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HAND WRIST RADIOGRAPHS

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INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com

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•HAND WRIST REGION-MADE UP OF NUMEROUS SMALL BONES •THESE BONES SHOW A PREDICTABLE AND SCHEDULED PATTERN OF APPEARANCE, OSSIFICATION AND UNION FROM BIRTH TO MATURITY. •SKELETAL MATURITY STATUS OF AN INDIVIDUAL CAN BE DITERMINED. •THERE ARE A NUMBER OF METHODS . •ATLAS METHOD –GRULICH AND PYLE •BJORK ,GRAVE AND BROWN METHOD •FISHMAN’S SMIs •HAGG AND TARANGER METHOD •OTHERS

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ANATOMY OF HAND WRIST

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INDICATIONS FOR HAND WRIST RADIOGRAPH •MAJOR DISCREPANCY BETWEEN THE DENTAL AND CHRONOLOGICAL AGE •DITERMINATION OF SKELETAL MATURITY STATUS PRIOR TO TREATMENT OF SKELETAL CLASS II AND CLASS III MALOCCLUSIONS •ASSESS THE SKELETAL AGE IN A PATIENT WHOSE GROWTH IS AFFECTED BY INFECTIONS ,TRAUMA ,NEOPLASM •TO PREDICT FUTURE SKELETAL MATURITY RATE AND STATUS •PREDICT PUBERTAL GROWTH •AID IN RESEARCH-STUDY THE ROLE OF HEREDITARY,ENVIRONMENT ,NUTRITION ETC ON SKELETAL MATURATION PATTERN. •PATIENTS WITH SKELETAL MALOCCLUSION BETWEEN 16-20 YEARS NEEDING ORTHOGNATHIC SURGERY

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GREULICH AND PYLE METHOD-1959 •PUBLISHED AN ATLAS CONTAINING IDEAL SKELETAL AGE PICTURES OF HAND WRIST FOR DIFFERENT CHRONOLOGICAL AGES AND FOR EACH SEX •EACH PHOTOGRAPH IN THE ATLAS IS REPRESENTATIVE OF A PARTICULAR SKELETAL AGE . •THE PATIENT’S RADIOGRAPH IS MATCHED WITH A PHOTOGRAPH IN THE ATLAS

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BJORK , GRAVE AND BROWN-1972, 1976 BJORK IN 1972 DIVIDED THE MATURATION PROCESS OF BONE OF THE HAND BETWEEN 9TH TO THE 17TH YEAR INTO EIGHT DEVELOPMENTAL STAGES DELINIATION OF SINGLE DEVELOPMENTAL STAGES IS FACILITATED BY INCLUSION OF SIX FURTHER OSSIFICATION CENTERS APPROPRIATE CHRONOLOGICAL AGE FOR EACH OF THE STAGES WAS GIVEN BY SCHOPF IN 1978

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MALES-10.6YEARS FEMALES- 8.1 YEARS

MALES-12YEARS FEMALES- 8.1 YEARS

MALES-12.6YEARS FEMALES- 9.6 YEARS

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MALES-13YEARS FEMALES- 10.6 YEARS

MALES-14YEARS FEMALES- 11 YEARS www.indiandentalacademy.com


MALES-15YEARS FEMALES- 13 YEARS

MALES-15.9 YEARS FEMALES- 13.3 YEARS

MALES-15.9YEARS FEMALES- 13.9 YEARS

MALES-18.5YEARS FEMALES- 16 YEARS www.indiandentalacademy.com


LEONARD S. FISHMAN-1982(ROCHESTER , NY)

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Thank you www.indiandentalacademy.com Leader in continuing dental education

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Hand wrist/ dental implant courses by Indian dental academy