Mandibular growth as related to cervical vertebral maturation and body height

The purpose of this study was to analyze the validity of 6 stages of cervical vertebral maturation (Cvs1 through Cvs6) as a biologic indicator for skeletal maturity in 24 subjects (15 females, 9 males). The method was able to detect the greatest increment in mandibular and craniofacial growth during the interval from vertebral stage 3 to vertebral stage 4 (Cvs3 to Cvs4), when the peak in statural height also occurred. The prevalence rate of examined subjects who presented with the peak in body height at this interval was 100% for boys and 87% for girls. Statural height and total mandibular length (Co-Gn) showed significant increments during the growth interval Cvs3 to Cvs4 when compared with the growth interval Cvs2 to Cvs3, and significant growth deceleration occurred during the interval Cvs4 to Cvs5 when compared with Cvs3 to Cvs4. Ramus height (Co-Goi) and S-Gn also showed significant deceleration of growth during the interval Cvs4 to Cvs5 when compared with Cvs3 to Cvs4. Cervical vertebral maturation appears to be an appropriate method for the appraisal of mandibular skeletal maturity in individual patients on the basis of a single cephalometric observation and without additional x-ray exposure. The accuracy of the cervical vertebral method in the detection of the onset of the pubertal spurt in mandibular growth provides helpful indications concerning treatment timing of mandibular deficiencies.