Intermaxillary tooth size discrepancies among different malocclusion classes: a comparative study

2002 ◽  
Vol 26 (4) ◽  
pp. 383-387 ◽  
Author(s):  
Eman Alkofide ◽  
Hayder Hashim

The purpose of this study is to determine whether a difference exists in intermaxillary tooth size among different malocclusion groups in Saudi patients. The study consisted of 240 pretreatment orthodontic casts (Sixty cases in each malocclusion class, in addition to normal occlusion). The results of the study shows no significant difference in the incidence of tooth size discrepancies for the overall ratio and anterior ratio between the different malocclusion groups, except for the anterior ratio in class III malocclusion. Further, no statistical significant difference was observed between males and females. When the mean values of the present study were compared to that of Bolton's, a significant difference was found in all the malocclusion classes.We can conclude from this study that Bolton tooth size analysis is an important diagnostic tool, and should be taken into consideration before initiation of orthodontic treatment.

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Raja AbdAlgadir Mustafa ◽  
Amal Hussein Abuaffan

Introduction: A correct proportion between the upper and lower teeth is critical to achieving proper occlusal interdigitation, ideal overjet, and good molar intercuspation at the end of orthodontic treatment. Objectives: To determine the anterior and overall Bolton’s ratio in the Sudanese population, investigate gender differences in tooth size ratios, and to compare these results with Bolton’s original ratio norm. Material and Methods: The sample consisted of dental casts of 104 Sudanese University students with normal occlusion (52 females, 52 males), aged between 16-26 years randomly selected from AL- Neelain University. An electronic digital caliper was used to measure the mesiodistal tooth size of the maxillary and mandibular teeth anterior to the second molars. These measurements were then used to obtain Bolton’s ratio. Mean, range, and standard deviation of the anterior and overall ratios were computed for each subject. T-Tests were used to compare gender differences and to investigate differences between the results of this study and Bolton’s original ratio. Results: Anterior and overall Bolton ratios for males were 78.43±2.44 and 93.901±9.8 and for females were 78.29±2.6 and 91.67±3.3 percent, respectively. There were no statistically significant differences between males and females for the anterior and overall ratios P>0.05. The anterior and overall Bolton’s ratios among Sudanese University students were 78.37 ± 2.54, and 92.79± 7.43 percent, respectively. statistically significant difference between this study and Bolton’s study were found in both anterior and overall ratio P<0.05. Conclusion: Bolton’s mean ratios may not be applicable to Sudanese. Keywords Bolton’s ratio; Sudanese population; tooth-size.


2020 ◽  
Vol 10 (2) ◽  
pp. 87-97
Author(s):  
Amanj R. Ibrahim ◽  
Zana Q. Omer ◽  
Hasan S. Hasan ◽  
Walaa M. Saleem Almola

Aims of this study were to determine both the Bolton anterior and overall ratios in a representative sample of Erbil schoolchildren of Normal occlusion and Cl I, Cl II div I, div II, and Cl III malocclusion, also to find if there are any gender differences. Numerical data were obtained, comprised of 320 samples study casts of students with a mean age of 13–15 years selected from different schools in Erbil City. The casts were divided into 5 groups according to the type of malocclusion: Normal (n = 64), Cl I (n = 64), Class II div I (n = 64), Class II div II (n = 64), and Class III subjects (n = 64). The measurement of the greatest mesiodistal width of the teeth was performed using digital Vernier directly on the study casts, from the distal surface of the left first molar to the distal surface of the right first molar. The overall and anterior ratios between the maxillary and mandibular teeth were computed and evaluated using Bolton’s method. The results revealed that the mean anterior ratio (78.863) was higher and statistically signifi cantly different from anterior Bolton’s (77.2) and also the mean overall ratio was not statistically signifi cant different from Bolton’s ratio (91.3) (P = 0.239), with respect to the overall and anterior ratios among all the groups, statistically significant differences were found. Differences between genders were analyzed using a t-test. The results showed that there were no signifi cant differences between males and females. There were non-significant differences between the findings of the present study and those of Bolton’s study for overall ratio and anterior ratio, but among all five classifications, there was a significant difference of Erbil population not similar to Bolton ratio and there was no significant difference between males and females.


2018 ◽  
Vol 8 ◽  
pp. 36-43 ◽  
Author(s):  
Priti Subhash Mulimani ◽  
Myra Innessa Binti Azmi ◽  
Nabilah Rashida Jamali ◽  
Nur Najaa Binti Md Basir ◽  
Htoo Htoo Kyaw Soe

Introduction Tooth size, occlusal traits, and ethnicity are closely interrelated, and their impact on desirable orthodontic treatment outcome cannot be underestimated. This study was undertaken to assess the occlusal characteristics and ethnic variations in occlusion of Malaysian orthodontic patients and evaluate their correlation with Bolton’s tooth size discrepancy. Materials and Methods On 112 pretreatment study models of orthodontic patients, molar relationship, overjet, overbite, spacing, crowding, midline shift, and Bolton’s ratios were assessed. ANOVA, one-sample t-test, Chi-squared test, and Spearman’s rho correlation coefficient were used for statistical analysis. Results Significant difference between anterior ratio of our study and Bolton’s ideal values was found, for the entire study sample and Chinese ethnic group. Differences between races and malocclusion groups were not statistically significant (P > 0.05). Significant correlations were found as follows – in Angle’s Class I malocclusion between 1) anterior ratio and overbite, 2) overall ratio and maxillary crowding and spacing; in Angle’s Class II malocclusion between 1) anterior ratio and overjet and midline shift, 2) overall ratio and mandibular crowding; in Angle’s Class III malocclusion between 1) anterior ratio and mandibular crowding and both maxillary and mandibular spacing 2) overall ratio and mandibular crowding. Conclusions Significant differences in anterior ratio and Bolton’s ideal values for the Malaysian population were found, indicating variations in anterior tooth size as compared to Caucasians. Statistically significant correlations existed between Bolton’s ratios and occlusal traits. These findings can be applied clinically in diagnosis and treatment planning by keeping in mind the specific discrepancies that can occur in certain malocclusions and addressing them accordingly.


Author(s):  
AW Ali ◽  
MZ Hossain

Aim: To investigate the correlation between anterior tooth size discrepancies among Angle's Class l, ll, lll malocclusions and corresponding normal occlusion, as well as their prevalence in Bangladeshi population. This study would act as a reference for diagnosis, treatment planning and assessment of prognosis in some orthodontic cases. Methods: This cross sectional study was conducted in the Department of Orthodontics & Dentofacial Orthopedics, Dhaka Dental College & Hospital. A total number of 200 subjects were selected in Angle's Class l, ll, lll and corresponding normal group. Each group had 50 subjects with males and females. A chi-square test was performed to statistically compare the prevalence of anterior tooth size discrepancies among Angle's Class l, ll, lll malocclusions and corresponding normal occlusion and two genders. Analysis of variance was used to compare the mean Bolton anterior tooth size ratios as a function of angle classification and gender. Statistical differences were determined at the 95% confidence level (p< 0.05). Results: No significant difference was observed in the mean Bolton anterior ratio between normal group and class-I malocclusion group (p = 0.343). Significant differences were observed between Class-II malocclusion and normal group (p=0.001), and also between Class-III malocclusion and normal group (p = 0.001). Individuals with Angle Class lll and Class ll malocclusions showed significantly greater prevalence of tooth size discrepancy than Class l malocclusion and corresponding normal group. Conclusion: The great diversity and ethnic mix of Bangladeshi population should alert our orthodontist to use Bolton analysis as an important diagnostic tool and become aware of the moderate variations that may be present and treated. It may somehow guide planning of this type of study in future. DOI: http://dx.doi.org/10.3329/bjodfo.v1i2.15982 Ban J Orthod & Dentofac Orthop, April 2011; Vol-1, No.2, 1-4


Author(s):  
Joko Kusnoto

  Objective: The objective of this study is to determine whether Bolton ratio can be applied clinically to the Indonesian population and to determine a more suitable Bolton ratio for the Indonesian population.Methods: This study was conducted on 120 readily available study models of treated cases comprising 37 males and 83 females. Two investigators separately measured the mesiodistal crown width of maxillary and mandibular tooth on each study model using sliding calipers. According to Bolton’s method, the overall and anterior ratios from each sample were calculated and the mean was generated. Using Student’s t-test with a 95% confidence interval, the investigators compared whether there is a significant difference between the ratio from Bolton’s samples and the ratio from the Indonesian samples.Results: The result of this study showed that, for Indonesian samples, the overall ratio is 89.7±2.05, while the anterior ratio is 76.4±2.76. Student’s t-test showed that there is a statistically significant difference (p<0.05) between the results of this study and that of Bolton’s study for both the anterior and overall ratios.Conclusion: It can be concluded that there is a difference between Indonesian population and Caucasian population in tooth size and Bolton ratio value. Therefore, original Bolton ratio value cannot be used as an accurate diagnostic tool for Indonesian population.


2017 ◽  
Vol 7 (1) ◽  
pp. 33-36 ◽  
Author(s):  
TV Pawan Kumar ◽  
Prasad Chitra

Introduction: Tooth size discrepancy varies between different ethnic groups and races. Bolton’s tooth size norms were originally determined in Caucasian population.Objective: To determine tooth size ratios for maxillary and mandibular dentition in Telangana population of Indian sample and to compare the ratios with standard Bolton norms.Materials & Method: The study sample comprised of 300 subjects (150 males and 150 females) aged between 14-25 years having Angle’s Class 1 molar relationship. Study models of all subjects were prepared and mesiodistal dimensions were measured to determine mean Bolton’s anterior ratio, overall ratio, over jet and overbite.Result: Evidence of sexual dimorphism was observed with Indian male subjects having greater mean values than the females. The determined mean for anterior tooth ratio was 80.88 ± 3.03%, overall tooth ratio 93.99 ± 3.11%, overjet 2.92 ± 0.62mm and overbite 2.96 ± 0.63mm. Statistically significant differences were found between Indian samples and Bolton Caucasian standards.Conclusion: The study provides evidence that tooth sizes are population specific. Mean values specific to particular population groups should be derived in order to make treatment planning more accurate and predictable.


2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Rajeev Kumar Mishra ◽  
Dashrath Kafle ◽  
Rahul Gupta

Introduction. A proportional relationship between the maxillary and mandibular teeth size is required for achieving good finish with proper overjet and overbite postorthodontic treatment. The aims and objectives of this study were to determine the anterior and overall Bolton’s ratio in Nepalese population, to compare Bolton’s ratio between subjects with normal occlusion, Class I malocclusion, and Class II malocclusion, to compare these results with Bolton’s norm, and to determine the frequency of clinically significant (beyond 2 SD) tooth size discrepancy compared to Bolton’s norm. Materials and Methods. The study models of the subjects with normal occlusion and Angle’s Class I malocclusion and Class II malocclusion and fulfilling the inclusion criteria were retrieved from department archives. An electronic digital caliper was used to measure mesiodistal tooth size of the maxillary and mandibular teeth anterior to the second molars. The study sample of 120 study models consisted of the normal occlusion group (n = 31), Class I malocclusion group (n = 47), and Class II malocclusion group (n = 42). These measurements were then used to obtain Bolton’s ratio in three groups of subjects. Bolton’s ratio of study groups was compared with each other and with Bolton’s original ratio. Results. The differences in tooth size ratio of the study groups were not significant statistically, when the groups were compared on the basis of malocclusion or gender. Statistically significant differences were exclusively observed between the study groups and Bolton’s original sample for the anterior ratio. The frequency of the clinically significant tooth size ratio discrepancy was lower for the overall ratio (9.1%) compared to the anterior ratio (22.5%). Conclusions. Bolton’s analysis on the Nepalese population sample shows that there was no significant difference observed on the anterior and overall tooth size ratios when these were compared based on Angle’s malocclusion classes or gender. The clinically significant anterior tooth size discrepancy was more prevalent than that of the overall ratio.


2007 ◽  
Vol 8 (7) ◽  
pp. 86-93 ◽  
Author(s):  
Behnam Mirzakouchaki ◽  
Shirin Shahrbaf ◽  
Reza Talebiyan

Abstract Aim The aim of this investigation was to determine the tooth size ratio in an Iranian-Azari population. Method and Materials The Bolton tooth size analysis was performed on a sample of 50 plaster models (25 male subjects, 25 female subjects) of Iranian-Azari subjects. The mesiodistal widths of all teeth were obtained and the Bolton anterior ratio and overall ratio were calculated. The mean, range, and standard deviation were calculated for the anterior and overall ratio, and a coefficient of variation was obtained for the tooth size ratio. Results For the anterior ratio (3-3), the Iranian-Azari had a mean of 78.0 mm with a standard deviation of 3.1; the range was 73.68 to 84.6 mm. For the overall ratio (6-6), the mean was 92.0 mm with a standard deviation of 2.4; the range was 88.09 to 97.5 mm. Conclusions The results from the Iranian-Azari subjects in the study are similar to Bolton's original data for an American population. These values and the degree of variation were similar to the original data by Bolton, indicating the Bolton analysis for Caucasian samples can be transferred to an Iranian-Azari population. It also confirms no relevant sexual dimorphism exists, and these values are valid for both male and female subjects. Citation Mirzakouchaki B, Shahrbaf S, Talebiyan R. Determining Tooth Size Ratio in an Iranian-Azari Population. J Contemp Dent Pract 2007 November; (8)7:086-093.


2013 ◽  
Vol 3 (2) ◽  
pp. 18-21
Author(s):  
Dhyan Chand Murmu ◽  
Swati Saraswata Acharya ◽  
Anu Ranjan Das ◽  
Bides Bhaumik

Introduction: In order to maintain the proper relationship between upper and lower arch, Bolton proposed anterior ratio and overall ratio. Objective: To evaluate and compare the tooth size and arch size discrepancies between normal cases and Class I crowded cases of the Bengali population. To determine Bolton’s overall ratio and anterior ratio in the normal sample , and to identify the possible variation in tooth-arch size ratio in subjects in Bengali population. Materials & Method: A total of 60 maxillary and mandibular pretreatment dental study casts were taken and divided into control group and study group. The descriptive statistics in respect of Bolton’s anterior ratio and overall ratio were calculated. The t-test was done for the statistical difference between the two mean values. Result: Bolton’s ratios in Bengali population sample values were found to be similar to the original data of Caucasian population. Females showed a tendency of smaller teeth than the males. Conclusion: Bolton’s ratios could be consistent to use in the orthodontic diagnosis of Bengali population. It supports the concept that females showed smaller teeth than the males.  


2018 ◽  
Vol 8 ◽  
pp. 209-212
Author(s):  
K. K. Sajal ◽  
Rishabh Gupta ◽  
Vikram Pai ◽  
Pooja Desai ◽  
Sudhir K. Mishra ◽  
...  

Aim This study aimed to evaluate the anterior and overall ratios of Tibetan population residing at Mundgod and to compare the obtained ratios to the ratios available from Bolton’s study. Materials and Methods The study consists of randomly selected 120 samples of Tibetan population ranging in age from 15 to 25 years, residing at Mundgod, Karnataka (60 males and 60 females). After measuring the width of each tooth, overall and anterior ratios were measured using formula proposed by Bolton. Statistical Analysis Anterior and overall tooth ratios obtained from the study were compared to standard Bolton’s ratio by one-sample t-test. The differences between males and females were compared by independent samples t-test. Results The overall ratio was significantly lower for both males (P = 0.03) and females (P = 0.001) at 90.20 and 88.93, respectively, when compared to the Bolton’s value of 91.3, whereas anterior ratio for males (P = 0.001) was significantly higher at 77.9 when compared to Bolton’s value of 77.2. The combined values of males and females when compared to Bolton’s value, i.e., the combined overall ratio (P = 0.001) was significantly lower at 89.5 and the combined anterior ratio (P = 0.016) was significantly higher at 78.7. Conclusion In the present study, significant difference was observed between the overall and anterior ratios in Tibetan population as compared to the Bolton’s value. Therefore, Bolton’s original data cannot be applied for Tibetan population.


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