Case report. A unique malocclusion.
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Biomedical subjects
Publications and source records attributed to K C Grave.
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The pubescent period offers the best opportunity to accomplish the objectives of orthodontic treatment in the shortest time. Treatment during the period of maximum growth activity reduces some of the uncertainties associated with early treatment. Carpal radiographs can be used as a guide to determine the onset of the adolescent growth spurt and hence provide the clinician with a diagnostic and planning aid to optimize treatment efficiency.
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Fourteen ossification events in the hand and wrist were studied in relation to the age of peak growth velocity in body height in fifty-two boys and thirty-six girls. The subjects were aborigines enrolled in a longitudinal growth study. Peak growth velocity and the ossification events occurred in aborigines at about the same ages as in Caucasian children. The results indicate that the ossification events can be used by the orthodontist to assess a child's growth activity. The accelerative phase of the adolescent growth spurt is accompanied by epiphyseal widths reaching diaphyseal widths in the fingers and radius and by ossification of the pisiform and hamate Stage 1. Peak growth velocity occurs at about the time of epiphyseal capping in the fingers and radius and ossification of the sesamoid and hamate Stage 2. The decelerative phase of growth is indicated by epiphyseal union in the third finger, progressively from distal to proximal phalanges, and in the radius. The value of these indicators in orthodontic practice is discussed.
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