scholarly journals Bolton Ratio of Different Angle’s Classifications in a School Children Sample of Erbil City

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.

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 33 (1) ◽  
pp. 53
Author(s):  
Brandon Thamran ◽  
Mimi Marina Lubis

Pendahuluan: Ukuran sinus maksilaris dapat dipengaruhi maloklusi skeletal, oleh karena itu pengetahuan dalam perkembangan dan ukuran sinus maksilaris penting dalam diagnosa dan menentukan rencana perawatan kasus maloklusi. Tujuan penelitian untuk menganalisis perbedaan rerata ukuran sinus maksilaris pada maloklusi kelas I, II, dan III skeletal pada laki-laki dan perempuan. Metode: Jenis penelitian Penelitian deskriptif analitik dilakukan pada 96 pasien RSGM USU usia 18-35 tahun dengan Teknik purposive sampling, terdiri dari 27 relasi rahang Kelas I, 31 Kelas II dan 22 Kelas III. Subjek  diperoleh melalui pengukuran metode Steiner. Hasil tracing dipindahkan melalui scanner dan  pengukuran luas Sinus Maksilaris dengan program AutoCAD. Hasil: Rerata sinus maksilaris Kelas I skeletal adalah 1492,18268,44 mm2  untuk laki-laki dan 1614,80259,13 mm2 untuk perempuan p=0,275, maka tidak ada perbedaan signifikan antara rerata sinus maksilaris Kelas I skeletal pada laki-laki dan perempuan, Kelas II skeletal adalah 1879,75 mm2 untuk laki-laki dan 1544,41239,47 mm2 untuk perempuan diperoleh p=0,016, maka terdapat perbedaan signifikan antara rerata  sinus maksilaris Kelas II skeletal pada laki-laki dan perempuan, dan Kelas III skeletal adalah 1619,36 mm2 untuk laki-laki dan 1489,92 mm2 untuk perempuan diperoleh p=0,239, maka tidak ada perbedaan signifikan antara rerata  sinus maksilaris  Kelas III skeletal pada laki-laki dan perempuan. Rerata ukuran antar kelompok didapatkan 1572,93 263,72 mm2  untuk Kelas I skeletal, 1609,32 mm2 untuk Kelas II skeletal, dan 1531,11 mm2 untuk Kelas III skeletal dengan p=0,600, Hasil ini menunjukkan tidak ada perbedaan rerata  sinus maksilaris pada maloklusi Kelas I, Kelas II dan Kelas III skeletal. Simpulan: Tidak ada perbedaan pada rerata ukuran sinus maksilaris pada maloklusi Kelas I, Kelas II dan Kelas III skeletal.Kata kunci: Ukuran sinus maksilaris, maloklusi skeletal, analisa Steiner, radiogram sefalometri. ABSTRACTIntroduction: Maxillary sinus size can be affected by skeletal malocclusion. Therefore knowledge of maxillary sinus development and size is essential in diagnosing and determining the treatment plan for malocclusion cases. This study was aimed to analyse the mean difference in maxillary sinus size in skeletal class I, II, and III malocclusions in males and females. Methods: This type of study was a descriptive-analytic study conducted on 96 patients at Universitas Sumatera Utara Dental Hospital aged 18-35 years with a purposive sampling technique, consisting of 27 Class I, 31 Class II and 22 Class III jaw relations. Subjects were obtained by measuring the Steiner method. The tracing results were transferred through a scanner and measuring the maxillary sinus area using the AutoCAD program. Results: The mean skeletal Class I maxillary sinus was 1492.18268.44 mm2 for men and 1614,80259.13 mm2 for women p = 0.275, so there was no significant difference between the mean skeletal Class I maxillary sinus in males and females. Class II skeletal is 1879.75 mm2 for men and 1544.41239.47 mm2 for women obtained p = 0.016. Hence, there is a significant difference between the mean skeletal Class II maxillary sinus in males and females, and skeletal Class III is 1619.36 mm2 for men and 1489.92 mm2 for women obtained p = 0.239, so there was no significant difference between the mean skeletal Class III maxillary sinus in males and females. The mean size between groups was 1572.93 263.72 mm2 for skeletal Class I, 1609.32 mm2 for skeletal Class II, and 1531.11 mm2 for skeletal Class III with p = 0.600. skeletal Class I, Class II and Class III malocclusions. Conclusion: There was no difference in mean maxillary sinus size in skeletal Class I, Class II and Class III malocclusions.Keywords: Maxillary sinus size, skeletal malocclusion, Steiner analysis, cephalometric radiograph.


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.


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.


2016 ◽  
Vol 21 (5) ◽  
pp. 67-74 ◽  
Author(s):  
Waqar Jeelani ◽  
◽  
Mubassar Fida ◽  
Attiya Shaikh ◽  
◽  
...  

ABSTRACT Introduction: Pubertal growth peak is closely associated with a rapid increase in mandibular length and offers a wide range of therapeutic modifiability. Objective: The aim of the present study was to determine and compare the mean ages of onset and duration of pubertal growth peak among three skeletal classes. Methods: A retrospective cross-sectional study was conducted using lateral cephalograms of 230 subjects with growth potential (110 males, 120 females). Subjects were categorized into three classes (Class I = 81, Class II = 82, Class III = 67), according to the sagittal relationship established between the maxilla and the mandible. The cervical vertebral maturation stage was recorded by means of Baccetti's method. The mean ages at CS3 and CS4 and the CS3-CS4 age interval were compared between boys and girls and among three skeletal classes. Results: Pubertal growth peak occurred on average four months earlier in girls than boys (p = 0.050). The average duration of pubertal growth peak was 11 months in Class I, seven months in Class II and 17 months in Class III subjects. Interclass differences were highly significant (Cohen's d > 0.08). However, no significant difference was found in the timing of pubertal growth peak onset among three skeletal classes (p = 0.126 in boys, p = 0.262 in girls). Conclusions: Girls enter pubertal growth peak on average four months earlier than boys. Moreover, the duration of pubertal growth peak is on average four months shorter in Class II and six months longer in Class III subjects as compared to Class I subjects.


Author(s):  
Bharat Kumar ◽  
Muhammad Abbas ◽  
Asma Naz ◽  
Naresh Kumar ◽  
Shahid Ali ◽  
...  

Objective: The objective of this study was to evaluate the mean distance between the vibrating line and fovea palatinae in Class I, Class II and Class III Soft Palate types. Methodology: This study was conducted at Dr. Ishrat-ul-Ebad Khan Institute of Oral Health Sciences Karachi among 197patients. Duration of study was six months. All patients were examined for vibrating line clinically, assessed using phonation method. Subsequently, distance between vibrating line and fovea paltatinae was measured with uncalibrated compass in various contours of soft palate. Results: Out of 197 patient, the vibrating line was seen in130 (64%) anterior to fovea palatinae, whereas, 67 (34%) vibrating line was at the fovea palatinae. The mean distance of those anterior located vibrating line from fovea palatine was calculated as 2.13 (±0.82) mm in Class, 2.07 (±0.69) mm in Class II and 1.80 (±0.82) mm in Class III soft palate contours. Statistical analysis showed no significant between gender, while statistically significant difference among age group and mean distance of anterior located vibrating line from fovea palatinae were found. Conclusions: The mean distance of vibrating line which is predominately found anterior to the fovea palatinae was 2.07 (±0.77) mm.


2012 ◽  
Vol 2 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Manish Bajracharya ◽  
Praveen Mishra ◽  
Prakash Bhattarai ◽  
Umesh Parajuli ◽  
Reetu Shrestha ◽  
...  

Introduction: Mandibular asymmetry may cause not only esthetic problem but also functional problem as it has a direct role in stomatognathic system. Objective: The objective of this study was to find out the difference between condylar asymmetry ratio in Class II division 1 malocclusion group and normal occlusion group in males and females. Materials & Methods: Orthopantomogram radiographs were selected from the pool of records such that there were 40 Class II division 1 males and females above 20 years of age. Thirty normal occlusion subjects (15 males, 15 females) were enrolled and orthopantomogram records were taken. All the films were hand traced on the acetate paper and the mean condylar, ramal and condylar plus ramal asymmetry index were measured in the normal and Class II Division 1 groups according to the method given by Habets. Independent sample t-test was done to compare between the normal occlusion and Class II Division 1 malocclusion for each male and female group. Result: Significant difference was observed between condylar heights, combined height and condylar asymmetrical ratio. Respectively in females. However, all other asymmetrical ratios were insignificant. Similarly, for males, condylar height, ramus height, combined (condyle and ramus) were all significant respectively. However, the asymmetric ratios were found to be insignificant. There is a significant difference between Class II division 1 malocclusion and normal occlusion group in terms of condylar asymmetry ratio in female subjects. However, it was not significant in case of male subjects. Conclusion: Our study suggests that females with Class II division 1 malocclusion more prone to TMD in comparison to males.


2015 ◽  
Vol 09 (03) ◽  
pp. 373-377 ◽  
Author(s):  
Amjad Al Taki ◽  
Mohammed H. Ahmed ◽  
Hussain A. Ghani ◽  
Fatma Al Kaddah

ABSTRACT Objective: The aim of this study was to investigate the vertical mandibular asymmetry in a group of adult patients with different types of malocclusions, based on Angle's dental classification. Materials and Methods: A sample of 102 patients (age range 19–28) who went for routine orthodontic treatment in the institution were divided into four groups: Class I, 26 patients; Class II/1, 30 patients; Class III, 23 patients; and control group (CG) with normal occlusion, 23 patients. Condylar asymmetry index (CAI), ramal asymmetry index (RAI), condylar-plus-ramal asymmetry index values were measured for all patients on panoramic radiographs. Data were analyzed using Kruskal–Wallis and Mann–Whitney U-test at the 95% confidence level (P < 0.05). Results: The results of the analysis showed that different occlusal types significantly affected the vertical symmetry of the mandible at the condylar level. Class I and Class II/1 malocclusion groups showed a significant difference in CAI values relative to the CG (P < 0.05, P < 0.001). No statistically significant difference was found between the CG and Class III malocclusion group (P > 0.05). Comparisons between Class II/1 and Class I malocclusions revealed a significant difference in CAI values (P < 0.01). Conclusions: Both Class II/1 and Class I malocclusions patients had significantly higher CAI values compared to CG and Class III group. CAI value was significantly higher in Class II/1 malocclusion compared to Class I malocclusion. Both these malocclusions could act as a predisposing factor for having asymmetric condyles if left untreated.


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.


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