Reliability of skeletal maturity analysis using the cervical vertebrae maturation method on dedicated software

Saverio Padalino, Maria F rancesca Sfondrini, Laura Chenuil, Luigia Scudeller, Paola Gandini

Research output: Contribution to journalArticlepeer-review


OBJECTIVES: The aim of this study was to assess the feasibility of skeletal maturation analysis using the Cervical Vertebrae Maturation (CVM) method by means of dedicated software, developed in collaboration with Outside Format (Paullo-Milan), as compared with manual analysis.

MATERIALS AND METHODS: From a sample of patients aged 7-21 years, we gathered 100 lateral cephalograms, 20 for each of the five CVM stages. For each cephalogram, we traced cervical vertebrae C2, C3 and C4 by hand using a lead pencil and an acetate sheet and dedicated software. All the tracings were made by an experienced operator (a dentofacial orthopedics resident) and by an inexperienced operator (a student in dental surgery). Each operator recorded the time needed to make each tracing in order to demonstrate differences in the times taken.

RESULTS: Concordance between the manual analysis and the analysis performed using the dedicated software was 94% for the resident and 93% for the student. Interobserver concordance was 99%. The hand-tracing was quicker than that performed by means of the software (28 seconds more on average).

CONCLUSIONS: The cervical vertebrae analysis software offers excellent clinical performance, even if the method takes longer than the manual technique.

Original languageEnglish
Pages (from-to)483-493
Number of pages11
JournalInternational orthodontics / Collège européen d'orthodontie
Issue number4
Publication statusPublished - Dec 1 2014


  • Cervical vertebrae
  • CVM method
  • Manual analysis
  • Skeletal maturity
  • Software

ASJC Scopus subject areas

  • Medicine(all)


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