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INTRODUCTION The objective of this study was to assess the reproducibility of cervical vertebral maturation (CVM) method based on the type of radiographic image and the level of experience and level of training of the evaluator. METHODS Ten evaluators (5 orthodontic residents and 5 faculty members) were randomly divided into 2 groups trained and untrained. All participants evaluated 80 radiographic images previously acquired in 4 different formats (1) 2-dimensional (2D) digital (2D-digital), (2) 2D digitized hard copy from the Iowa Fa