Analysis of Interarch Tooth Size Relationship in Nepalese Subjects with Normal Occlusion and Malocclusions

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 popu...

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Main Authors: Rajeev Kumar Mishra, Dashrath Kafle, Rahul Gupta
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2019/2761427
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author Rajeev Kumar Mishra
Dashrath Kafle
Rahul Gupta
author_facet Rajeev Kumar Mishra
Dashrath Kafle
Rahul Gupta
author_sort Rajeev Kumar Mishra
collection DOAJ
description 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.
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spelling doaj-art-3b7de8c7d309437695f8030a20e3a3c42025-02-03T05:59:31ZengWileyInternational Journal of Dentistry1687-87281687-87362019-01-01201910.1155/2019/27614272761427Analysis of Interarch Tooth Size Relationship in Nepalese Subjects with Normal Occlusion and MalocclusionsRajeev Kumar Mishra0Dashrath Kafle1Rahul Gupta2Kathmandu University School of Medical Sciences, Dhulikhel, NepalKathmandu University School of Medical Sciences, Dhulikhel, NepalM. B. Kedia Dental College and Hospital, Birgunj, NepalIntroduction. 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.http://dx.doi.org/10.1155/2019/2761427
spellingShingle Rajeev Kumar Mishra
Dashrath Kafle
Rahul Gupta
Analysis of Interarch Tooth Size Relationship in Nepalese Subjects with Normal Occlusion and Malocclusions
International Journal of Dentistry
title Analysis of Interarch Tooth Size Relationship in Nepalese Subjects with Normal Occlusion and Malocclusions
title_full Analysis of Interarch Tooth Size Relationship in Nepalese Subjects with Normal Occlusion and Malocclusions
title_fullStr Analysis of Interarch Tooth Size Relationship in Nepalese Subjects with Normal Occlusion and Malocclusions
title_full_unstemmed Analysis of Interarch Tooth Size Relationship in Nepalese Subjects with Normal Occlusion and Malocclusions
title_short Analysis of Interarch Tooth Size Relationship in Nepalese Subjects with Normal Occlusion and Malocclusions
title_sort analysis of interarch tooth size relationship in nepalese subjects with normal occlusion and malocclusions
url http://dx.doi.org/10.1155/2019/2761427
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AT rahulgupta analysisofinterarchtoothsizerelationshipinnepalesesubjectswithnormalocclusionandmalocclusions