Comparitive Assessment of The Stages Of Midpalatal Suture Maturation And Circum-Maxillary Suture Maturation- A Cone Beam Computed Tomography Study

Abstract

AIM: The aim of this study is to assess the comparison between the stages of maturation of Mid-palatal suture and Circum-maxillary sutures. OBJECTIVE: 1) To assess the comparison between the stages of maturation of Mid-palatal suture and Circum-maxillary suture in growing individuals, 2) To check if Circum-maxillary sutures follows the ossification pattern of either spheno-occiptal synchondrosis or mid-palatal suture, 3) To establish the age group for each stages of maturation of Mid palatal suture To check if there is any difference in maturational stages of Mid-palatal suture between males and females. 4) To check the co-relation between mid-palatal maturation stage and CVMI staging.  MATERIAL AND METHODOLOGY: This study is designed as descriptive correlation study which in which the aim is to assess the comparison between the stages of maturation of Mid-palatal suture and Circum-maxillary sutures using full skull Cone beam computed tomography. Dicom files of CBCT samples will be taken and  divided into 5 groups based on the stages of maturation of MPS. The stage of maturation of MPS with that of the different Circum-maxillary sutures is done to see if there is any corelation between stages of maturation. CVMI stages of all the samples and check if there is any corelation between the CVMI staging and the midpalatal suture maturation stages. CONCLUSION: In conclusion, the findings of this study provide compelling evidence for the strong and synchronized maturation patterns of the midpalatal suture (MPS), circum-maxillary sutures, and the cervical vertebral maturation index (CVMI), reaffirming their interrelated roles in craniofacial development. The high correlation coefficients observed—particularly for the frontomaxillary (ρ = 0.94) and nasomaxillary sutures (ρ = 0.93), and CVMI (ρ = 0.92)—demonstrate that MPS maturation reliably parallels both circum-maxillary suture fusion and overall skeletal growth.