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한국 어린이의 골 성숙도와 치아 석회화 단계 간의 상관관계

Correlation between Dental and Skeletal Maturity in Korean Children

송제선|최형준|김익환|김성오|김성진
대한소아치과학회 (The Korean Academy Of Pediatric Dentistry)|2021.08|대한소아치과학회지 (Journal of the Korean academy of pediatric dentistry)|제48권 제3호|pp. 255-268

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참고문헌

키워드

Panoramic radiographSkeletal maturationLateral cephalogramTooth calcification stagePubertal growth periodHand-wrist radiograph
주제분류치의학

초록

이 연구의 목적은 한국 아동의 골 성숙 단계와 여러 치아들의 석회화 단계 간의 상관관계를 알아보고자 하는 것이다. 만 6 - 14세의 남아 359명, 여아 384명의 수완부 방사선사진, 측방두부규격 방사선사진, 파노라마 방사선사진을 분석하여 평가하였다. 하악 좌측의 7개 영구치의 치아 석회화 단계는 Demirjian이 제시한 방법에 의해 평가되었다. 골 성숙도 단계를 평가하기 위하여 수완부 방사선사진은 Fishman이 제시한 skeletal maturity indicators(SMI)에 따라 평가되었고, 측방두부규격 방사선사진은 Baccetti가 제시한 cervical vertebral maturation(CVM) 방법에 따라 평가되었다. Spearman의 순위상관분석을 시행한 결과 치아 석회화 단계와 골 성숙도 간에 유의미하게 높은 상관관계가 나타났다(r = 0.40-0.84, p < 0.001). 7개의 영구치 중에서 하악 제2대구치가 골 성숙도와 가장 높은 상관관계를 보인 반면 중절치가 가장 낮은 상관관계를 나타내었다. 남녀 모두에서 하악 견치의 stage G와 하악 제2대구치의 stage F가 SMI 6 단계와 CS 3단계에서 나타날 확률이 가장 높았다. 이 연구의 결과에 따르면 치아 성숙도와 골 성숙도 사이에 높은 상관관계가 있으므로, 파노라마 방사선사진에서의 치아 성숙도 평가는 성장기 아동의 골 성숙도를 평가하는 보조적 수단으로 활용될 수 있다.

Abstract

The aim of this study was to investigate the relationships between the stages of calcification of various teeth and skeletal maturity stages among Korean subjects. The samples were derived from hand-wrist, panoramic radiographs, and lateral cephalograms of 743 subjects (359 males and 384 females) with ages ranging from 6 to 14 years. Calcification of seven permanent mandibular teeth on the left side were rated according to the system of Demirjian. To evaluate the stage of skeletal maturation, hand-wrist radiographs were analyzed by skeletal maturity indicators (SMI) system of Fishman and lateral cephalograms by cervical vertebral maturation (CVM) method of Baccetti. Statistically significant relationships were found between dental calcification and skeletal maturity stages according to Spearman rank-order correlation coefficients (r = 0.40-0.84, p < 0.001). The second molar showed the highest correlation and central incisor showed the lowest correlation for female and male subjects. For both sexes, canine stage G and second molar stage F were related to SMI 6 and CS 3. Because of the high correlation coefficients, this study suggests that tooth calcification stages from panoramic radiographs might be clinically useful as a maturity indicator of the pubertal growth period in Korean patients.

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치아 석회화 단계와 골 성숙도 단계간의 상관관계에 대한 연구강동균, 김영진, 김태완, 김현정, 남순현대한소아치과학회 · 대한소아치과학회지2008 · 제35권 제2호성장기 아동의 상악 견치를 이용한 골격적 성숙도 평가라지영, 유현경, 이제우대한소아치과학회 · 대한소아치과학회지2019 · 제46권 제3호Comparison of Dental Age and Skeletal Maturity in Korean Children with Skeletal Malocclusion김지연, 오소희대한소아치과학회 · 대한소아치과학회지2014 · 제41권 제3호혼합치열기 정상교합아동의 수완부골과 경추골의 성숙도 비교 연구김명국, 김선미, 김지수, 양규호, 최남기대한소아치과학회 · 대한소아치과학회지2011 · 제38권 제3호하악 좌측 제3대구치 발육과 연령 사이의 연관성강정민, 김성오, 송민선, 송제선, 최형준대한소아치과학회 · 대한소아치과학회지2022 · 제49권 제1호Skeletal maturation evaluation using mandibular third molar development in adolescents조선미, 황충주대한치과교정학회 · 대한치과교정학회지2009 · 제39권 제2호

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