Academic literature on the topic 'Pre-pubertal female skeleton'

Objectives: To investigate the relationship between cervical vertebrae maturation and mandibular second molar calcification stages.Study design: The study was designed as a retrospective, descriptive and crosssectional research project. Pre-treatment lateral cephalograms and panoramic radiographs of 99 males and 110 females in the age range of 7 to 18 years 7 months were evaluated with Demirjian Index (DI) and cervical vertebrae maturation indicators (CVMI) of Hassel and Farman. A null hypothesis was proposed that there is no relation between CVMI and DI. Results: A highly significant association (Pearson's contingency coefficient 0.713 for males and 0.863 for females) was found between DI and CVMI. In males, the DI stage E corresponded to stage 2 of CVMI (pre–peak of pubertal growth spurt) and DI stages F and G corresponded to stages 3 and 4 of CVMI (peak of pubertal growth spurt). DI stage H was associated with stages 5 and 6 of CVMI (end of pubertal growth spurt). In females, the DI stages C, D corresponded to CVMI stages 1, 2; DI stages E, F with CVMI stages 3, 4; DI stages G, H with CVMI stages 5, 6. Conclusion: Mandibular second molar calcification stages can be used as indicators for assessment of skeletal maturity.

The treatment of a clinically moderately severe, crowded, Class III malocclusion in a pre-pubertal 12-year-old female patient, is described. At diagnosis, some difficulty was experienced in determining the severity of the skeletal element of the malocclusion. A treatment plan was chosen which permitted extensive lingual repositioning of the lower labial segment and the result remained stable several years out of retention. The reasons for this success, and the problems of reconciling cephalometric analysis with clinical judgement, are discussed.

ABSTRACT The effects of oestradiol (OE2) on adolescent growth in female rhesus monkeys were evaluated by testing the hypothesis that, upon removal of the ovary, the increase in growth normally seen at the time of puberty would be abolished and that treatment with OE2 would restore it. Juvenile monkeys (n= 12) were ovariectomized and were given either an OE2-bearing silicone elastomer capsule implanted subcutaneously to simulate mid-pubertal concentrations ('treated = ', n = 8) or no steroid treatment ('control = ', n = 4). Females were studied from 18 to 42 months of age which, in intact females, typically encompasses the prepubertal period to the occurrence of first ovulation. Over the whole period, growth in body weight, crown–rump (CR) length and tibia length for control females were less than the 95% confidence limits of females treated with OE2. However, significant spurts of growth in both CR and tibia length occurred in the control as well as treated animals, although the peak velocities were somewhat lower for non-OE2-treated animals. Peak growth velocities occurred at an earlier chronological age in treated females, although at the same degree of skeletal maturity as found in control females. Skeletal maturity was significantly advanced in treated females from 27 months onward. Serum concentrations of nocturnal GH increased significantly with advancing age in both groups, with greater increases observed in treated females. Serum concentrations of IGF-I were higher in treated females until some 30 months of age, at which point concentrations increased in a similar fashion in both groups. IGF-I concentrations were elevated in the months preceding and following the peak CR growth velocity in treated females whereas concentrations of IGF-I rose coincidently with peak CR growth in control females. These data indicate that, in the absence of OE2, growth in female monkeys has periods of acceleration and that OE2 may enhance this pre-set pattern. Furthermore, the growth-promoting effects of OE2 are determined by the degree of skeletal maturity. Once a certain degree of skeletal maturity is attained, bones may be primed for maximal growth, but, as skeletal maturity continues to advance, the effect of OE2 on growth diminishes. Journal of Endocrinology (1993) 137, 519–527

It is not clear at what age or maturational stage physical activity is most effective in optimizing peak bone mass in girls. We compared bone mineral of 78 pre- and early-pubertal novice female ballet dancers (mean age, 9.6 years, SD, 0.8) with that of 52 age-matched controls. Dancers had 4.5% greater total hip bone mineral density (BMD) and 4.9% greater femoral neck BMD (both p < .01) than controls. BMD at the lumbar spine and upper and lower limbs was similar between groups. These findings could not be explained by maturity, size, body composition, or dietary calcium intake differences between groups. While genetics may partially explain these findings, we propose that the mechanical loading of dance training provided appropriate skeletal stimulus to generate site-specific BMD advantage.

To test the hypothesis that glycolytic metabolism in muscle is attenuated in prepubertal children,31P-magnetic resonance spectroscopy was used to determine calf muscle intracellular pH (pHi) in nine prepubertal (Pre) and nine pubertal female swimmers (Pub). Maximal plantar flexion work capacity (100% MWC) was established by using a graded exercise test. Between 5 and 10 days later, calf muscle images (magnetic resonance imaging) and phosphorus spectra were acquired at rest, during 2 min of light exercise (40% MWC), and during 2 min of supramaximal exercise (140% MWC) in a 3.0-T NMR system. End-exercise pHi was 6.66 ± 0.11 and 6.76 ± 0.17 for Pub and Pre, respectively. No significant differences in the mean values for pHi or the Pi-to-phosphocreatine ratio were observed between groups during the protocol; however, an interaction effect was found for the Pi-to-phosphocreatine ratio during the supramaximal exercise challenge. Cross-sectional area of gastrocnemius was 15.12 ± 0.46 and 9.37 ± 0.37 cm2 for Pub and Pre, respectively ( P < 0.05). Differences in muscle size must be considered when interpreting the unlocalized magnetic resonance spectroscopy data. These results suggest that glycolytic metabolism in physically active children is not maturity dependent.

ObjectiveThe aim of this study is to describe the evolution of the ANB and SN-GoGn angles throughout development, in a longitudinal sample of Caucasian patients.Materials and MethodsHistorical cephalometric records from North American individuals available at the American Association of Orthodontists Foundation Craniofacial Legacy Growth Collection website were used to carry out an exploratory longitudinal study. Lateral cephalometric radiographs of orthodontically untreated males and females were included. Individuals with three or more longitudinal cephalometric records at pre- and post-pubertal stages, with at least one postpubertal radiograph available in vertebral cervical maturation stage (cervical vertebral maturation) 5 or 6, were selected. Seventy-one individuals met the inclusion criteria. ANB, SNA, SNB, and SN-GoGn angles were measured. Individuals were classified according to the latest postpubertal ANB angle available and grouped by CVM. Descriptive statistics were obtained for the cephalometric variables, and differences between genders were analyzed.ResultsForty-five individuals were classified as skeletal Class I at the end of growth, 17 as Class II, and 9 as Class III. ANB values decrease as growth occurs in every group (average ANB decrease between the stages CVM 1 and 6: Class I - 1.5°, Class II - 0.7°, and Class III - 3.1°). For SN-GoGn angle, a constant reduction was observed as skeletal maturation increased (Average SN-GoGn decrease between the stages CVM 1 and 6: Class I - 4°, Class II - 2.5°, and Class III - 4.9°).ConclusionsANB and SN-GoGn angles decrease during growth. The magnitude varies depending on individual sagittal characteristics, Class III individuals displaying the greatest reduction, and Class II individuals the least.

BACKGROUND: Intrusion of maxillary incisors is the treatment of choice to correct deep bite problem in gummy smile patients. AIM: The objective of this study was to compare the effectiveness and efficiency of miniscrew-supported intrusion versus intrusion arch for treatment of deep bite.METHODS: The study sample consisted of 30 post pubertal patients (21 females and 9 males) with an age range from 17 to 29. They were divided into 2 groups (15 subjects in each group). Group 1 underwent maxillary incisor intrusion using miniscrews, and in group 2 intrusive arch was used. Pre and post-treatment lateral cephalometric x-rays and study models were made to evaluate the demo-skeletal effects. During the study period, no other intervention was attempted. Paired t-test was used to study the changes after treatment.RESULTS: The mean amount of overbite correction was 2.6 ± 0.8 (0.49 mm per month) in the miniscrew-supported intrusion group and 2.9 ± 0.8 (0.60 mm per month) in the intrusive arch group. No statistically significant difference was found in the extent of maxillary incisor intrusion between the two systems. The two intrusion systems were statistically different in the extent of incisor proclination, as an intrusive arch group tended to proline upper incisors more than miniscrews-supported intrusion group.CONCLUSION: Both systems successfully intruded the 4 maxillary incisors almost with no loss to the sagittal and vertical anchorage, although intrusive arch tended to proline upper incisors significantly.

Objectives: This study aimed to assess the skeletal maturation by using salivary DHEAS levels and its correlation with existing skeletal maturity parameters represented by cervical vertebrae and MP3 region radiographs in adolescents in pre-pubertal and pubertal age groups. Methods: In this study, 80 children in the age range of 8 - 14 years were divided into two equal groups based on their chronological age as group I (pre-pubertal group) and group II (pubertal group). Pre-existing lateral cephalograms and medial phalanx of third finger (MP3) radiographs of their left hands were assessed. The levels of the DHEAS of each individual were analysed by ELISA kit. ANOVA with post-hoc Tukey’s test and student t-test were used for statistical analysis. P-value < 0.05 was considered significant. Results: The mean level of DHEAS values shown in the present study was 4.36 +/- 0.32 ng/mL in group I and 5.73+/-0.39 ng/mL in group II. This study showed that in group I, more subjects were in stage 1 of cervical vertebral maturation than stage 2 and there were significant differences between the two stages (P-value = 0.011); also, in group II, more subjects were in stage 3 than 4 and there were significant differences between the two stages (P-value = 0.017). This study revealed the highest salivary DHEAS levels to be in the F stage of pre-pubertal MP3 development in addition to the H stage of MP3 development in pubertal children. This study noted that there were significant differences for salivary DHEAS levels between males and females not only in pre-pubertal (P-value = 0.031), but also in pubertal stages (P-value < 0.001). Conclusions: Salivary DHEAS, like cervical vertebra and MP3 radiographs, can be used for growth assessment in young adolescents.

Abstract Background: Mc-Cune Albright Syndrome (MAS) is a rare disorder characterized by skeletal lesions, skin hyperpigmentation and hyperfunctioning endocrinopathies. Gonadotropin-independent precocious puberty is the most common endocrinopathy, known to be more common in females than males, but little is known about male gonadal pathology in MAS. Clinical case: 3-year-old boy presented with worsening unilateral limp and was noted to have a pathologic femoral fracture. Bone scan demonstrated extensive fibrous dysplasia in the long bones and skull base. He had a large café au lait spot on the back. He was diagnosed with MAS on clinical criteria. At 4 years of age, initial exam was normal without signs of precocious puberty. Linear growth followed the 70th percentile, on track for his genetic background (mid parental height 70th percentile). Initial hormonal work up showed normal thyroid function, prolactin, growth factors and pre-pubertal gonadotropins and testosterone. At 6 years of age, he started to demonstrate bilateral testicular enlargement of 4-6 mL with pubic hair Tanner stage I. Bone age was concordant with chronologic age. Gonadotropins and testosterone level were pre-pubertal. Testicular ultrasound showed bilateral enlargement with punctuate densities without evidence of hydrocele or mass. By 8 years of age, he had further testicular enlargement to 8 mL bilaterally, normal penile length 5.5 cm (6.2 ± 1.0) and no pubic hair. Biochemical evaluation showed normal thyroid function and pre-pubertal gonadotropins and testosterone. Repeat testicular ultrasound showed heterogeneous echotexture representing microlithiasis, without a focal mass. Conclusion: Macroorchidism can be present in the absence of gonadotropin independent precocious puberty in MAS. Testicular ultrasound evaluation is important, as hyper-hypoechoic lesions, bilateral microlithiasis, focal calcifications, are the most common testicular abnormality in males with MAS. Microlithiasis, due to calcium deposits within the seminiferous tubules, have been described often in this condition, and should be considered a marker of male MAS. The natural history of male fertility and testicular cancer risk in the context of microlithiasis and testicular calcifications is unknown. Close observation and testicular imaging at baseline and after age 5, to characterize subclinical involvement, are an appropriate course to follow.

ABSTRACT Objective: This study aimed to establish a correlation between the stages of tooth calcification of mandibular canines and second molars with the phases of skeletal development. Methods: In a consecutive series of panoramic, cephalometric and hand-wrist radiographs of 113 individuals (60 females and 53 males) with an average age of 12.24 ± 1.81 years, the stages of mandibular canine and second molar calcification, cervical vertebrae maturation indicators (CVMI) and skeletal maturity indicators (SMI) were classified. The variables were correlated by means of the Spearman’s Rank test: chronological age, SMI, CVMI and tooth calcification stages. In order to assess whether the CVMI and tooth calcification stages were significant predictors of the SMI, an ordinal regression analysis was carried out. Results: The stages of CVMI (OR = 16.92; CI 95% = 6.45-44.39; p< 0.001) and calcification of the second molars (OR = 3.22; CI 95% = 1.50-6.92; p= 0.003) were significant predictors of SMI, however similar result was not observed for canines (OR = 0.52, CI 95% = 0.18-1.54; p= 0.239). Calcification stage E for boys, and E and F for girls corresponded to the pre-peak phase of pubertal growth. Stages G and H for boys, and F and G for girls coincided with peak of growth. In the final growth phase, the majority of second molars presented with root apex closure (stage H). Conclusion: The stages of calcification of the second molar may be considered predictors of the stage of skeletal development in the population studied.

This study involved a 28-week school-based exercise trial of single-leg drop-landing exercise with 42 girls (Tanner stage 1; 6-10 yr old) randomly assigned to control (C), low-drop (LD) or high-drop(HD) exercise groups. The latter two groups performed single-leg drop-landings (3 sessions.wk-1 and 50 landings.session-1) from 14cm and 28cm, respectively using the non-dominant leg. Single-leg peak ground-reaction impact forces (PGRIF) in a sub-sample ranged between 2.5 – 4.4 x body-weight (BW). No differences (p>0.05) among groups at baseline for age, stature, lean tissue mass (LTM - DXA - Lunar 3.6-DPX), leisure time physical activity or average daily calcium intake were detected. No significant within group changes for between leg differences from baseline to post-training and no significant differences among groups at baseline, or in magnitude of change for any of the dominant or non-dominant (loaded) leg bone mineral content (BMC g) measures determined by DXA – loaded leg total - 19.06, 25.5, 25.46 [p=.156], femoral neck - 0.14, 0.11, 0.15 [p=.959], greater trochanter - 0.37, 0.06, 0.26 [p=.733], mid femoral shaft - 3.87, 3.87, 3.42 [p=.677] for the C, LD and HD groups, respectively, after adjusting for the covariates baseline body and fat mass, and change in LTM (ANCOVA) were observed. Similarly, following ANCOVA adjustments no significant differences for changes in calcaneal speed of sound and broadband ultrasound attenuation (CUBA Clinical), DXA derived changes in femoral neck (-0.009, 0.033, -0.009; p=.189) and total MFS (0.029, 0.041, 0.053; p=.447) volumetric BMD (g.cm-3), or MFS cortical volumetric BMD, the latter derived by a new technique combining MRI and DXA were identified. TBBMC changed by 79.6g-C, 100.2g-LD and 91.9g-HD (p=.339). Combining data from both exercise groups to increase statistical power produced similar results. No significant within group changes for between leg differences from baseline to post-training and no significant differences among groups at baseline, or in magnitude of change for any of the dominant or non-dominant (loaded) leg bone geometrical (area cm2) determined by MRI using ANALYZE® software of proximal - 22.18, 12.91, 19.86 [p=.248], mid - 19.83, 15.91, 19.64 [p=.233], or distal - 14.78, 16.07, 13.35 [p=.792], slice cortical area for the C, LD and HD groups, respectively, after adjusting for the covariates baseline body and fat mass, and change in LTM (ANCOVA) were detected. Similarly there were no significant biomechanical cross sectional moment of inertia (CSMI cm4) changes determined by Scion Image® (Frederick, Maryland: Version-Beta 3B) and a custom macro program of proximal - 896, 815, 649 [p=.415], mid - 1054, 806, 1087 [p=.471], or distal - 1197, 1079, 966 [p=.606], slice CSMI for the C, LD and HD groups, respectively after adjusting for the same covariates. In contrast to some recent reports, our findings suggest that strictly controlled uni-modal; uni-directional single-leg drop-landing exercises involving low-moderate peak ground-reaction impact forces are not osteogenic in the developing prepubertal female skeleton.