Assessing circum-maxillary sutures maturation by CBCT: a diagnostic indicator for skeletal age and treatment timing for class III malocclusion

This study verified the efficacy of using the maturational stages of maxillary sutures to assess growth and development. MPSS shows a strong correlation with ZMSS and can serve as a useful reference for estimating ZMSS maturation, supporting a combined assessment approach. The maxillary suture maturational stages can serve as an index to evaluate the intervening time and outcomes of maxillary protraction with palatal expansion in juveniles.