RESEARCH ARTICLE


Overall and Anterior Tooth Size Ratios in a Group of Emiratis



Moaza Ghuloom Mohammad1, 2, Shazia Naser-ud Din1, Amar Hassan Khamis3, Athanasios E. Athanasiou1, *
1 Department of Orthodontics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
2 Orthodontic Clinic, Al Mizhar Health Center, Primary Health Care Center, Dubai Health Authority, Dubai, United Arab Emirates
3 Department of Biostatistics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates


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Creative Commons License
© 2018 Mohammad et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Orthodontics, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, P.O. Box 505055, Dubai Healthcare City, Dubai, United Arab Emirates; Tel: +971 56 315 9378; E-mails: athanasios.athanasiou@mbru.ac.ae, athanasiou.orthodontics@gmail.com


Abstract

Objectives:

The aims of this investigation in a group of Emiratis were (1) To study overall and anterior tooth size ratios in Class I normal occlusion, (2) To estimate overall and anterior tooth size ratios in different malocclusion groups, (3) To compare overall and anterior tooth size ratios in Class I normal occlusion with the Bolton standards, and (4) To determine the distribution of overall and anterior tooth size ratios ± 2 SD from Bolton mean values in all occlusion groups.

Materials and Methods:

In this cross-sectional investigation, consecutive patients’ files, including dental casts, were selected from the archives of orthodontic clinics of the Dubai Health Authority. The final sample was formed following the application of specific inclusion criteria. The sample consisted of 521 pairs of dental casts representing both sexes (males: 188; females: 333) and different malocclusion groups (Class I: 288; Class II: 110; Class III: 30) and Class I normal occlusion (93). The mean age of patients was 16.18y for Class I, 15.73y for Class II, 15.83y for Class III, and 16.55y for Class I normal occlusion. The dental casts were scanned and digitized by the first author using the Ortho Insight 3D laser scanner. Measurements were made regarding maxillary and mandibular sums of mesiodistal tooth dimension of the overall (6-6) and anterior (3-3) groups of teeth. Statistical analysis included descriptive statistics, paired t-test and Analysis of Variance (ANOVA). The level of significance was set at p<0.05.

Results:

There were statistically significant differences among malocclusion groups with regard to overall and anterior tooth size ratios. However, the comparison between the Class I normal occlusion group and the Bolton standards showed no statistically significant differences. Only five cases in Class II malocclusion presented an anterior tooth size discrepancy outside plus 2 SD from Bolton mean values and one case in Class I malocclusion presented with an overall tooth size discrepancy outside plus 2 SD from Bolton mean values.

Conclusion:

This study of the different occlusion groups of the Emirati sample concluded that (a) Class I normal occlusion cases presented similar overall and anterior tooth size ratios to Bolton standards; (b) Overall and anterior tooth size ratios among different malocclusion groups exhibited statistically significant differences; (c) Five cases in Class II malocclusion presented an anterior tooth size discrepancy outside plus 2 SD from Bolton mean values, and (d) One case in Class I malocclusion presented an overall tooth size discrepancy outside plus 2 SD from Bolton mean values.

Keywords: Bolton tooth size analysis, Overall and anterior tooth size ratios, Emiratis, Class I normal occlusion, Class II malocclusion, Orthodontic treatment.