Sidlauskas Antanas, Zilinskaite Laura, Svalkauskiene Vilma
Clinic of Orthodontics, Kaunas University of Medicine, Luksos-Daumanto 6, Kaunas LT-50106, Lithuania.
Stomatologija. 2005;7(1):16-20.
Many orthodontic treatment modalities will yield a better result in less time if properly correlated with the unique facial growth patterns of the patients. The pubertal growth spurt depends on gender and varies in relationship to the chronologic age. General skeletal maturity usually is used as an indicator to predict timing of mandibular growth velocity peak. Hand-wrist radiographic evaluation is one of the diagnostic tools currently available to determine whether the pubertal growth has started, is occurring or has finished. The overview of topic related literature and skeletal maturity assessment (SMA) system developed by L. Fishman are presented. The SMA system is based on eleven discrete adolescence skeletal maturational indicators of hand-wrist bones, covering the entire period of adolescent development. Maturational stage and level demonstrated close correlation with maxillary and mandibular growth velocity, amount of incremental growth and timing. Clinical indications for the use of hand-wrist radiographs to assess skeletal maturity are provided.
如果能与患者独特的面部生长模式恰当关联，许多正畸治疗方式都能在更短时间内取得更好的效果。青春期生长突增取决于性别，且与实际年龄的关系各不相同。一般骨骼成熟度通常被用作预测下颌生长速度峰值时间的指标。手腕部X线片评估是目前可用于确定青春期生长是否已经开始、正在进行或已经结束的诊断工具之一。本文介绍了与该主题相关的文献综述以及由L. 菲什曼开发的骨骼成熟度评估（SMA）系统。SMA系统基于手腕部骨骼的11个离散的青春期骨骼成熟指标，涵盖了青少年发育的整个阶段。成熟阶段和水平与上颌和下颌的生长速度、生长增量以及时间密切相关。本文还提供了使用手腕部X线片评估骨骼成熟度的临床指征。
