{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T19:27:01Z","timestamp":1787081221062,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["88887.808604\/202300"],"award-info":[{"award-number":["88887.808604\/202300"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate whether facial growth pattern is associated with the maturation stage of the midpalatal suture (MPS) in adults using cone\u2010beam computed tomography (CBCT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This retrospective study reviewed 300 full\u2010skull CBCT scans acquired between January 2018 and May 2023, of which 120 met the eligibility criteria. Individuals aged 18\u2009years or older were classified according to facial growth pattern (brachyfacial, mesofacial or dolichofacial) using Ricketts' VERT index. Age was categorised into &lt;\u200930 and \u2265\u200930\u2009years based on clinical evidence suggesting increased frequency of sutural fusion after the third decade of life. Exclusion criteria included craniofacial anomalies, syndromic conditions, systemic or hormonal disorders affecting skeletal growth, impacted teeth, previous maxillary surgery, trauma and inadequate image quality. MPS maturation was assessed using Angelieri's five\u2010stage classification (A\u2013E). Two calibrated examiners independently evaluated all cephalometric and tomographic records. Ordinal multinomial logistic regression was applied to analyse associations between facial growth pattern, age, sex and MPS maturation stage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Facial growth pattern was significantly associated with MPS maturation stage (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200920.65,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with dolichofacial individuals more frequently presenting earlier maturation stages (B or C). Age (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.297) and sex (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.870) were not significantly associated with MPS maturation in this adult sample. Reliability analysis demonstrated excellent intra\u2010 and inter\u2010examiner agreement (ICC\u2009=\u20090.95; \u03ba\u2009=\u20090.98).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Facial growth pattern was associated with MPS maturation stage in adults and may function as an adjunctive diagnostic parameter. Dolichofacial individuals more frequently exhibited earlier stages of sutural maturation, whereas age and sex showed no significant association. Although facial pattern analysis should not replace CBCT evaluation, it may contribute to a more individualised, anatomy\u2010based diagnostic assessment. These findings should be interpreted cautiously due to the cross\u2010sectional design and specific population studied.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ocr.70118","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T10:22:35Z","timestamp":1774606955000},"page":"708-716","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Facial Growth Patterns and Midpalatal Suture Maturation in Adults: A Retrospective CBCT\u2010Based Observational Study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2569-3010","authenticated-orcid":false,"given":"Elizabety","family":"do Nascimento Silva","sequence":"first","affiliation":[{"name":"Dentistry Department Federal University of Para\u00edba  Para\u00edba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0556-9901","authenticated-orcid":false,"given":"Nathalie Murielly Rolim","family":"de Abreu","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Federal University of Para\u00edba  Para\u00edba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9158-8342","authenticated-orcid":false,"given":"Frederico Barbosa","family":"de Sousa","sequence":"additional","affiliation":[{"name":"Morphology Department Federal University of Para\u00edba  Para\u00edba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5650-7711","authenticated-orcid":false,"given":"Francine Kuhl","family":"Panzarella","sequence":"additional","affiliation":[{"name":"Oral Radiology Division Faculdade S\u00e3o Leopoldo Mandic  Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9690-8563","authenticated-orcid":false,"given":"Rudyard","family":"dos Santos Oliveira","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry Federal University of Para\u00edba  Para\u00edba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40510-019-0291-z"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics12112774"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00056-007-0729-7"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40510-017-0188-7"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-022-02138-w"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13081449"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.4041\/kjod21.324"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjab005"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11051287"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejwf.2023.04.005"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2013.04.022"},{"issue":"1","key":"e_1_2_13_13_1","first-page":"50","article-title":"Age\u2010Related Changes of the Midpalatal Suture and Implications for Miniscrew\u2010Assisted Rapid Palatal Expansion: A CBCT Study","volume":"23","author":"Zeng W.","year":"2023","journal-title":"BMC Oral Health"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2015.06.016"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.2319\/011909-40.1"},{"issue":"8","key":"e_1_2_13_16_1","first-page":"1013","article-title":"Midpalatal Suture Maturation in Relation to Age, Sex, and Facial Skeletal Growth Patterns: A CBCT Study","volume":"11","author":"Festa F.","year":"2024","journal-title":"Children (Basel)"},{"issue":"3","key":"e_1_2_13_17_1","article-title":"Skeletal Maturation of the Hand and Wrist and Ossification of the Midpalatal Suture in Adolescents: A Literature Review","volume":"11","author":"Ramirez\u2010Diaz R. 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