Prevalence Of Tooth Size Discrepancies Research Articles

Using a digital platform to establish odontometric variation based on race, gender and Angle classification.

This study aimed to compare the prevalence of tooth size discrepancies using digital models and a digitally based cast analysis in our cohort based on (i) Angle's Classification; (ii) gender and (iii) race. The mesiodistal widths of teeth in 101 digital models were assessed using computerized odontometric software. A Chi-square test was used to determine the prevalence of tooth size disproportions among the study groups. The differences between all three groups of the cohort were analysed using a three-way analysis of variance (ANOVA). An overall Bolton tooth size discrepancy (TSD) prevalence of 36.6% was observed in our study cohort; 26.7% had an anterior Bolton TSD. No differences existed in the prevalence of tooth size discrepancies between male and female subjects as well as between the different malocclusion groups (P > .05). Caucasian subjects had a statistically significant smaller prevalence of TSD compared to Black and Hispanic patients (P < .05). The prevalence results in this study illuminate how relatively common TSD is and underscores the importance of proper diagnosis. Our findings also suggest that racial background may be an influential factor in the presence of TSD.

Dental arch dimensions, form and tooth size ratio among a Saudi sample.

Objectives:To determine the dental arch dimensions and arch forms in a sample of Saudi orthodontic patients, to investigate the prevalence of Bolton anterior and overall tooth size discrepancies, and to compare the effect of gender on the measured parameters.Methods:This study is a biometric analysis of dental casts of 149 young adults recruited from different orthodontic centers in Jeddah, Saudi Arabia. The dental arch dimensions were measured. The measured parameters were arch length, arch width, Bolton’s ratio, and arch form. The data were analyzed using IBM SPSS software version 22.0 (IBM Corporation, New York, USA); this cross-sectional study was conducted between April 2015 and May 2016.Results:Dental arch measurements, including inter-canine and inter-molar distance, were found to be significantly greater in males than females (p<0.05). The most prevalent dental arch forms were narrow tapered (50.3%) and narrow ovoid (34.2%), respectively. The prevalence of tooth size discrepancy in all cases was 43.6% for anterior ratio and 24.8% for overall ratio. The mean Bolton’s anterior ratio in all malocclusion classes was 79.81%, whereas the mean Bolton’s overall ratio was 92.21%. There was no significant difference between males and females regarding Bolton’s ratio.Conclusion:The most prevalent arch form was narrow tapered, followed by narrow ovoid. Males generally had larger dental arch measurements than females, and the prevalence of tooth size discrepancy was more in Bolton’s anterior teeth ratio than in overall ratio.

An evaluation of tooth size discrepancies among different malocclusion groups in North Indians

Objective: A study was conducted to evaluate tooth size discrepancies among different malocclusion groups. Materials and Methods: This study consisted of 160 North Indian subjects, 50 normal occlusion group and 110 subjects with varying degree of malocclusion, that is, Angle's Class I (40), Class II Division 1 (40) and Class III (30) malocclusion, respectively. Tooth size measurements were performed on the study models by using a digital Caliper with a liquid crystal display digital output to the nearest 0.01 mm, and various inter-arch ratios were analyzed. Statistical Analysis: One-way analysis of variance was used to analyze the difference in groups followed by Tukey post hoc test. Chi-square test was performed to demonstrate the prevalence of tooth size discrepancies among three malocclusion groups. Results: Significant differences were found for inter-arch ratios between the groups. Conclusions: Anterior, overall, and posterior ratios were higher in Class III followed by Class I and Class II Division 1 malocclusion, respectively. Anterior and overall tooth size discrepancy was found to be 20% and 17.2%, respectively, in the malocclusion sample.

Seventh key of occlusion: Diagnostic significance in different angle′s class I, II and III malocclusions

Introduction: As significant tooth size discrepancies prevent an ideal occlusion being produced at the end of orthodontic treatment, absence of a tooth size discrepancy is the seventh key for an ideal occlusion. Present study aimed to assess diagnostic reliability of Bolton's ratio for different Angle's malocclusion. Materials and Methods: The study models of 144 patients were divided in three groups based on malocclusion.The mesiodistal tooth width from permanent first molar to first molar were measured on the orthodontic study models. The readings were obtained using a digital vernier caliper to the nearest 0.01mm, with the blades of the caliper held perpendicular to the long axis of the tooth. Results: ANOVA showed no significant difference between all groups except between anterior ratio of Class II group. The mean ratio for the Class III sample was significantly greater than Class I and Class II subjects ( P Class I > Class II with significant difference between the Class I and Class II groups. Conclusion: Subjects with Class III group had a significantly greater prevalence of tooth size discrepancies than Class I and Class II group. Statistically significant difference was seen in the anterior ratio between the males and females of Class II malocclusion and no significant difference between other groups.

A Study on Bolton Anterior Tooth Size Discrepancies among Different Malocclusion Groups

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 &amp; Dentofacial Orthopedics, Dhaka Dental College &amp; 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&lt; 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 &amp; Dentofac Orthop, April 2011; Vol-1, No.2, 1-4

Tooth size discrepancies in Irish orthodontic patients among different malocclusion groups

To determine the prevalence of tooth size discrepancies (TSDs) in an Irish orthodontic population among different malocclusion groups. From 850 pretreatment sets of orthodontic models at a university clinic, 240 were selected with 30 female and 30 male sets for each malocclusion (Class I, Class II division 1, Class II division 2, and Class III). Digital models were produced, and the mesial and distal contact points were digitized to calculate overall and anterior tooth size ratios. The differences between the male and female groups and among the malocclusion groups were analyzed using two-way analysis of variance (ANOVA) (P < .05). A clinically significant anterior TSD (more than two standard deviations from the Bolton means) existed in 37.9% of the subjects. No differences existed in the prevalence of overall TSDs between the male and female groups (P = .5913) or among the malocclusion groups (P = .0809). For the mean anterior tooth size ratios in the male group, the values for Class III and Class II division 2 were higher than in Class II division 1, and the value for Class II division 2 was higher than in Class I (P = .0184). The prevalence of anterior tooth size discrepancies in this sample of Irish orthodontic patients was 37.9%. There were no statistically significant differences in the prevalence of mean overall TSDs with regard to malocclusion or gender. In the male group, the mean anterior tooth size ratio was higher in Class III and in Class II division 2 malocclusion than in Class II division 1 and higher in Class II division 2 malocclusion than in Class I malocclusion.

Prevalence of tooth size discrepancy among North Indian orthodontic patients

Objective:To determine the prevalence of tooth size discrepancy (TSD) in a representative orthodontics population, to explore how many millimeters of TSD is clinically significant 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 records of the orthodontic patients. The mesiodistal diameters of the teeth were measured at contact points using digital calipers and the Bolton's analysis was carried out on them. Simple visual estimation of Bolton discrepancy was also performed.Results:In the sample group, 24% of the patients had anterior tooth width ratios and 8% had total arch ratios greater than ±2 standard deviation (SD) from Bolton's means. For the anterior analysis, correction greater than ±2 mm was required for 24% of patients in the upper arch or 14% in the lower arch. For the total arch analysis, correction greater than ±2 mm was required for 36% of patients in the upper arch or 32% in the lower arch.Conclusion:Bolton's analysis should be routinely performed in all orthodontic patients and the findings should be included in orthodontic treatment planning. 2 mm of the required tooth size correction is an appropriate threshold for clinical significance. Visual estimation of TSD has low sensitivity and specificity. Careful measurement is more frequently required in clinical practice than visual estimation would suggest.