10
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      A unique functional craniofacial suture that may normally never ossify: A cone-beam computed tomography-based report of two cases

      case-report

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The premise of complete ossification of midpalatal suture in early adulthood still has its popularity, though conflicting data are emerging in the literature. A 49-year-old male and a 54-year-old female Iranian patient, both dentulous, were referred to a Maxillofacial Radiology Center to be evaluated for implant insertion. In cone-beam computed tomography (CBCT) evaluation, an in-ossified suture was found in anterior two-third of midpalatal region of both individuals. The application of clinical vignettes from CBCT findings for maxillofacial orthodontic and orthopedic purposes is of value. Existing cases of successful nonsurgical rapid palatal expansion of maxilla in adults could surrogate this dogma about timing for ossification of midpalatal suture which is considered as a purely chronologic-related phenomenon and transmitted masticatory forces may be one possible cause (functional hypothesis).

          Related collections

          Most cited references9

          • Record: found
          • Abstract: found
          • Article: not found

          Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion.

          In this study, we present a novel classification method for individual assessment of midpalatal suture morphology. Cone-beam computed tomography images from 140 subjects (ages, 5.6-58.4 years) were examined to define the radiographic stages of midpalatal suture maturation. Five stages of maturation of the midpalatal suture were identified and defined: stage A, straight high-density sutural line, with no or little interdigitation; stage B, scalloped appearance of the high-density sutural line; stage C, 2 parallel, scalloped, high-density lines that were close to each other, separated in some areas by small low-density spaces; stage D, fusion completed in the palatine bone, with no evidence of a suture; and stage E, fusion anteriorly in the maxilla. Intraexaminer and interexaminer agreements were evaluated by weighted kappa tests. Stages A and B typically were observed up to 13 years of age, whereas stage C was noted primarily from 11 to 17 years but occasionally in younger and older age groups. Fusion of the palatine (stage D) and maxillary (stage E) regions of the midpalatal suture was completed after 11 years only in girls. From 14 to 17 years, 3 of 13 (23%) boys showed fusion only in the palatine bone (stage D). This new classification method has the potential to avoid the side effects of rapid maxillary expansion failure or unnecessary surgically assisted rapid maxillary expansion for late adolescents and young adults. Copyright © 2013 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Palatal growth studied on human autopsy material. A histologic microradiographic study.

            B Melsen (1975)
            The postnatal development of the hard palate was studied by conventional histologic and microradiographic means on autopsy material from thirty-three boys and twenty-seven girls aged 0 to 18 years. The findings indicated thet growth in length of the hard palate until the age of 13 to 15 was due to growth in the transverse suture and to apposition on the posterior margin of the palate. After this age the sutural growth was found to cease, whereas the apposition seemed to continue for some years. During the postnatal development the morphology of the transverse suture changed. At birth the suture was broad and slightly sinuous; later it developed into a typical squamous suture, the palatine part covering the maxillary part. During puberty the course of the suture was again slightly sinuous. The importance of this change for the vertical growth of the hard palate was discusses. It was pointed out that the lowering of the anterior part of the palate. The transverse growth of the midpalatal suture continued up to tha age of 16 in girls and 18 in boys. On the basis of morphology, the development of the median suture could be divided into three stages. In the first stage the suture was short, broad, and Y shaped; in the second the course was more sinuous; and in the third interdigitation was so heavy that a separation of the two halves of the maxilla would not be possible without fracturing the interdigitated processes.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Palatal suture closure in man from 15 to 35 years of age.

                Bookmark

                Author and article information

                Journal
                Indian J Dent
                Indian J Dent
                IJDENT
                Indian Journal of Dentistry
                Medknow Publications & Media Pvt Ltd (India )
                0975-962X
                2213-3666
                Jan-Mar 2016
                : 7
                : 1
                : 48-50
                Affiliations
                [1] Department of Pediatrics, Division of Neonatology, Amir Mazandarani General Hospital, Sari, Iran
                [1 ] Dental Materials Research Center, Babol University of Medical Sciences, Babol, Mazandaran Province, Iran
                [2 ] Private Practice of Orthodontics, Paris, France
                [3 ] Department of Oral and Maxillofacial Radiology, Dentistry School, Babol University of Medical Sciences, Babol, Mazandaran Province, Iran
                Author notes
                Address for correspondence: Dr. Arash Poorsattar Bejeh Mir, Dentistry School, Babol University of Medical Sciences, Ganj Afrooz Ave, Felestine Square, Babol, Mazandaran Province, Iran. E-mail: arashpoorsattar@ 123456gmail.com
                Article
                IJDENT-7-48
                10.4103/0975-962X.179375
                4836098
                27134455
                7f6ebb9a-5a60-400a-8f2f-8a420eacbb5f
                Copyright: © Indian Journal of Dentistry

                This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                Categories
                Case Report

                orthodontic,orthopedic,ossification,suture,treatment
                orthodontic, orthopedic, ossification, suture, treatment

                Comments

                Comment on this article