biostudies-literatureUnknown6Boggio A<h4>Introduction</h4>The maturation of the midpalatal suture is a critical factor in determining the most appropriate maxillary expansion technique. Angelieri et al. introduced a CBCT-based staging system that shifted the focus from chronological age to individual anatomical assessment. However, inter-examiner variability and challenges in evaluating intermediate stages (C and D) have raised concerns about the diagnostic reliability of axial-only CBCT analysis. This study investigates whether the addition of standardized coronal CBCT sections to traditional axial assessment can improve diagnostic precision - particularly in borderline cases - by revealing morphological variations that may not be evident in axial views alone.<h4>Materials and methods</h4>34 CBCT scans were retrospectively aFrontiers in oral health1630883https://www.ebi.ac.uk/biostudies/studies/S-EPMC12855418biostudies-literatureA new CBCT evaluation for individual assessment of midpalatal suture maturation: a retrospective analysis.PMC12855418Vinci RFiorillo GBoggio AMandelli GCastellana FRazzani EManes Gravina BGastaldi GfalseA new CBCT evaluation for individual assessment of midpalatal suture maturation: a retrospective analysis.<h4>Introduction</h4>The maturation of the midpalatal suture is a critical factor in determining the most appropriate maxillary expansion technique. Angelieri et al. introduced a CBCT-based staging system that shifted the focus from chronological age to individual anatomical assessment. However, inter-examiner variability and challenges in evaluating intermediate stages (C and D) have raised concerns about the diagnostic reliability of axial-only CBCT analysis. This study investigates whether the addition of standardized coronal CBCT sections to traditional axial assessment can improve diagnostic precision - particularly in borderline cases - by revealing morphological variations that may not be evident in axial views alone.<h4>Materials and methods</h4>34 CBCT scans were retrospectively a2025-01-01T00:00:00Z20252026-06-19T05:01:23.901Z2026-06-19T03:07:19.189ZS-EPMC128554184162506510.3389/froh.2025.1630883