Mesiodistal Dimensions Research Articles

Prevalence of microdontia among orthodontic patients of Kathmandu, Nepal

Background: Microdontia is a condition where the teeth are smaller than the normal size, which may involve all teeth or be limited to a single tooth or a group of teeth. The objective of this study was to find out the prevalence of microdontia among orthodontic patients of Kathmandu, Nepal. Methods: In this cross-sectional study, 190 orthodontic casts of patients (166 males and 224 females) who came for orthodontic treatment between the age of 14 to 28 years (mean age of 17.43±4.28 years) were randomly selected. The mesiodistal dimension of each tooth was recorded with the help of digital vernier caliper. A tooth was diagnosed as microdontia when it is smaller than the normal size. Data analysis was performed using SPSS version 21.0 with a confidence level set at 95% (P<0.05). Chi-square test was used to determine the difference in prevalence of microdontia among the genders. Whereas, mesio-distal dimensions of teeth were compared on both sides of the jaws using student’s t-test. Results: The prevalence of overall microdontia was 6.66% (26) whereas prevalence of single tooth microdontia, multiple teeth and generalized microdontia was 2.3% (9), 2.83% (11) and 1.53% (6) respectively. There was no statistical difference in the prevalence of microdontia among genders (p=0.987). In addition, there was no statistical difference in the mesio-distal dimensions of teeth on both sides of the jaws (p>0.05). Conclusion: The most common tooth affected by microdontia was maxillary lateral incisor. There was no statistically significant difference in prevalence of microdontia among genders. Keywords: Microdontia, Nepal, Orthodontic patients, Prevalence

CT-Assisted Management with Biodentine Obturation and Aesthetic Rehabilitation of a Geminated Maxillary Central Incisor with Mid-Root Fracture: A Rare Case Report

Gemination, a rare aberration in tooth development, results from the incomplete division of one tooth germ into two. In this case report, a true geminated permanent maxillary central incisor tooth with a horizontal mid-root fracture is successfully treated by non-surgical endodontic treatment. To elucidate the intricate root canal anatomy of this rare geminated incisor, we employed computed tomography imaging technology, enhancing our understanding of this complex case. Utilizing biodentine for obturation proved pivotal, as its capacity to accelerate reparative dentin formation facilitated prompt healing, particularly beneficial in fracture cases. This was followed by aesthetic rehabilitation to achieve a pleasing mesio-distal dimension for both the central incisors using a zirconia-reinforced porcelain crowns. Keywords: Computed Tomography (CT), Gemination, Horizontal root fracture, Biodentine Obturation

Human Bite Mark: A Digital Analytical Pilot Study

Abstract Background: Bite mark identification is based on the individuality of a dentition and helps in identifying the perpetrator. The use of three-dimensional (3D) analysis of forensic evidence is highlighted in comparison with traditional methods. CBCT has been used in registering bite mark on food material. To our knowledge this is the first study where CBCT is used to register bite mark from human forearm. Aims and Objective: To signify the potential of CBCT in registering and analysing the bite mark on human skin and to analyse various identifying parameters. Materials and Method: 60 subjects of either sex were asked to bite their own forearm and alginate impression of the maxillary and mandible dentition was taken and cast was poured. Both bitemark and cast was subjected to CBCT scanning and parameters like arch shape, inter canine width, mesio distal dimension of anterior teeth, and individual characteristics like rotation, buccal/lingual tilting of teeth was noted and compared and assigned a score using simplified version of ABFO scoring system. Results: Highly significant result with 56.6% definite match, 26.66% probable match and 16.66% possible match were obtained using CBCT. Conclusion: CBCT is a non-destructive, accurate, efficient, objective and reproducible method. Out of all parameter mesio-distal dimension of teeth is the best parameter to judge the bitemark on skin.

Comparative Study of Mesiodistal Crown Dimensions and Tooth Size Discrepancies of Thalassemia and Control Iraqi Patients

Aims: To find differences in mesiodistal tooth width in Iraqi B thalassemia compared with normal individuals. Setting and design: 44 subjects, 22 thalassemia (11 males, 11 females) (12.5–22) years, and 22 control (11 males, 11 females) 14–23 years. Methods and Material: Registrations of MD for maxillary and mandibular teeth from the first molar on one side to analogous tooth on the other side were done. Statistical analysis: Mean, standard deviation and 2-sampled t-test were used. Results: In both groups, males’ crown size was greater than females. In the study group largest gender variances appear in the maxillary molars, mandibular molar, maxillary central and maxillary canine respectively. In control, the greatest sexual difference is present in the maxillary first premolar followed by the mandibular second premolar. The means of mesiodistal in both sexes in thalassemia were smaller than in control except in male maxillary central and lateral and female maxillary lateral incisor. In the maxilla, a significant decrease in mesiodistal thalassemia is present in canine and second premolar in both sexes. In the mandible, a significant decrease in thalassemia was present in all comparisons in both genders in comparison with the control. The greatest mesiodistal difference in the mandibular male is present in the first molar, first premolar, second premolar, canine, lateral and central incisor respectively. In female mandibular teeth, the greatest difference is present in the first molar followed by the first premolar, second premolar, canine, lateral incisor and central incisor. Conclusions: Means mesiodistal dimensions in thalassemia show a significant reduction in mandibular teeth and maxillary canine and second premolar in both genders.

Accuracy of Complete-Arch Scans Obtained by Intraoral Scanner and Smartphone Three-Dimensional Scanning Applications With Different Smartphone Position Setups: An In Vitro Study.

The high cost of intraoral scanners (IOS) for complete-arch scans makes them less accessible for many dental practitioners. As a viable alternative, smartphone scanner applications (SMP) provide comparable scanning capabilities at a significantly low cost. However, there is limited data on the accuracy of SMP, especially when used in various smartphone positions. This study aimed to compare the three-dimensional (3D) and linear accuracy of complete-arch scans acquired by an IOSand SMP (KIRI Engine, KIRI Innovations, Guangdong, China) at three shooting angles (0°, 45°, and 90° for SMP_3A) and two shooting angles (30° and 60° for SMP_2A). A stone dental cast was scanned with a laboratory scanner as a reference, with 11 scans performed by an IOS, SMP_2A, and SMP_3A. In 3D analysis, trueness and precision were evaluated through superimposition with the reference scanand within each group, respectively, using the best-fit algorithm of Geomagic Wrap software (3D Systems, Inc., Rock Hill, SC). Trueness in linear discrepancy was assessed by comparing the occlusal-cervical and mesiodistal dimensions of reference teeth (canine, premolar, and molar), intercanine width, and intermolar width on the digital casts to measurements of the stone cast, while precision was measured using the coefficient of variance. Differences between groups were analyzed using the Friedman test, followed by the Dunn-Bonferroni post hoc test with a significance level set at 0.05. IOS exhibited significantly lower trueness than SMP_2A (p = 0.003) with significantly greater width discrepancies on canines (p = 0.001) and molars (p < 0.001). Discrepancy patterns differed among the three scanning methods. The IOS showedgreater discrepancieson the occlusal surfaces of posterior teeth. While SMP_3A demonstrated higher variation on the palatal surfaces and interproximal areas of posterior teeth. For precision,SMP_3A (p = 0.028) and SMP_2A (p = 0.003) showed a significantly lower precision in 3D analysis, but a comparable reproducibility in linear measurement to IOS. TRIOS IOS (3Shape,Copenhagen, Denmark) exhibited lower trueness in 3D and linear accuracy analyses for complete-arch scans. The positions of the smartphonesignificantly enhanced trueness at the undercut region. SMP_2A and SMP_3A can be a potential alternative for precise linear measurement in complete-arch scans with selective use.

Comparative Study of Sex Estimation by Mesiodistal width of Mandibular Canine and Mesiodistal width of Maxillary Canine in North Indian Population

Abbreviations: MD: Mesiodistal, SD: Standard deviation, mm: millimetres. Introduction: Various methods of identification such as anthropometry, stature estimation, dactylography, sex estimation, age estimation, DNA analysis, differentiation by blood groups and odontology are used in forensic medicine to create biological profile of an unknown individual. Estimation of sex is the first step towards identification of person. Determination of sex from skeletal remains is an essential task in medicolegal examination.Teeth are highly indestructible and reveal minimal turnover of natural substance hence teeth can be used for sex estimation. Mesiodistal parameter of mandibular and maxillary canine gave evidence of sex estimation due to sexual dimorphism. Aim: The aim of our study was to evaluate the sex estimation by mesiodistal width of mandibular canine and mesiodistal width of maxillary canine in north Indian population. Materials and Methods: The sample comprised of dental impression from 120 individuals (60 males and 60 females), all young adults between 20 and 35 years of age. Impressions of the teeth were made using irreversible hydrocolloid (alginate) material and casts poured in dental stone. Mesiodistal (MD) dimensions of mandibular and maxillary canine of both right and left side is measure by caliper. Results: Mean mandibular canine width of both right and left sidewere higher in male than female and were statistically significant whereas, mean maxillary canine width of both right and left side were slightly higher in male than female but were not statistically significant in young north Indian population. Left mandibular canine width (6%) was more sexually dimorphic than right mandibular canine width (5.1%). Whereas negligible sexual dimorphism shown by maxillary canine. Conclusion: The study confirmed that among maxillary and mandibular canine, mandibular canine can be used for sex estimation and shows significant sexual dimorphism.

Comparative Evaluation of Efficiency of Different Endodontic File Systems; Protaper Universal, MTWO, Protaper Next, Trunatomy, I-Race in Terms of Remaining Dentin Thickness: An In vitro CBCT Analysis

ABSTRACT Introduction: The longevity of an endodontically treated tooth depends on fracture resistance by preserving more remaining dentin thickness. The aim of this study is to determine which file system preserves more remaining dentin thickness. Materials and Methods: Protaper universal, M-two, Protaper Next, Trunatomy, I-Race and mandibular first premolar. The removed dentin thickness during instrumentation of each file system was noted by taking the difference of RDT of pre-instrumentation and post-instrumentation with the aid of CBCT. Results and Discussion: TRN [Group-4] shows the least aggressive cutting with maximal preservation of remaining dentin thickness at 3 mm and 6 mm from the apex at both mesiodistal and buccolingual dimensions. M-two [Group-2] shows maximum removed dentin thickness at 3 mm from the apex both mesiodistal dimension and buccolingual dimension. PTU [Group-1] shows maximum removed dentin thickness at 6 mm from the apex at mesiodistal dimension. M-two [Group-2] shows maximum removed dentin thickness at 6 mm from the apex at the buccolingual dimension. Conclusion: In this study, it is concluded that the Trunatomy file system preserves more remaining dentin thickness both mesiodistally and buccolingually both 3 mm and 6 mm from the apex.

Gender determination using mandibular intercanine distance and mesiodistal width of right mandibular molar.

Forensic odontology plays an important role in mass disasters, house fires, criminal deaths, identification of missing persons, and child abuse cases. Teeth are the most stable part of the human body and are resistant to thermal, mechanical, and chemical insults. The aim of this study was to evaluate the effectiveness of mandibular intercanine distance and mesiodistal width of mandibular first molar in gender determination. The study comprised 100 participants (50 males and 50 females) in the age group of 18-23 years. The mandibular impressions were made, and casts were prepared using dental stone. The intercanine distance and mesiodistal width of the right mandibular first molar were measured using digital vernier callipers. The data obtained was statistically analysed using SPSS software version 23. The mean mandibular intercanine distance was found to be 27.2 ± 2.3 in males and 25.94 ± 1.76 in females (P = 0.03). There was no statistical difference in the mesiodistal width of the mandibular molar between males and females (P = 0.166). However, the mean mesiodistal width of males was higher when compared to females. Males have a greater intercanine width and mesiodistal dimension when compared to females. This result will be helpful in forensic medicine, anthropology, orthodontic treatments, and clinical dentistry.

Comparison of traditional and mobile photogrammetric method for the Tanaka Johnston mixed dentition analysis: an analytical cross-sectional study

Aim Comparison of Tanaka Johnston mixed dentition analysis using the mobile photogrammetric method and traditional method. Patients and methods Thirty-five healthy children between the ages of 6 and 10 were signed up for the study. Casts were considered using the conventional Tanaka Johnston analysis method. A digital caliper was utilized to measure the mesiodistal dimension of every tooth from the incisor to the first permanent molar on both sides. Occlusal photos were taken intraorally using a smartphone and an intraoral occlusal mirror. The principal investigator took the intraoral pictures. An assistant retracted the lips and placed the intraoral mirror inside the mouth. The acquired images were exported to the digimizer software, where they were processed and analyzed. To enable digital software to measure dental arch images, an occlusal ruler was kept at the occlusal level. A total of 20 tooth measurements in the maxillary and mandibular arches were taken for the Tanaka Johnston mixed dentition analysis. Results Thirty-five children were assessed. Intergroup comparison of different parameters between two groups was performed. This comparison revealed no statistically significant differences (P value &gt; 0.05) between the traditional and photogrammetric methods for all parameters, indicating that both methods produce similar outcomes. Conclusion The photogrammetric method is a reliable and valid method to measure individual tooth width. The photogrammetric method is alternative to traditional method for Tanaka Johnston mixed dentition analysis.

Comparison between the average dimensions of three brands of stainless-steel crowns (SSCs) and the average dimensions of primary molar teeth

Background: Stainless-steel crowns (SSCs) are usually used for deciduous teeth with more than two destroyed surfaces. Selecting the suitable SSC, in terms of proximal fit and marginal fit, has usually been challenging for practitioners. The current study compares the deciduous molar dimensions in the SCCs with the dimensions of these teeth given in the textbook. Methods: The dimensions of 3M, Kids Crowns, and KTR SCCs were measured using a digital caliper. Utilizing SPSS 26 software, the data was examined and compared to the table of standard sizes of primary teeth using one-sample t test, ANOVA, and Tukey’s test. P values less than 0.05 were considered significant. Results: The study showed no significant difference in upper first molar SSCs in the occlusal-cervical dimension in Kids Crowns (P=0.14) and 3M (P=0.078) and in the mesiodistal dimension in Kids KTR (P=0.083) and Crowns (P=0.22). There was no significant difference in lower first molar SSCs in the occlusal-cervical dimension in Kids Crowns (P=0.14) and in the buccolingual dimension in 3M (P=0.91) and KTR SSCs (P=0.09). There was no significant difference in the upper second molar SSCs in the occlusal-cervical dimension of Kids Crowns (P=0.28) and 3M (P=0.32). There was no significant difference in lower second molar SSCs in the occlusal-cervical dimension in Kids Crowns (P=0.27) and KTR (P=0.07), in the mesiodistal dimension in Kids Crowns (P=0.22), KTR (P=0.22), 3M (P=0.59) and in the bucco-lingual dimension of KTR (P=0.26) and 3M (P=0.78). Conclusion: SSCs and teeth had the highest conformity in the occlusal-cervical dimension and the lowest conformity in the mesiodistal and bucco-lingual dimensions. SSCs had the highest conformity with the lower molars.

Evaluation of Bolton's Ratio in Normal Occlusion and Different Types of Malocclusion in Iranian Population

Background: The Bolton analysis is commonly used by orthodontists. The Bolton ratios of different populations are significantly different from the standard values of Bolton. This study sought to examine the Bolton's anterior and overall ratios in various malocclusion types in Mashhad, Iran, in contrast to the Bolton’s standards. Methods: This descriptive-analytical study was conducted on 240 study models of patients (121 males and 119 females) in four groups (n= 60 cases) of normal occlusion, Class I, Class II, and Class III. The mesiodistal dimensions of the teeth were measured twice using a digital caliper. The anterior and overall ratios of Bolton were calculated. Statistical analysis was conducted utilizing SPSS 18.0. Results: The mesiodistal width of the maxillary lateral incisors in normal occlusion cases was greater than that in Class I, Class II, and Class III malocclusions (P&lt;0.05). Conversely, the mesiodistal width of the maxillary first and second premolars was the greatest in Class II and the smallest in Class III malocclusion (P&lt;0.05). Correlation was not observed between dental ratios (anterior and overall) and gender or malocclusion groups (P&gt;0.05). Furthermore, the anterior ratio was significantly higher than the Bolton's standard in Class I and III malocclusion groups (P&lt;0.05). The normal occlusion group's overall ratio was significantly lower than the Bolton's original ratio (P&lt;0.05). Conclusion: Implementing the Bolton analysis in the population of Mashhad, Iran should be approached with caution.

An analysis of maxillary anterior teeth dimensions for the existence of golden proportion in the representative North Indian population.

Esthetic appearance of the face is a major concern in self-image among the majority of the population. The dimensions, anatomy, and arrangement of maxillary anterior are the key factors in the esthetic appearance of the face. The present study aimed to measure the mesiodistal dimensions of maxillary anterior teeth and analyzing the golden proportion in the representative North Indian population. Subjects were seated in the upright position in a dental clinical chair. A digital Vernier caliper was used to record the mesiodistal dimensions of central incisors (CIs), lateral incisor (LI), and canine (C) teeth in maximum smile position. A total of three sets of recordings were made by a single observer to avoid the measurement bias of both left and right sides of teeth. Digital images were also captured. Obtained measurements were used for the calculation of ratios and statistical analysis was done. The prevalence of golden ratio between right CI/LI was observed in 3.1% males and 3.2% females. The calculated median ratio was 1.2 for males and 1.3 for females which differs significantly (P > 0.05) from the golden ratio. The divine proportion between visible portion of right C/LI was seen in 39.5% males and 32.3% females with calculated median value for males being 0.6 and that for females was 0.7. The prevalence of golden proportion between the CI/LI in esthetically pleasing smiles was too small (mean-3.9 in males and 2.75 in females) while the golden ratio of 0.6 was found in the majority of the population irrespective of the gender.

Comparative Study of Mandibular Canine Index and Maxillary Canine Index in Sex Estimation among North Indian Population

Introduction: Since teeth are easily approachable and each having different morphology, they form an excellent medicolegal and anthropological tool for sex estimation. Sexual dimorphism is difference in size and appearance among male and female teeth that can be applied for determination of sex. The basis of estimation of sex is comparing tooth parameters in male and female individual. Canine teeth shows highest sexual dimorphism among all teeth. Mesiodistal width of maxillary and mandibular canine can be used for sex determination based on sexual dimorphism.Aim: The aim of our study was to evaluate the comparative sex estimation by mandibular canine index andmaxillary canine index in north Indian population.Materials and Methods: The sample comprised of dental impression from 120 individuals (60 males and 60females), all young adults between 20 and 35 years of age. Impressions of the teeth were made using irreversible hydrocolloid (alginate) material and casts poured in dental stone. Mesiodistal dimensions and intercanine distance of mandibular and maxillary canine of both right and left side was measured by caliper. Mandibular and maxillary canine index was calculated by formula given by Nageshwar Rao et al.Results: Data were summarized as Mean and SD. Groups (in Gender Male vs female) were compared by unpaired or independent Student’s t test. When the level of accuracy for sex determination was measured using canine index it was found that 65% males and 65.83% females were predicted correctly. When maxillary canine index was used the sex was correctly predicted in it was found that 40.83% females and 32.50% males were predicted correctly.Conclusion: Mandibular and maxillary canine index can be used for sex estimation in North Indian population but accuracy of mandibular canine index is better than maxillary canine index.

Comparative Evaluation of Odontometric Parameters for Determining Gender

Background and Aim: Sex estimate is a crucial component of human identification in a forensic setting. Due to the sexual dimorphism of human teeth, odontometrics—the measuring and analysis of tooth size standards—is most frequently utilized in age and sex determination. The aim of this study was to assess the degree of sexualdimorphism in mandibular canine using mandibular canine index using mesiodistal (MD) and buccolingual (BL)dimensions of the crown and inter canine distance measured.Material and Methods: The study sample included 200 people (100 men and 100 women), ages 18 to 35, withan average age of 22 years. The distance between the mesial and distal contact points was used to calculate the mesiodistal dimension of the mandibular canine (CMD). Each subject’s right mandibular canine index and left mandibular canine index were used to construct the canine index. The standard canine index (SCI) value was used as a cutoff point to differentiate males from females.Results: Men’s right and left mandibular canines mesio-distal crown widths were found to be significantly greater than those of their female counterparts. The current study demonstrates a very high significance of p value seen in the left mandibular canine and a significant difference in mesiodistal breadth between males and females of the right mandibular canine of p value. The total probability of sex determination for the right mandibular canine is 55% and for the left canine is 59.5% based on the conventional MCI calculations for the right mandibular canine (0.22) and for the left mandibular canine (0.21), suggesting that the left mandibular canine is more relevant for sex determination.Conclusion: It has been proven beyond a reasonable doubt that mandibular canines exhibit significant sexual dimorphism when it comes to sex determination, and it is clear from the study that this breed is a more trustworthy source for sex determination.

Exploring the feasibility of smartphone cameras for 3D modelling of bite patterns in forensic dental identification

The field of bitemark analysis involves examining physical alterations in a medium resulting from contact with teeth and other oral structures. Various techniques, such as 2D and 3D imaging, have been developed in recent decades to ensure precise analysis of bitemarks. This study assessed the precision of using a smartphone camera to generate 3D models of bitemark patterns. A 3D model of the bite mark pattern was created using 3Shape TRIOSTM and a smartphone camera combined with monoscopic photogrammetry. The mesiodistal dimensions of the anterior teeth were measured using Rapidform Explorer and OrtogOnBlender, and the collected data were analyzed using IBM® SPSS® Statistics version 23.0. The mean mesiodistal dimension of the anterior teeth, as measured on the 3D model from 3Shape TRIOSTM and smartphone cameras, was found to be 6.95 ± 0.7667 mm and 6.94 ± 0.7639 mm, respectively. Statistical analysis revealed no significant difference between the two measurement methods, p > 0.05. The outcomes derived from this study unequivocally illustrate that a smartphone camera possessing the specific parameters detailed in this study can create a 3D representation of bite patterns with an accuracy level on par with the outputs of a 3D intraoral camera. These findings underscore the promising trajectory of merging smartphone cameras and monoscopic photogrammetry techniques, positioning them as a budget-friendly avenue for 3D bitemark analysis. Notably, the monoscopic photogrammetry methodology assumes substantial significance within forensic odontology due to its capacity for precise 3D reconstructions and the preservation of critical measurement data.

Effect of Low-Level Laser Therapy on the Osseointegration of Immediately Loaded Implants with a Connective Tissue Graft: A Randomized Clinical Trial.

Introduction: This study assessed the effect of low-level laser therapy (LLLT) on the osseointegration of immediately loaded implants with a connective tissue graft (CTG). Methods: This clinical trial was conducted on patients with buccal bone dehiscence requiring dental implants. A CTG was harvested from the palate and placed in the labial side by considering the 2 mm distance between the implant thread and bone. Autogenous bone was harvested from the tuberosity, mixed with the allograft, and implanted at the site. After sufficient torquing of the implant, a customized abutment was fabricated and placed. The patients were randomly assigned to two groups (n=5) of intervention and control. The patients in the intervention group received LLLT with a 940 nm gallium-aluminum-arsenide laser while those in the control group received placebo irradiation. The primary implant stability was measured before the delivery of customized abutment while the secondary implant stability was measured after 12 weeks by Osstell® and reported as the implant stability quotient (ISQ). Results: No significant difference was found in secondary ISQ between the laser and control groups (P>0.05). In the intervention group, a significant difference was found between the primary and secondary ISQ in the buccolingual dimension (P<0.05) but not in the mesiodistal dimension (P>0.05). The two groups had no significant difference in gingival thickness or vertical bone gain (P>0.05). All implants were successful with no complications. Conclusion: LLLT had a significant positive efficacy for the enhancement of secondary stability of implants in the buccolingual dimension. CTG showed optimal efficacy for the treatment of buccal bone dehiscence.

Canine tooth dimorphism as an aid in establishing sex identity in the Kashmiri population

ABSTRACT Background: Teeth are an excellent source for genetic and forensic studies. Teeth exhibit minimum morphological change and are easy to inspect. Because of their resistance to fire and bacterial breakdown, they are useful for forensic identification. Tooth dimension can be employed to determine age and gender. “Sexual dimorphism” means distinctions in height, stature, and appearance between men and women that can be used in dental identification. Aim: With this background, a study was conducted to figure out canine tooth dimorphism as an aid in sex determination among the Kashmiri population. Materials and Methods: A hospital-based retrospective study was undertaken on the Kashmiri people. The casts were picked from the Government Dental College and Hospital Srinagar’s Postgraduate Department of Orthodontics. A total of 100 casts were chosen (50 each from men and women). The mesiodistal diameter of maxillary and mandibular canines was measured with a digital vernier caliper. The measurements were entered into an Excel spreadsheet and statistical analysis was performed to determine gender differences. Results: Males and females have considerably varied maxillary and mandibular canine mesiodistal proportions. However, data regarding sexual dimorphism in mandibular right canines were fairly stable. Conclusion: According to the findings of this study, males had greater mean mesiodistal dimensions than females.

A Study of Bolton’s Analysis on Permanent Dentition of Nepalese Citizen of Lumbini Province

Introduction: To achieve a good occlusion with satisfactory intercuspation of teeth and a correct overjet and overbite, the maxillary and mandibular teeth must be proportional in size. This cross-sectional study was conducted to assess the Bolton’s tooth size discrepancy in a sample of the Nepalese population of Lumbini Province. Materials and Method: One hundred twenty-fie study casts (50 males and 75 females) were made after making impression of individuals with normal occlusion. Impression was made using alginate impression material, studycasts were made using dental stone type III, and bases were made using dental plaster type II. Individual mesiodistal width of the teeth were measured using a digital vernier caliper to the nearest 0.01mm for the calculation of Bolton’s anterior and overall ratio. The ratios were then compared between male and female. Result: One hundred twenty-five study casts (50 males and 75 females) were made after making impression of individuals with normal occlusion. Impression was made using alginate impression material, study casts were made using dental stone type III, and bases were made using dental plaster type II. A statistically signifiant difference between the summed mesiodistal widths were found between males and females using Independent sample t-test. There was no sexual dimorphism concerning Bolton’s ratio in samples. The overall ratio and anterior ratio were 91.70 ± 1.28 and 77.09 ± 1.57 for males and 91.79 ± 1.34 and 77.29 ± 1.71 for females respectively. The combined overall ratio was 91.75 ± 1.32 and anterior ratio which was 77.21 ± 1.65. Individual mesiodistal width of the teeth were measured using a digital vernier caliper to the nearest 0.01mm for the calculation of Bolton’s anterior and overall ratio. The ratios were then compared between male and female. Conclusion: The sum of mesiodistal dimensions of teeth were greater in males, however, no sexual dimorphism was found in the Bolton ratio. Further, statistically signifiant difference was found in the overall ratio from Nepalese population when compared to the original ratio by Bolton.

Problematika prvního a druhého horního premoláru při léčbě ortodontického pacienta

Aim: The study deals with differences in the size of anatomical crowns of first and second maxillary pemolars, and discusses the correlation between the crowns size and sex and skeletal classes of patients. Material and method: The non-randomized retrospective study worked with 152 plaster models of the maxilla. The models were scan­ned, and in these virtual models mesiodistal and buccolingual parameters of teeth anatomical crowns were measured. The models were divided into groups according to patients’ sex and skeletal class according to WITS. Results: Mesiodistal width was significantly bigger in first premolar (mean= 6.68 mm) than in the second one (mean = 6.43 mm). On the contrary, buccolingual dimension was statistically bigger in second premolars (mean value = 9.67 mm) that in the first one (mean value = 9.48 mm). Mean size of teeth was bigger in all parameters in males than females, i.e. mesiodistal dimension in first premolars (males = 6.75 mm; females = 6.61 mm) and in second premolars (males = 6.49 mm; females = 6.38 mm. The same holds true for buccolingual dimension in first premolars (males = 9,65 mm; females = 9.34 mm) and second premolars (males = 9,83 mm; females = 9.50 mm). In males with Class II the mesiodistal width of both first and second premolars is significantly smaller (mean value = 6.54 and 6.31 mm) than in males with Class I (mean value = 6.86 and 6.58 m) and with Class III (mean value = 6.85 and 6.56 mm). Conclusion: First upper premolar is bigger mesiodistally and smaller buccolingually than second upper premolar. Males’ teeth are bigger than females’. Men with Class II have statistically smaller mesiodistal width of first and second premolars than men with Class I and III.

Few dental indices in modern Bulgarian population from southern Bulgaria

AimThe aim of the present study is to evaluate the reduction of the distal teeth towards the medial ones in one functional dental group in southern Bulgarian population.Materials and methodsThe study included 232 Bulgarians aged 20–40 years. Mesiodistal dimensions of the teeth were measured by Dentistry Sliding Vernier Caliper and analyzed with SPSS 23.0. Four interdental indices were calculated: inter-incisive, premolar, upper, and lower molar indices.ResultsWe found a decrease in the percentage ratio of the lateral to the central incisors of people from the Bulgarian population compared to those dating from the Eneolithic period on the territory of Bulgaria. Furthermore, we found a reduction in the percentage ratio of the upper and lower second molars compared to the first ones. The biggest reduction in the percentage ratio (more than 6%) was found in the lower second premolars compared to the first ones, which is characteristic for southern Bulgarians.ConclusionThere was a dental reduction in all the distal members compared to the medial ones participating in one morphological dental group. As a result, we think that interdental indices can be used for explaining historical, cultural, and biological macro and microevolutionary processes and thus for understanding the origin, formation, contacts, and migration pathways of the different populations leading to ethnic variation of humanity. Therefore, they can be a reliable source of information in physiological anthropology.