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he correct treatment planning in orthodontics is significantly dependent on identification of peak growth spurt as growth modification is more effective during rapid pubertal growth spurt period. Profit and Fields suggested that timing difference between boys and girls as girls mature two years earlier as compared to boys.1 However, Fishman has revealed that dental age and chronologic age are pitiable interpreters of the pubescent growth spurt.2 Various radiographic techniques are in use for skeletal maturation assessment. The most common among these include hand-wrist radiography and cervical vertebral maturation stages (CVMS) through lateral cephalometric radiographs (LCR).3-5 The assessment of CVMS is more appealing to orthodontists since LCR are normally in use for orthodontic patients, this method comprises of five distinct stages of anatomic modifications in 2nd (C2), 3rd (C3), and 4th (C4) cervical vertebrae.6,7 1. Specialist/Consultant, Department of Orthodontist, de'Montmorency College of Dentistry, Lahore Pakistan. 2. Assistant Professor, Department of Orthodontics, Azra Naheed Medical & Dental College, Lahore. 3. Assistant Professor & Head, Department of Orthodontics Department, Dental College, FMU/PMC, Faisalabad, Pakistan. 4. Assistant Professor, Department of Orthodontics, Rashid Latif Medical & Dental College, Lahore . 5. Professor of Orthodontics, de'Montmorency College of Dentistry, Lahore, Pakistan. 6. Specialist/Consultant, Department of Orthodontist, Dental College-FMU/PMC, Faisalabad, Pakistan. 7. Professor of Orthodontics, de'Montmorency College of Dentistry, Lahore, Pakistan. Corresponding author: “Dr. Muhammad Azeem” < dental.concepts@hotmail.com >

Correlation Between Serum IGF-1 Levels and CVM Stages for the Assessment of Skeletal Maturity