Bolton tooth size discrepancy among different malocclusion groups in two different ethnic groups of Nepalese population

2021 ◽  
Vol 11 (1) ◽  
pp. 7-13
Author(s):  
Umesh Parajuli ◽  
Alok Kumar Jaiswal ◽  
Manish Bajracharya ◽  
Manju Pandey ◽  
Sapna Laxmi Tuladhar

Introduction: The tooth size ratios may vary among different ethnic groups and different malocclusion groups. The objective of this study is to see the tooth size discrepancies in two major ethnic groups of Nepal; Indo-Aryans and Tibeto-Burmans and different malocclusion groups and compare it with the Bolton’s study. Materials and Method: The anterior and overall ratios were compared between Indo-Aryans and Tibeto-Burmans according to different malocclusion groups with Bolton’s study with one sample t-test. The differences in ratios in ethnic groups and gender were seen with one sample t-test. The differences in mesio-distal tooth width amongst the two ethnic groups were seen. One sample ANOVA was used to see any correlation between the ethnic groups and the different malocclusion groups. Result: The anterior ratio and overall ratio in Indo- Aryans and Tibeto-Burmans in all the malocclusion groups were greater than the Bolton’s study but was not statistically significant. There was significant differences in anterior ratio between Indo-Aryans (77.63 + 2.74%) and Tibeto-Burmans (78.51 + 2.76%), p value= 0.024. There were no statistical significant differences in the anterior and overall ratio amongst males and females. The mesio-distal tooth size was greater in Tibeto-Burmans as compared to Indo-Aryans expect for maxillary right and left central incisors. Conclusion: The Tibeto-Burmans had higher anterior ratio as compared to Indo-Aryans. The Tibeto-Burmans had broader teeth as compared to Indo-Aryans except for maxillary central incisors.

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.


2021 ◽  
Vol 27 (3) ◽  
pp. 3873-3880
Author(s):  
Elena Merdzhanova ◽  
◽  
Penka Angelova ◽  
Nikolay Boyadjiev ◽  
Valentina Lalova ◽  
...  

Purpose: To study the body weight and height of adolescents and to compare them with gender and age standards. All the children are from the Plovdiv region. Material and methods: About 185 children from three different ethnic groups have been studied. It also hase been developed and used specifically for this purpose an author's questionnaire for students, which contains open, closed, and mixed questions. Have been used descriptive statistics for quantitative (mean ± SD) and qualitative (percentage ± SEp) variables, also T-test for proving statistically significant differences between two independent samples. A p-value < 0.05 had been considered statistically significant for all tests. For the statistical processing, we have used the data analysis software IBM SPSS Statistics v. 25. Results: The study was conducted in the Plovdiv district in the period of May 2019 - July 2019. The subject of the study has been 185 adolescents from different ethnic groups. The logical units of the study were schools in Plovdiv and the village of Karadzhovo, which is part of the Plovdiv municipality. The gender distribution is 101 (56.6%) boys and 84 (45.4%) girls. The study covered mainly 96 Bulgarian children (51.89% ± 3.67), followed by 30 Turkish (16.22% ± 2.71) and 59 Roma origin (31.89% ± 3.43). The group of adolescents has been included students aged 11 – 15 years old. In the group of 11-year-olds, 61 (32.97%) Bulgarian children usually play sports out of school, followed by 29 (15.67%) Roma and 16 (8.65%) Turkish children. We have proved statistically significant differences between mean weight, measured in our sample compared to the population standard for the age of 11 years old boys (n=28, 45.84±13.42 kg vs n=134, 39.74±7.15 kg; t-test=2.34, p=0.026) and girls (n=35, 45.49±10.46 kg vs n=135, 41.60±9.03 kg; t-test=2.24, p=0.029), respectively. The height measured for both genders in this age group had not been statistically significantly different compared to the standard. No other differences between sample point estimates and population standard had been obtained by age groups and gender. Conclusion: For the age of 11-12 years old children, higher body weight had been found in the Bulgarian boys. The girls with the average highest values had been of Turkish origin.


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.


2014 ◽  
Vol 3 (1) ◽  
pp. 8-13
Author(s):  
Demet Kaya ◽  
Tülin Taner ◽  
Derya Germeç-Çakan

ABSTRACT Aim The objectives of this study were to investigate the effects of tooth extraction and air-rotor stripping therapy on tooth-size discrepancy, and to compare the changes between two groups. Materials and methods The sample comprised the preand post-treatment dental models of 20 postadolescent class I borderline patients. First group was composed of dental models of 10 patients (mean age of 17.1 ± 2.5 years) treated with four first premolars extraction. Second group included dental models of 10 patients (mean age of 18.8 ± 2.7 years) treated with air-rotor stripping. Treatment effects on Bolton overall and anterior ratios/values were analyzed by paired sample t-test and independent sample t-test was used for intergroup comparisons. Results The change in Bolton overall ratio was found statistically significant for the extraction and insignificant for the air-rotor stripping group. A statistically significant decrease was observed in Bolton anterior ratio for the air-rotor stripping group. Neither four premolars extraction nor air-rotor stripping therapy created statistically significant changes in Bolton overall/anterior values. The changes in Bolton overall ratio/value did not show a statistically significant difference between the groups. Conclusion This study showed that tooth extraction or air-rotor stripping therapy did not have an unfavorable effect on toothsize discrepancy in class I borderline patients. How to cite this article Kaya D, Taner T, Germeç-Çakan D. Comparison of Effects of Tooth Extraction and Air-rotor Stripping Therapy on Tooth-size Discrepancy in Class I Borderline Patients. Int J Experiment Dent Sci 2014;3(1):8-13.


2020 ◽  
Vol 32 (2) ◽  
pp. 132
Author(s):  
Andrian Fadhlillah Ramadhan ◽  
Gita Gayatri ◽  
Yuliawati Zenab

Pendahuluan: Diskrepansi ukuran gigi dan profil wajah merupakan dua faktor yang membantu dalam proses penegakan diagnosis dan penentuan rencana perawatan ortodonti. Pengukuran diskrepansi ukuran gigi dapat dilakukan dengan analisis Bolton, analisis ini dapat menunjukkan rasio lebar mesiodistal antara gigi pada maksila dan gigi pada mandibula. Profil wajah dapat digunakan sebagai guideline dalam menentukan estetik wajah yang ingin dicapai setelah perawatan. Tipe profil wajah dapat diinterpretasi dari hasil fotografi ekstraoral, pada penelitian ini analisis Bolton yang dilakukan hanya meliputi rasio anterior saja. Penelitian ini bertujuan untuk menganalisis hubungan  antara diskrepansi ukuran gigi rahang atas dengan ukuran gigi rahang bawah berdasarkan analisis Bolton terhadap profil jaringan lunak wajah pada mahasiswa Fakultas Kedokteran Gigi Universitas Padjadjaran. Metode: Penelitian analitik observasional diawali dengan pengambilan sampel dengan teknik purposive sampling dan didapatkan 50 orang sampel mahasiswa Fakultas Kedokteran Gigi angkatan 2016 kemudian dilakukan analisis rasio anterior Bolton pada model studi dan interpretasi hasil foto profil ekstraoral. Uji korelasi Pearson dilakukan untuk mengetahui korelasi dari kedua variabel tersebut. Hasil: Rata-rata anterior ratio dari 50 orang sampel sebesar 79,53% ±2,61 dengan profil wajah lurus sebanyak 33 orang (66%) dan profil wajah cembung sebanyak 17 orang (34%) dengan rata-rata derajat konveksitas 172,11°. Uji korelasi Pearson menghasilkan nilai p-value (0,896) yang lebih besar dari α=0,05. Tidak ada korelasi yang signifikan antara diskrepansi ukuran gigi dan profil wajah. Simpulan: Tidak terdapat hubungan antara diskrepansi ukuran gigi dan profil wajah.Kata kunci: Analisis Bolton, diskrepansi ukuran gigi, profil wajah. ABSTRACTIntroduction: Tooth size discrepancy and facial profile are two crucial factors for helping diagnosis and treatment planning of orthodontic treatment. Bolton analysis could measure tooth size discrepancy; and the analysis result shows the ratio of mesiodistal width between maxillary and mandibular teeth. The facial profile could be used as a guideline for aesthetic result in orthodontic treatment. The facial profile can be analysed from an extraoral profile photograph. In this research, we only calculate the anterior ratio of the sample. The purpose of this study was to determine the correlation between maxillary and mandibular anterior size discrepancy and soft tissue facial profile of the students of the Faculty of Dentistry Universitas Padjadjaran based on Bolton analysis. Methods: The research was conducted with observational analytic methods. The sampling method was conducted using the purposive sampling method, which resulted in 50 samples taken from students of the Faculty of Dentistry Universitas Padjadjaran batch 2016. Analysis of the sample’s anterior ratio was measured on the study cast with Bolton analysis and interpretation of the extraoral profile photograph. Both variables (tooth size discrepancy and facial profile type) were then analysed with Pearson’s correlation test to determine the correlation between the two variables. Results: The average anterior ratio from 50 samples was 79.53% ± 2.61, and the most common facial profile type was straight/orthognathic, which was found in 33 samples (66%) followed by convex in 17 samples (34%) with average facial convexity was 172.11°. The result of Pearson’s correlation test showed that the p-value was 0.896, which was higher than α = 0.05. There was no significant correlation between tooth size discrepancy and soft tissue facial profile. Conclusion: There is no correlation between tooth size discrepancy and soft tissue facial profile.Keywords: Bolton analysis, tooth size discrepancy, facial profile.


2009 ◽  
Vol 79 (4) ◽  
pp. 740-746 ◽  
Author(s):  
Toshiya Endo ◽  
Kenji Uchikura ◽  
Katsuyuki Ishida ◽  
Isao Shundo ◽  
Kosuke Sakaeda ◽  
...  

Abstract Objective: To determine an appropriate threshold for clinically significant tooth-size discrepancy using both a Bolton standard deviation (SD) definition and a millimetric definition. Materials and Methods: Mesiodistal tooth widths were measured in 250 pretreatment dental casts of patients with Class I, Class II, and Class III malocclusions. The anterior and overall ratios and the required amount of maxillary and mandibular corrections were calculated. The casts were divided into small, normal, and large groups according to the anterior and overall ratios categorized by the Bolton SD definition, and into small, normal, and large groups according to the required amount of maxillary and mandibular corrections expressed in millimeters. Results: The small and large anterior ratio groups which fell under the category of the 2 SD threshold did not always need maxillary or mandibular corrections greater than 2 mm, while the small and large overall ratio groups always needed maxillary and mandibular corrections greater than 2 mm. The small and large maxillary correction groups in the 2 mm threshold category did not always have anterior or overall ratios greater than 2 SDs from the Bolton mean. However, the small and large mandibular correction groups always had anterior ratios greater than 2 SDs and did not always have overall ratios greater than 2 SDs. Conclusions: The tooth-size discrepancies could be better expressed in terms of both percentage and actual amount of millimeters required for correction. The ratios outside 2 SDs from the Bolton mean and the discrepancies requiring more than 2 mm of maxillary and/or mandibular corrections are recommendable as the appropriate thresholds for clinical significance.


2007 ◽  
Vol 77 (4) ◽  
pp. 668-674 ◽  
Author(s):  
Siti Othman ◽  
Nigel Harradine

Abstract Objective: To explore how many millimeters of tooth size discrepancy (TSD) are clinically significant, to determine what percentage of a representative orthodontic population has such a tooth size discrepancy, and to determine the ability of simple visual inspection to detect such a discrepancy. Materials and Methods: The sample comprised 150 pretreatment study casts with fully erupted and complete permanent dentitions from first molar to first molar, which were selected randomly from 1100 consecutively treated white orthodontic patients. The mesiodistal diameter tooth sizes were measured using digital calipers, and the Bolton analysis and the tooth size corrections were calculated by the Hamilton Arch Tooth System (HATS) software. Simple visual estimation of Bolton discrepancy was also performed. Results: In the sample group 17.4% had anterior tooth-width ratios and 5.4% had total arch ratios greater than 2 of Bolton's standard deviations from Bolton's mean. For the anterior analysis, correction greater than ± 2 mm was required for 16% of patients in the upper arch or 9% in the lower arch. For the total arch analysis, the corresponding figures are 28% and 24%. Conclusions: It is recommended that 2 mm of required tooth size correction is an appropriate threshold for clinical significance. A significant percentage of patients have a TSD of this size. Visual estimation of TSD has low sensitivity and specificity. Careful measurement is more frequently required in clinical practice than visual estimation would suggest.


2017 ◽  
Vol 7 (2) ◽  
pp. 114-117
Author(s):  
Manish Sonawane ◽  
Ravindranath V Krishnan ◽  
Girish R Karandikar ◽  
Samay Tahilramani

ABSTRACT Aim To evaluate the effect of bi-jaw premolar extractions on Bolton tooth size discrepancy in patients of Indian origin, all of which exhibited a bilateral Angle’s class I molar relationship. Materials and methods Ninety sets of pretreatment study casts, which constituted the sample for the study, were divided into three groups, namely, Bolton small (BS), Bolton normal (BN), and Bolton big (BB). Simulated bi-jaw extraction of premolars was carried out in four different combinations for each set of study cast. The four values of Bolton’s overall ratio (BOR) thus obtained were compared with the original BOR value. Results The BOR value reduced when subjected to any of the four combinations of bi-jaw premolar extractions. Conclusion Premolar extraction in any combination inevitably changes the BOR value, which potentially affects the settling of occlusion toward the finishing stages of orthodontic treatment. Clinical significance The present study provides an insight into the choice of bi-jaw premolar extraction combination for each of the three groups in patients exhibiting class I malocclusion in the Indian population. How to cite this article Tahilramani S, Karandikar GR, Krishnan RV, Sonawane M. Effect of Bi-jaw Premolar Extractions on Tooth Size Discrepancy in an Indian Population having Class I Malocclusion: An in vitro Study. J Contemp Dent 2017;7(2):114-117.


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