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

www.indiandentalacademy.com
Methods
1 . Comparison method

:

a) visual comparison
b)rating of individual bone using a
biologically weighted scoring s...
Most commonly used methods are :





Bjork , Grave and Brown
Singers method
Fishmans smi
Hagg and Taranger

www.india...
 GREULICH AND PYLE METHOD (1950):



Early approaches
Practical difficulty

 TANNER AND WHITE HOUSE METHOD

-

:

indi...
Bjork (1972) , Grave and Brown ( 1976)
9 developmental stages in
maturation process of bones of
hand between 8 – 18 yrs

T...
www.indiandentalacademy.com
PP2 STAGE

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MP3 STAGE

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PISI H-1

R= STAGE

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S H-2 STAGE

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MP3 PPI R CAP

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DP3u stage

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PP3u stage

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MP3u stage

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Ru stage

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Correlation table b /t ossification stages of hand and
bones and skeletal ages for period between 8 – 18
yrs ( schopf 1978...
Singers method
by Julian singer (1980 )
enables the clinician to rapidly and with some degree
of reliability helps to dete...
STA
GE
1
2
3
4
5
6

Pisiform
and
hamate
-

pp2

sesmoid Mp3
cap

narrow

-

-

-

Initial

equal

-

-

-

-

-

prese
nt
...
Hagg and Taranger
212 Swedish children from birth to adulthood were
studied
Data on :





Standing height
Tooth emerg...
sesamoid :
attained during acceleration period of pubertal gr. Spurt

www.indiandentalacademy.com
Third finger middle phalanx

www.indiandentalacademy.com
In a study done by Rajkumar
and Sudhanshu kansal (jco
2002 ) – a comparision of
modified MP3 & cvmi as
growth indicators -...
Third finger distal phalanx
Dp3 – I :fusion of epiphysis
and metaphysis is completed
Attained during
deacceleration period...
Radius

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girls

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boys

www.indiandentalacademy.com
Dental development
Was assessed by dental emergence stages(DES)
tooth is considered emerged if any part of crown is visibl...
Molar teeth :
DES 1
DES 2
DES 3
DES 4
DES 5
DES 6

1- 3 molars
all 1st molars
1-3 2nd molars
all 2nd molars
1 – 3 3rd mola...
www.indiandentalacademy.com
www.indiandentalacademy.com
PUBERTAL DEVELOPMENT
WAS ASSESSED FR. 10 – 18 YRS



Occurrence of menarche in girls
Voice changes in boys

RESULTS
on a...
Skeletal development and pubertal growth spurt
Dental dev. $ pubertal gr. Spurt
Pubertal dev. $ pubertal growth spurt
CONC...
Fishmans skeletal maturity
indicators
Proposed by Leonard s. Fishman in 1982
Anatomical sites
Uses 4 stages of maturation
...
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Hand wrist observation scheme

www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Limitation of hand wrist radiograph
Variation
Sex variation
Anatomical and morphologic variability
Difference in developme...
Skeletal maturation evaluation using cervical
vertebrae
By Hassel & Farman (1995)



primary objective ??
Lamparski stud...
www.indiandentalacademy.com
Thank you
For more details please visit
www.indiandentalacademy.com

www.indiandentalacademy.com
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Method /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
0091-9248678078

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Method /certified fixed orthodontic courses by Indian dental academy

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. Methods 1 . Comparison method : a) visual comparison b)rating of individual bone using a biologically weighted scoring system by Tanner et al 2. Evaluation of development of the pt. to his own growth potential in order to assess peak growth . www.indiandentalacademy.com
  3. 3. Most commonly used methods are :     Bjork , Grave and Brown Singers method Fishmans smi Hagg and Taranger www.indiandentalacademy.com
  4. 4.  GREULICH AND PYLE METHOD (1950):   Early approaches Practical difficulty  TANNER AND WHITE HOUSE METHOD - : individual bone technique - assigns a numerical score , ranging from 0 – 100 to 8 or 9 stages of development of each of 20 bones - this method gives an advanced rating www.indiandentalacademy.com
  5. 5. Bjork (1972) , Grave and Brown ( 1976) 9 developmental stages in maturation process of bones of hand between 8 – 18 yrs There are 3 stages of ossification    First stage ( = ) Second stage ( = cap ) Third stage ( = u ) www.indiandentalacademy.com
  6. 6. www.indiandentalacademy.com
  7. 7. PP2 STAGE www.indiandentalacademy.com
  8. 8. MP3 STAGE www.indiandentalacademy.com
  9. 9. PISI H-1 R= STAGE www.indiandentalacademy.com
  10. 10. S H-2 STAGE www.indiandentalacademy.com
  11. 11. MP3 PPI R CAP www.indiandentalacademy.com
  12. 12. DP3u stage www.indiandentalacademy.com
  13. 13. PP3u stage www.indiandentalacademy.com
  14. 14. MP3u stage www.indiandentalacademy.com
  15. 15. Ru stage www.indiandentalacademy.com
  16. 16. Correlation table b /t ossification stages of hand and bones and skeletal ages for period between 8 – 18 yrs ( schopf 1978 ) www.indiandentalacademy.com
  17. 17. Singers method by Julian singer (1980 ) enables the clinician to rapidly and with some degree of reliability helps to determine the maturational status of the pt . www.indiandentalacademy.com
  18. 18. STA GE 1 2 3 4 5 6 Pisiform and hamate - pp2 sesmoid Mp3 cap narrow - - - Initial equal - - - - - prese nt - increase increas d ed calcified begins calcified calcified www.indiandentalacademy.com Dp3 calcified Calcified
  19. 19. Hagg and Taranger 212 Swedish children from birth to adulthood were studied Data on :     Standing height Tooth emergence Pubertal development Radiograph of rt hand wrist was obtained - ulnar sesmoid - mp3 and dp3 - distal epiphysis of radius www.indiandentalacademy.com
  20. 20. sesamoid : attained during acceleration period of pubertal gr. Spurt www.indiandentalacademy.com
  21. 21. Third finger middle phalanx www.indiandentalacademy.com
  22. 22. In a study done by Rajkumar and Sudhanshu kansal (jco 2002 ) – a comparision of modified MP3 & cvmi as growth indicators - they introducud a new stage MP3 – HI STAGE www.indiandentalacademy.com
  23. 23. Third finger distal phalanx Dp3 – I :fusion of epiphysis and metaphysis is completed Attained during deacceleration period I.e end of PHV www.indiandentalacademy.com
  24. 24. Radius www.indiandentalacademy.com
  25. 25. girls www.indiandentalacademy.com
  26. 26. boys www.indiandentalacademy.com
  27. 27. Dental development Was assessed by dental emergence stages(DES) tooth is considered emerged if any part of crown is visible DENTAL EMERGENCE STAGES : teeth ant to molars DES 1 DES 2 DES 3 DES 4 1 –7 incisors all incisors 1 – 2 canines all canines &premolars www.indiandentalacademy.com
  28. 28. Molar teeth : DES 1 DES 2 DES 3 DES 4 DES 5 DES 6 1- 3 molars all 1st molars 1-3 2nd molars all 2nd molars 1 – 3 3rd molars all 3rd molars www.indiandentalacademy.com
  29. 29. www.indiandentalacademy.com
  30. 30. www.indiandentalacademy.com
  31. 31. PUBERTAL DEVELOPMENT WAS ASSESSED FR. 10 – 18 YRS   Occurrence of menarche in girls Voice changes in boys RESULTS on average , pubertal spurt began at 10 and 12 yrs and ended at 14.8 &17.1 yrs in girls and boys respectively Phv occurred 2 yrs after onset -12 yrs in girls & 14.1 yrs in boys www.indiandentalacademy.com
  32. 32. Skeletal development and pubertal growth spurt Dental dev. $ pubertal gr. Spurt Pubertal dev. $ pubertal growth spurt CONCLUSION : the peak and end determined and not the beginning www.indiandentalacademy.com
  33. 33. Fishmans skeletal maturity indicators Proposed by Leonard s. Fishman in 1982 Anatomical sites Uses 4 stages of maturation www.indiandentalacademy.com
  34. 34. www.indiandentalacademy.com
  35. 35. www.indiandentalacademy.com
  36. 36. www.indiandentalacademy.com
  37. 37. Hand wrist observation scheme www.indiandentalacademy.com
  38. 38. www.indiandentalacademy.com
  39. 39. www.indiandentalacademy.com
  40. 40. www.indiandentalacademy.com
  41. 41. Limitation of hand wrist radiograph Variation Sex variation Anatomical and morphologic variability Difference in development Margin of error Observer variation Correlated clinically www.indiandentalacademy.com
  42. 42. Skeletal maturation evaluation using cervical vertebrae By Hassel & Farman (1995)   primary objective ?? Lamparski studied changes in shape and size www.indiandentalacademy.com
  43. 43. www.indiandentalacademy.com
  44. 44. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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