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At least 703 records · Page 39Linked to original sources
PubMed2005

Are the lower incisors the best predictors for the unerupted canine and premolars sums? an analysis of a Peruvian sample.

The lower permanent incisor tooth width sum has been proposed as the best predictor for the tooth width sums of the unerupted canine and premolars (SPCP) for populations from different ethnic origins. Only two previous studies have refuted it. The purpose of the present study was to determine which sum or combination of sums of permanent tooth widths presented the best prediction capability for the SPCP in a Peruvian sample, to calculate a specific linear regression equation for this population, and to evaluate the clinical significance. A total of 150 children with complete permanent dentitions were selected. Fifty more children were used as a validation sample for the application of a multiple linear regression equation (MLRE). They did not present clinically visible dental caries or proximal restorations and no active or previous orthodontic treatment. Their dental casts were measured to 0.1 mm with a sliding caliper with a Vernier scale. Three-way analysis of variance, Pearson Correlation Test, Fisher Z values and a MLRE were used for the statistical analysis. The combination of the sums of permanent upper and lower central incisors and upper first molars was the best predictor for the SPCP in this sample. A MLRE was calculated including sex and arch as additional predictor variables. The MLRE determination coefficient was 60% with a standard error of 0.8 mm. This new MLRE underestimates (less than 1 mm discrepancy) the actual SPCP in only 7% of the cases on the basis of a validation sample.

Adolescent↗
PubMed2005

Intermaxillary tooth size discrepancy and malocclusion: is there a relation?

The aims of this study were to identify the possible sex differences in tooth size ratios between males and females, to determine whether there is a difference in the incidence of tooth size discrepancies for both the anterior and overall ratios when comparing with Angle Class I; Class II, division 1; Class II, division 2; and Class III malocclusion groups, to compare the tooth size ratios of different malocclusion groups with the anterior and overall tooth size ratios of 150 untreated normal occlusion subjects. In addition, the aim was to determine the percentage of tooth size discrepancies outside 2 SD from Bolton means for tooth ratios present in each malocclusion group and in the overall sample of this study. This study consisted of 150 subjects who served as the normal occlusion group and 560 patients who showed four different malocclusion characteristics (Angle Class I; Class II, division 1; Class II, division 2; and Class III). Tooth size measurements were performed on the models of normal occlusion and pretreatment models. For statistical evaluation, Student's t-test, analysis of variance and Tukey Honestly Significant Difference tests were performed. A significant sex difference was found only in the overall ratio for normal occlusion subjects (P < .001). All malocclusion groups showed statistically significant higher overall ratios than the normal occlusion group (P < .001). There were no statistically significant differences among malocclusion groups; however, there were a large number of patients within each group who had discrepancies greater than 2 SD from the mean. Further investigations are needed to explain the probable racial differences and relationships between malocclusion and tooth size measurements.

Adult↗
PubMed2005

Prediction of lower permanent canine and premolars width by correlation methods.

The aim of this study was to determine linear regression equations to estimate the widths of unerupted lower permanent canines and premolars using measurements obtained from 45 degrees oblique teleradiographs. The sample consisted of 30 white Caucasian patients orthodontically treated at the Faculty of Dentistry, Universidade Federal do Rio de Janeiro. The records for each patient included a 45 degrees oblique teleradiograph (left side) in the mixed dentition period and a dental cast of the permanent dentition. Pearson's test was applied between each lower canine, first and second premolars measured on the radiograph, and the sum of their actual widths measured on the dental cast. The strongest correlation occurred for the first premolars for one side (.82) and both sides (.84). One linear regression equation was determined to estimate the widths of un-erupted lower canine and premolars of both sides from a single measurement of the first premolar.

Bicuspid↗
PubMed2005

Standardizing interarch tooth-size harmony in a Syrian population.

The Bolton analysis is considered to be a good indicator for evaluating the degree of intermaxillary tooth-size harmony, but the possibility of ethnic variation of these values should be examined. Thus, the aim of this study was to calculate both the anterior and overall ratios of mandibular and maxillary tooth sizes for a Syrian sample of harmonious permanent dentitions and to compare these ratios with the data from the Bolton and the Michigan studies. In plaster models of 55 Syrian patients (11-22 years) with neutral occlusion (Angle Class I), harmonious overjet and overbite, no reduction of mesiodistal tooth width or missing teeth, the mesiodistal widths of each tooth from the incisors to the first permanent molars were measured in both arches. In the statistical data analysis, the anterior and overall ratios were calculated according to Bolton. The results for the anterior ratio (78.99 +/- 2.18) and the overall ratio (92.26 +/- 2.06) showed no statistically significant differences by sex (P > .48). These values and the degree of variation were similar to the original data by Bolton. Both studies differed considerably from the values of the anterior ratio found in the Michigan University study, which also shows a higher degree of variability. Nevertheless, the overall ratios of all three studies were very similar. Therefore, the interarch tooth-size analysis and values for a harmonious dentition developed by Bolton can also be transferred to an Arabian or at least a Syrian population.

Adolescent↗
PubMed2006

A new, accurate and fast digital method to predict unerupted tooth size.

The sum of the lower incisor tooth width has been proposed as the best predictor for calculating unerupted canine and premolar mesiodistal tooth sizes. The aims of this study were to develop a new, fast, and accurate computerized method to predict unerupted mesiodistal tooth sizes and to determine which reference tooth or combination of reference teeth was the best predictor for canines and premolars in a Spanish sample. The dental casts of 100 Spanish adolescents with permanent dentition were measured to the nearest 0.05 mm with a two-dimensional computerized system. The goal was to predict unerupted canine and premolar mesiodistal tooth sizes using the sizes of the upper central incisor, upper and lower first molar, or a combination of these as a reference and using a specific mesiodistal tooth-size table. The results showed that the Digital Method proposed was very accurate in predicting unerupted canine and premolar tooth size. The combination of the sums of the permanent upper central incisor and the lower first molar was the best predictor for canines and premolars in this sample. Upper arch teeth were better predicted than lower arch teeth. The upper lateral incisor provided the worst predictions.

Adolescent↗
PubMed2006

Dental morphology and crowding. A multivariate approach.

The objective of this study was to compare, combined and individually, the mesiodistal (MD) and buccolingual (BL) tooth sizes as well as their respective crown proportions in the permanent dentition in dental arches with moderate, mild, and no crowding. Dental casts from two-hundred 12 to 16-year-old school children from a typical high school from Lima, Peru, were used. The MD and BL tooth sizes of all permanent teeth except second and third molars were measured, and their crown proportion (MD/BL ratio) was estimated. Each dental arch was classified as presenting moderate (-5.1 mm or more of discrepancy), mild (-0.1 and -5 mm of discrepancy), and no crowding (zero or a positive discrepancy). Combined and tooth-specific comparisons among the crowding groups for the tooth sizes as well as crown proportions were performed with a multivariate analysis of variance (MANOVA, using Wilks lambda). Combined MD tooth sizes and crown proportions differed among crowding groups. Subsequent individual comparisons indicated differences for MD tooth size of all upper teeth and for lower premolars and central incisors. Differences were also detected for crown proportions of the upper second premolar, canine, and both incisors; as well as for the lower first premolar, canine, and central incisor. No differences were found for the BL tooth sizes among crowding groups. MD tooth sizes and crown proportions from specific teeth are significantly different between dental arches with moderate, mild, and noncrowded arches. This study helps to understand the odontometric component of the dental crowding multifactorial origin.

Adolescent↗
PubMed2006

Intermaxillary Bolton tooth size discrepancies among different malocclusion groups.

The orthodontic "finishing" phase is recognized for the many details necessary to accomplish an excellent result. A high percentage of finishing-phase difficulties arise because of tooth size imbalances that could have been discovered and considered during the initial diagnosis and treatment planning. The aim of our study was to determine whether there is a prevalent tendency for intermaxillary tooth size discrepancies among different malocclusion groups. This study involved 60 subjects who served as the normal occlusion group and 300 patients divided into five malocclusion groups (ie, Class I, Class II, Class II division 1, Class II division 2, and Class III). Tooth size measurements were performed on the models of the normal occlusion group and the pretreatment models of the patients. The tooth size ratios and the one-way analysis of variance test showed no sexual dimorphism for these ratios in each of five groups, so the sexes were combined for each group. Then, these ratios were compared among different malocclusion groups. The results showed no significant difference between subcategories of malocclusion, so these groups were combined as Class I, Class II, and Class III. No significant difference was found for all the ratios between the groups.

Adolescent↗
PubMed2006

Dental arch dimensions in the mixed dentition: a study of Italian children born in the 1950s and the 1990s.

The objective of this study was to compare the dental arch dimensions in the mixed dentition in two modern samples living in the same geographic area and separated by almost 35 years. A group of 83 subjects (39 boys and 44 girls) born between 1953 and 1959 (mean age: eight years and three months +/-15 months for the boys and seven years and 11 months +/-12 months for the girls) were compared with a group of 84 subjects (38 boys and 46 girls) born between 1990 and 1998 (mean age: eight years and eight months +/-12 months for the boys and eight years and four months +/-11 months for the girls). Measurements were taken on dental casts for posterior and anterior arch segments, intermolar and intercanine width, and mesiodistal size of incisors. The available anterior space in both arches and the posterior and anterior transverse dimensions were calculated. Groups were compared using a nonparametric test (Mann-Whitney U-test) for independent samples (P < .05). Results show that both boys and girls of 1990s showed significantly smaller maxillary intermolar width when compared with 1950s. Posterior transverse interarch discrepancy was significantly minor in girls of 1990s. The present population has a greater probability of developing a malocclusion as a consequence of the secular trend toward the reduction of the width of the upper arch.

Case-Control Studies↗
PubMed2006

Tooth size discrepancies and arch parameters among different malocclusions in a Jordanian sample.

The objectives of this study were to determine the mean mesiodistal tooth width of the dentition, Bolton anterior and overall ratios, arch length, and arch width in the different malocclusions in a Jordanian sample. The mesiodistal tooth width, arch width, and length were measured on a total of 140 orthodontic models of school students aged 13-15 years of different occlusal relationships (Class I, Class II division 1, Class II division 2, and Class III malocclusions). Anterior and overall Bolton ratios were calculated. The mean and standard deviation were calculated. Student's t-test and analysis of variance were used for the statistical analysis. The results show that (1) females have smaller teeth than males; (2) Class III malocclusion showed larger teeth than the rest of the other occlusal categories; (3) no statistically significant differences were found in Bolton ratios between the different malocclusions; (4) Class II division 1 showed the narrowest maxillary arch compared with the other types of malocclusion; (5) the mandibular intercanine width was significantly larger in Class III group than in Class II division 1 and Class II division 2 groups; (6) the maxillary arch was significantly longer in Class II division 1 than in Class II division 2; and (7) the mandibular arch of both Class II categories was significantly shorter than Class III malocclusion group. In conclusion, tooth size differences were found between right and left sides, between females and males, and between the different malocclusions. Arch width and length also showed differences among the different malocclusions.

Adolescent↗
PubMed2006

Tanaka-Johnston mixed dentition analysis for southern Chinese in Hong Kong.

OBJECTIVE: To compare the prediction of unerupted permanent canine and premolar size of a comparable sample size of southern Chinese population with that of the study of Tanaka and Johnston. MATERIALS AND METHODS: Teeth on study casts of an unselected sample from a 12-year-old Hong Kong Oral Health Survey of 12-year-old children (n = 459; 295 males and 164 females) were measured in the mesiodistal dimension. A Chinese mixed dentition analysis based on the Tanaka and Johnston method was constructed with linear regression equations for prediction of the mesiodistal widths of unerupted canines and premolars. RESULTS: Sexual dimorphism was evident between southern Chinese males and females in incisors, canines, and premolars in the mesiodistal dimension. CONCLUSIONS: To predict the space (in mm) required for alignment of unerupted canine and premolars in southern Chinese children, halve the sum of the mesiodistal dimensions of the four mandibular incisors and add the respective constants for males (upper, 11.5; lower, 10.5) or females (upper, 11.0; lower, 10.0).

Bicuspid↗
PubMed2006

Bolton tooth size discrepancies in skeletal Class I individuals presenting with different dental angle classifications.

The objective of this study was to investigate the frequency and association of Bolton tooth size discrepancies with dental discrepancies. Forty-eight skeletal Class I, 60 Class II, and 44 Class III subjects with similar skeletal characteristics were included in this study. Analysis of variance was performed to compare the mean ratios of Bolton analysis as a function of the Angle classification and sex. To determine the prevalence of tooth size imbalances among the three groups of occlusions and the two sexes, chi-square tests were performed. To determine the correlation of tooth size imbalances with certain dental characteristics, Pearson's correlation coefficients were calculated. No statistically significant differences were determined for the prevalence of tooth size discrepancies and the mean values of Bolton's anterior and overall ratios among the occlusal groups and sexes. Bolton's anterior ratio discrepancies had significant correlations with midline shifts (P < .05) in Angle Class I cases, with U1-SN angle (P < .01) in Angle Class II cases, and with L1-APog distance (P < .05) in Angle Class III cases. Bolton discrepancies related to overall ratio had significant correlations with overjet (P < .05) in Class I cases, with overbite (P < .05) and U1-SN angle (P < .01) in Class II cases, and with IMPA (P < .01) in Class III cases. A high prevalence of tooth size discrepancies in an orthodontic patient population and the statistically significant correlation of some of these with some dental characteristics suggest that the measurement of interarch tooth size ratios might be clinically beneficial for treatment outcomes.

Adolescent↗
PubMed2006

Applicability of three tooth size prediction methods for white Brazilians.

The objectives of this study were to evaluate the applicability of the methods of Moyers; Tanaka and Johnston; and Bernabé and Flores-Mir to Brazilian individuals and to propose new regression equations using the lower four permanent incisors as predictors for the sum of the widths of the lower permanent canine and premolars. Five hundred dental study casts (250 male and 250 female white patients) were used. The methods of Moyers and Tanaka and Johnston were tested on a sample consisting of 240 female and 223 male patients. The method of Bernabé and Flores-Mir and the new regression equations were based on the complete sample. At the 50th and 75th percentile levels, Moyers' tables tended to underestimate the actual sum of the lower permanent canine and premolars for male and female samples, with statistically significant differences. Although the same statistical significant differences were found when Tanaka and Johnston's and Bernabé and Flores-Mir's methods were used, these differences were not clinically relevant. The new regression equations proposed demonstrate similar correlation and determination coefficients to those found in other studies based on the lower four permanent incisors as predictors. Validating studies (based on similar samples) must be conducted to confirm the applicability and precision of the proposed new regression equations.

Adolescent↗
PubMed2006

Occlusal development in children of African American descent. Types of terminal plane relationships in the primary dentition.

OBJECTIVE: To compare the types and depths of the terminal plane relationships (mesial step, distal step, and flush) in the primary dentitions of African American (AA) and European (E) children. MATERIALS AND METHODS: A convenience sample of 189 African American children (103 males and 86 females) was compared to a historical sample of 61 European children (39 males and 22 females, age range 2.1 to 5.2 years, mean age of 4.1 years). Plaster dental casts were analyzed for both samples. Terminal plane depth (TPD) was defined as the anteroposterior distance (APD) between the distal surfaces of the maxillary and mandibular second primary molars of dental casts registered in centric occlusion. Sample differences were evaluated using a 2-sample independent group t-test. RESULTS: Eighty-nine percent of African American children and 63% of European children exhibited a mesial step terminal plane. The average APD of the mesial step in African American children was 1.29 mm compared to 1.13 mm in European children, but this was not statistically significant (P = .18). The samples differed significantly (P = .001) in the average APD distal step relationship (AA, 1.08 mm vs E, 2.26 mm). The prevalence of distal step relationships was lower in African American children (5%) compared to European children (16%). African American children had a lower prevalence of flush terminal plane (6%) compared to European children (21%). CONCLUSIONS: In African American children as in European children, a mesial step, rather than a flush terminal plane, is the norm for the completed primary dentition.

Black or African American↗
PubMed1977

Identification and description of homogeneous subgroups within a sample of misarticulating children.

A multivariate, hierarchical clustering procedure was used to identify homogeneous subgroups among 98 misarticulating children age eight years through nine years, six months. Clustering was based on 40 tests or measures of language, auditory processing, school achievement, oral structure, oral form recognition, and other phenomena. Clusters were described and then compared for performance on measures of articulation status and articulation improvement with training. Clusters were also derived from subsets of children who misarticulated only one sound, either /s/or/r/. Also, the subset of children who misarticulated /s/ was compared with children who misarticulated /r/ for performance on the measures classified above. Few of the clusters identified differed in articulation status or improvement with training.

Anthropometry↗
PubMed1977

Factor analysis of measures of articulation, language, auditory processing, reading-spelling, and maxillofacial structure.

This study was concerned with the correspondence between the classification of measures by clinical judgement and by factor analysis. Forty-six measures were selected to assess language, auditory processing, reading-spelling, maxillofacial structure, articulation, and other processes. These were applied to 98 misarticulating eight- and nine-year-old children. Factors derived from the analysis corresponded well with categories the measures were selected to represent.

Cephalometry↗
PubMed1999

Short root anomaly in families and its association with other dental anomalies.

In the present study, we collected a family series with short root anomaly in order to analyze the inheritance pattern of the condition. Another aim was to identify in these families an association with other dental anomalies, such as tooth agenesis, peg-shaped lateral incisors, supernumeraries, ectopia, and such morphological characteristics as invaginations, taurodontism, and a tendency to root resorption. Mesiodistal dimensions of the crowns of the affected teeth were measured in order to reveal any association with reduction or increase in tooth size. The apparent genetic heterogeneity of the pedigrees did not permit definitive conclusions as to the mode of inheritance. Autosomal dominant transmission of short root anomaly was seen in 3/8 families. In 2/8 families, the condition was seen in siblings but not in parents. An association with tooth agenesis and ectopic canines was noted, the prevalences of which were 46% and 33%, respectively. We stress the importance of not misdiagnosing this anomaly as resorption.

Anodontia↗
PubMed2001

Tooth size and morphology in twins.

OBJECTIVE: To assess concordance of tooth size and occlusal morphology in monozygotic (identical) and dizygotic (non-identical) twins compared to unrelated controls in order to determine how much these dental traits are related to inheritance. METHODS: Mesiodistal and bucco-lingual dimensions of tooth size in 34 pairs of twins were measured with dial calipers. In addition, the occlusal morphology of nine pairs of teeth was assessed using a co-ordinate measuring machine with a non-contact laser probe. RESULTS: The results showed greater concordance in tooth size for both mesiodistal and bucco-lingual dimensions within twin pairs compared to twin and unrelated controls. Furthermore, monozygotic (MZ) twins showed greater concordance than dizygotic (DZ) twins for all permanent teeth with statistically significant variance for the mesiodistal dimension (P = 0.01) but not bucco-lingual dimension. Superimposed computer models of the digitized occlusal surfaces showed a high degree of similarity for MZ twins compared to DZ twins. The mean intrapair deviation was 147 microm for MZ, 209 microm for DZ and 258 microm for unrelated controls. CONCLUSIONS: The remarkable similarity in the tooth size and morphology of monozygotic twins suggests a strong inheritability factor to tooth size and shape and that these may be useful as additional tools for zygosity determination along with other dental traits.

Adolescent↗
PubMed2001

Oral findings in Carpenter syndrome.

Acrocephalopolysyndactyly Type II (Carpenter Syndrome) is determined by autosomal recessive inheritance. Only some 40 cases have been described. Variable clinical signs have been described including prolonged retention of primary teeth and hypodontia. This paper describes the oral and dental findings in a family containing two affected brothers. The family pedigree is informative, as the mother has had children by three partners. The two affected individuals are full brothers. The first affected brother has delayed dental development, severe hypodontia and small tooth crown size. Mesio-distal and bucco-lingual dimensions were measured on the study models and compared with population data. The younger brother also has delayed dental development but only mild hypodontia. Their half sister has severe hypodontia but no signs of Carpenter Syndrome. This family study demonstrates two affected individuals with typical clinical features and a pedigree compatible with autosomal recessive inheritance. Small tooth crown size has been shown by standardized measurement and evidence advanced that hypodontia is not part of the syndrome but a coincidental finding which segregates independently. We have also shown that the marked delay in emergence of teeth is associated more with problems of tooth eruption, possibly related to the bony abnormalities, than to a generalized delay in dental development.

Acrocephalosyndactylia↗