalacademy.com
  10. 10.  Adductor sesamoid – Small nodular bone present in region of thumb.  To obtain an estimate of timing of adolescent growth spurt www.indiandentalacademy.com
  11. 11. www.indiandentalacademy.com
  12. 12. Stages of ossification of phalanges capping www.indiandentalacademy.com fusion
  13. 13. Fishman Skeletal Maturity Assessment (1982) 11 Skeletal Maturity Indicators 4 stages of bone maturation 6 anatomical sites www.indiandentalacademy.com
  14. 14. www.indiandentalacademy.com
  15. 15. A) WIDTH OF EPIPHYSIS EQUALS DIAPHYSIS 1. PP3 = 2. MP3 = 3. MP5 = B) OSSIFICATION 4. Adductor sesamoid of thumb P ubertal growth spurt (Acceleration) C) CAPPING 5. DP3 cap 6. MP3 cap 7. MP5 cap D) FUSION 8. DP3 9. PP3 10. MP3 11. Radius www.indiandentalacademy.com
  16. 16. Adolescent period of development Accelerating Growth (SMI 1 to 3) Peak velocity of growth (SMI 4 to 7) Decelerating growth (SMI 8 to11). Childhood Adolescence www.indiandentalacademy.com
  17. 17. www.indiandentalacademy.com
  18. 18. Thank you www.indiandentalacademy.com Leader in continuing dental education www.indiandentalacademy.com

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