Evaluation of bone age and skeletal maturation in children with heart disease
Autor: | Martins, Mariana Martins e |
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Přispěvatelé: | Mendes, Alvaro de Moraes, Artese, Flavia Raposo Gebara, Ramos, Maria Eliza Barbosa, Goldner, Maria Teresa de Andrade, Motta, Alexandre Trindade Simões da, Raymundo Júnior, Rubens |
Jazyk: | portugalština |
Rok vydání: | 2012 |
Předmět: |
Cervical vertebrae
Vértebras cervicais Ortodontia - Técnica Ossos - Crescimento Bone age Idade óssea Heart disease Coluna cervical - Crescimento CIENCIAS DA SAUDE::ODONTOLOGIA::ORTODONTIA [CNPQ] Cardiopatia congênita nas crianças - Aspectos fisiológicos Maturação óssea Cardiopatia Skeletal maturation Determinação da idade pelo esqueleto |
Zdroj: | Biblioteca Digital de Teses e Dissertações da UERJ Universidade do Estado do Rio de Janeiro (UERJ) instacron:UERJ |
ISSN: | 5546-8624 |
Popis: | Submitted by Boris Flegr (boris@uerj.br) on 2021-01-07T14:56:31Z No. of bitstreams: 1 TESE_FINAL_CONSOLIDADA_Mariana_Martins_e_Martins.pdf: 1579357 bytes, checksum: 0824627be8f18f554686242ed22d825e (MD5) Made available in DSpace on 2021-01-07T14:56:31Z (GMT). No. of bitstreams: 1 TESE_FINAL_CONSOLIDADA_Mariana_Martins_e_Martins.pdf: 1579357 bytes, checksum: 0824627be8f18f554686242ed22d825e (MD5) Previous issue date: 2012-06-13 The study of growth and development is essential for orthodontics, because each child has a unique pattern. In the presence of systemic diseases such as congenital heart disease, a more detailed examination must be made, since they may alter their growth and development. One of the methods used for this evaluation is bone ossification analysis of the hand and wrist region. However, changes in size and shape of the cervical vertebrae have been widely used in recent decades because it is performed in lateral cephalometric radiographs, routinely used in orthodontic diagnosis. Initially, our objectives were to assess the correlation between the methods for obtaining bone age and skeletal maturation stages using the indicators present in the hand and wrist region and in the cervical vertebrae in a group of children with and without heart disease. Based on the positive and significant correlation, the cervical vertebrae method was chosen to compare bone age, the difference between bone age and chronological and skeletal maturation stages between children with and without heart disease. The sample comprised 120 children aged 4.83 to 14.66 years, that attended the Pediatric Clinic of Pedro Ernesto University Hospital. Among these, 73 presented cyanotic congenital heart disease and 47 had no heart disease and were only on follow-up, with a mean age of 9.3 and 8.9 years respectively. The bone age and skeletal maturation were verified by lateral cephalometric radiographs and hand-wrist radiographs. The bone age determination was performed by the Mito et al. method on lateral cephalometric radiographs and by the Greulich and Pyle method on hand-wrist radiographs. The skeletal maturation stages were obtained by the Hassel and Farman method on lateral cephalometric radiographs and by the Singer method on hand-wrist radiographs. The correlation between the methods for obtaining bone age and skeletal maturation stages showed a positive and significant results, both for the heart disease group with r = 0.478 (p |
Databáze: | OpenAIRE |
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