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MODEL ANALYSIS IN
     ORTHODONTICS




       INDIAN DENTAL ACADEMY




c       Leader in continuing Dental Education
       www.indiandentalacademy.com
        www.indiandentalaca
MODEL ANALYSIS

•MODEL ANALYSIS IS THE STUDY OF
MAXILLARY & MANDIBULAR DENTAL
ARCHES IN ALLTHREE PLANES OF SPACE
(SAGITTAL, VERTICAL, TRANSVERSE
PLANES ) USING STUDY MODELS &
RADIOGRAPHS WHICH IS A VALUABLE
TOOL IN ORTHODONTIC
DIAGNOSIS&TREATMENT PLANNING



          www.indiandentalaca
www.indiandentalaca
DIFFERENT IMPORTANT ANALYSIS ARE AS
                   FOLLOWS

• TOOTH SIZE-ARCH WIDTH DISCREPANCY

•   PONT’S ANALYSIS.
•   LINDERHARTH ANALYSIS
•   KORKHAUS ANALYSIS
•   ASLEY–HOWE ANALYSIS
•   ETC .




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TOOTH SIZE-ARCH LENGTH DISCREPENCY

•   ARCH-PERIMETER ANALYSIS
•   NANCE-CAREY’S ANALYSIS
•   IRREGULAR INDEX
•   REE’S ANALYSIS.
•   DIAGNOSTIC SET UP
•   LAARRY WHITE ANALYSIS
•   SANIN & SAVARA ANALYSIS
•   TOTAL SPACE ANALYSIS
•   CONVENTIONAL METHOD
•   TWEED METHOD

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MIXED- DENTION ANALYSIS

(Estimating the size of unerupted teeth)

MOYER’S ANALYSIS.
TANAKA-JOHNSTON ANALYSIS.
HIXON-OLD FATHER METHOD
HUCKABA ANALYSIS

UPPER/LOWERTOOTH SIZE DISHORMONY
BOLTON’S TOOTH RATIO ANALYSIS


TOOTH-SHAPE DISHORMONY
PECK & PECKINDEX.
              www.indiandentalaca
PHOTOGRAPHIC ANALYSIS OF STUDY
MODEL

• STEROPHOTOGRAMETRY
• OCCLUSOGRAMS
• HOLOGRAPHIC IMAGE ANALYSIS


• COMPUTERIZED ANALYSIS

• OSCOPO
• REFLEX METROGRAPHY


             www.indiandentalaca
PONT’S ANALYSIS

• Pont’s in 1909 presented a system
  whereby mere measurement of Incisors
  automatically gives width of the arch in
  premolar &molar region




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• Pont’s analysis helps in determining whether the
  dental arch is narrow or normal, need for lateral
  expansion &how much expansion is possible.
• S.I.-sum of m-d width of 4 max. incisor is
  determined
• M.P.V.-width from distal pit to distal pit (P.M.)
• M.M.V.-Width from mesial pit to mesial pit. (M)
• C.P.V-- S.I. × 100/ 80
• C.M.V– S.I × 100/64

INFERENCE- if measured value is < then calculated value, it
indicates the need for the expansion, indicating how much
expansion is needed in molar & premolar regions.

                    www.indiandentalaca
Drawbacks of Pont's analysis
1.Study based on French
population,hence universal
validity is questionable.

2.Does not consider the alignment
of teeth.

3.Doesn't consider the
malformation of teeth-e.g, peg
laterals.




            www.indiandentalaca
• LINDERHARTH INDEX
  This analysis is similar to pont’s analysis
  except that a new formula has been
  proposed to determine the calculated
  premolar & molar value.
• C.P.V.– S .I. × 100/85
• C.M.V.--- S.I. × 100/64


               www.indiandentalaca
• KORKHAUS ANALYSIS-This is similar to pont’s
  analysis. According to this,for a given width of upper
  incisor,a specific value of the distance b/n midpoint of
  inter premolar line to point in b/n the max.incisor exist.
 INFERENCE-Increase in this measurement denotes proclined
 upper anteriors, while reduced value indicates retroclined upper
 anteriors.




                      www.indiandentalaca
ASHLEY-HOWE’S ANALYSIS- Ashley howe
considered tooth crowding to be due to arch width rather
than arch length.he found a r/nship between the total width
of all 12 teeth mesial to second molar and width of the
dental arch in the 1 st premolar region.

According to this analysis to determine
whether the apical bases could accommodate
the teeth ,the following measurements have
to be obtained:


                 www.indiandentalaca
*Determination of premolar diameter (P.M.D.)
The premolar diameter refers to the arch width
 from the tip of the buccal cusp of the opposite
 first premolar.
*Determination of premolar basal arch width
 (P.M.B.W.)
The measurement of the width from canine fossa
To the other gives us the width of dental arch at
 basal bone. Or else measurement is made from
 a point 8 mm below the crest of inter-dental
 papilla to distal of canine.
               www.indiandentalaca
• INFERENCE-
   If PMBAW>PMD-The basal arch is sufficient
      to allow expansion of the premolars.

If PMBAW<PMD-
Three possibilities-
No need of treatment
Move teeth distally to wider part of the arch.
Extract some teeth.


                www.indiandentalaca
• Calculation of premolar basal arch width
  percentage:

   P.M.B.A.W.%=P.M.B.A.W*100/T.T.M.




                www.indiandentalaca
• According to Howe, to achieve a normal
  occlusion with full complement of teeth
  the PMBAW should be 44 percent.

* If percentage is in between 37-44%-
  Borderline case.
*Percentage less than 37%- First premolar
  extraction.
*Any value above 44%- Non extraction case

            www.indiandentalaca
CAREY’S ANALYSIS /ARCH PERIMETER ANALYSIS

• Carey’s Analysis helps in
  determinining the extent of
  discrepancy b/n arch length &
  tooth material discrepency.it is
  performed in lower cast & same
  on upper is called arch –
  perimeter analysis.
• The arch anterior to the first
  permanent molar is measured
  using soft brass wire touching
  mesial surface of 1 st molar of
  one side and passed over buccal
  cusps of the premolar&along
  anteriors & is continued
  opposite side first molar.
                          www.indiandentalaca
Determination of tooth material: m-d width of teeth anterior
to 1st molar is determined and summed up.

The discrepancy is the difference b/n arch length & tooth
material

 DISCREPANCY
0-2.5 mm –In this proximal stripping can be carried out to
reduce T.T.M.
2.5-5mm-Extraction of second premolar is indicated.
>5mm-Extrction of first premolar is indicated.




                  www.indiandentalaca
BOLTON’S ANALYSIS-
According to Bolton there exist a
ratio b/n the m-d widths of max. &
mandibular teeth. Boltan’s analysis
helps in determining disproportion
in size b/n max. & mand. Teeth

procedure-
Determination of overall ratio-
m-d width of teeth ant. to 2nd
molar.
overall ratio=
sum of man.12Χ 100/
sum of max. teeth=91.3
                       www.indiandentalaca
If the ratio is less than 91.3%-Indicates maxillary tooth
material
excess.
The amount of maxillary excess is determined by:
   sum of max.12-sum of mandibular 12*100/91.3.
If the overall ratio is more than 91.3- Indicates
mandibular tooth
Material excess.
The amount of mandibular tooth material excess is
determined by:
  sum of mandibular 12- sum of maxillary 12*91.3/100

                  www.indiandentalaca
DETERMINATION OF ANTERIOR RATIO
• The sum of mesio-distal width of the
  mandibular anteriors should be 77.2% of
  m-d width of the maxillary anteriors.
  Anterior ratio=sum of mand.6*100/sum of-

                                       -max.6
If the anterior ratio is less than 77.2% it
   indicates max. anterior excess.
If the anterior ratio is more than 77.2% it
   indicates mandibular anterior excess.
                www.indiandentalaca
• The amount of maxillary anterior excess is
  determined by –
       sum of max.6-sum of mand.6*100/77.2

 The amount of mandibular anterior excess is
  determined by –
       sum of mand.6-sum of max.6*77.2/100




              www.indiandentalaca
Bolton’s analysis:
• The purpose of mixed dentition analysis is evaluate the amount of
  space available in arch for erupting permanent. Canines &
  premolars
• This analysis predicts the combined m-d width of 3,4&5 based on
  the sum of the width of four incisors .
• Space available from distal of lateral incisor to mesial of 1ST
  permanent molar is determined
• The expected width of 3,4 & 5 is are predicted by referring the
  probability chart. While doing so ,the75%level of probability is
  considered more reliable.




                        www.indiandentalaca
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Tanaka & Johnston prediction values

• In this analysis one half of m-d width of 4 lower
  incisors+10.5mm= estimated width of mandibular
  canine+premolars in one quadrant.

• one half of m-d width of 4 lower incisors+11 mm =
  estimated width of max. canine+premolars in one
  quadrant.




                   www.indiandentalaca
CONCLUSION

• There are numerous model analysis based on different
  criteria.it is left to the orthodontist to accept which analysis
  he feels best suites his group of population &diagnosis and
  treatment planning.
• The basis remains the same only the ways to express it
  differs so does not matter which analysis one follows but
  what matters is that how efficiently one imply the results
  to the treatment planning and do justice to the patient.




                     www.indiandentalaca
MOYERS MIXED DENTITION
         ANALYSIS
 The purpose of a mixed dentition analysis is to
  evalute the amount of space available in the arch
  for the erupting permanent canines and premolars.
  In this analysis the size of the unerupted
  permanent cuspids and premolars are predicted
  from the knowledge of the sizes of certain
  permanent teeth that are already erupted in the
  mouth.


                www.indiandentalaca
 The moyers analysis predicts the combined mesio-
  distal width of 3,4,5 based on the sum of the widths
  of the four lower permanent incisors.

 the mesio-distal width of the four lower incisor are
 measured and summed up.the amount of space
 available for the 3,4and 5 after incisor alignment is
 determined by measuring the distance between the
 distal surface of lateral incisor and the mesial surface
 of first permanent molar.


                   www.indiandentalaca
 Based on the mesio-distal width of four mandibular
  incisors, the expected width of the canines, first and
  second premolars are predicted by referring the
  probability chart. While doing so,the 75%level of
  probability is considered reliable.

 The predicted tooth size of 3,4,5 is compared with
  arch length available for them so as to determine the
  discrepancy. If the predicted value is greater than the
  available arch length,crowding of teeth can be
  expected

                   www.indiandentalaca
• Total mandibular               width of 345
 incisor width
   19.5                          20.6, 20.1
   20.0                          20.9,20.4
   20.5                          21.2,20.7
   21.0                          21.3,21.0
   21.5                          21.8,21.3
   22.0                          22.0, 21.6
   22.5                          22.3,21.9
   23.0                           22.6,22.2
   23.5                           22.9, 22.5
    24.0                           23.1, 22.8

                     www.indiandentalaca
HUCKABA’S ANALYSIS
• Here both study cast and radiographs are used for
  determining the width of unerupted tooth.
• Principle
•     with any type of radiograph, it is necessary to
  compensate for enlargement of the radiographic
  image. This can be done by measuring an object
  that can be seen both in radiograph and on the
  cast.

                 www.indiandentalaca
•      YI= X1 xY2/X2
•    y1= width of unerupted tooth whose measurement is to be
    determined   .
•     y2= width of unerupted tooth on radiograph.
•     X1=width of a tooth that has erupted measured on the cast.
•     X2=Width of a tooth that has erupted,measured on the
    radiograph




                       www.indiandentalaca
• Accuracy of this method of determining the
  width of the unerupted tooth is fair to good,
  depending upon the quality of the radiographs
  and their position in the arch
• this technique can be used in maxillary and
  mandibular arches for all ethnic groups.




               www.indiandentalaca
HIXON AND OLD FATHER’S
• The mesio-distal width of mandibular
  central and lateral incisor is obtained from
  the casts. Determine the width of the
  premolars from the intraoral periapical
  radiographs made using long cone
  technique. Sum up the width of central and
  lateral incisor along with the width of
  unerupted premolars of that particular side.
               www.indiandentalaca
• The estimated sum total width of the
  cuspids and bicuspids of that particular side
  can be obtained from the chart. Every
  measured sum width of incisor and
  bicuspids has a corresponding sum width of
  the cuspids and bicuspids in the chart.



               www.indiandentalaca
• measured values     estimated tooth size
    46                      18.4
•   47                      18.7
•   48                      19.0
•   49                      19.4
•   50                      19.7
•   51                      20.0
•   52                      20.3
•   53                      20.7
•   54                      21.0
•   55                      21.3
•   56                      21.6
              www.indiandentalaca
Nance careys analysis
This analysis is similar to arch perimeter analysis of
  the permanent dentition.

                  PROCEDURE
 measure the mesio-distal width of the erupted
 permanent teeth.

measure the width of each unerupted tooth, cuspids
 and bicuspids (3,4,5) from the intra-oral periapical
 radiographs.
                 www.indiandentalaca
 The total mesio-distal width of all the teeth in
  each quadrant will indicate space required to
  accommodate the permanent tooth
.
 using brass wire measure the arch perimeter.

 compare the space required and space
 available to arrive at the arch length
 discrepancy.

                 www.indiandentalaca
Thank you

  www.indiandentalaca

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Model analysis in orthodontics /certified fixed orthodontic courses by Indian dental academy

  • 1. MODEL ANALYSIS IN ORTHODONTICS INDIAN DENTAL ACADEMY c Leader in continuing Dental Education www.indiandentalacademy.com www.indiandentalaca
  • 2. MODEL ANALYSIS •MODEL ANALYSIS IS THE STUDY OF MAXILLARY & MANDIBULAR DENTAL ARCHES IN ALLTHREE PLANES OF SPACE (SAGITTAL, VERTICAL, TRANSVERSE PLANES ) USING STUDY MODELS & RADIOGRAPHS WHICH IS A VALUABLE TOOL IN ORTHODONTIC DIAGNOSIS&TREATMENT PLANNING www.indiandentalaca
  • 4. DIFFERENT IMPORTANT ANALYSIS ARE AS FOLLOWS • TOOTH SIZE-ARCH WIDTH DISCREPANCY • PONT’S ANALYSIS. • LINDERHARTH ANALYSIS • KORKHAUS ANALYSIS • ASLEY–HOWE ANALYSIS • ETC . www.indiandentalaca
  • 5. TOOTH SIZE-ARCH LENGTH DISCREPENCY • ARCH-PERIMETER ANALYSIS • NANCE-CAREY’S ANALYSIS • IRREGULAR INDEX • REE’S ANALYSIS. • DIAGNOSTIC SET UP • LAARRY WHITE ANALYSIS • SANIN & SAVARA ANALYSIS • TOTAL SPACE ANALYSIS • CONVENTIONAL METHOD • TWEED METHOD www.indiandentalaca
  • 6. MIXED- DENTION ANALYSIS (Estimating the size of unerupted teeth) MOYER’S ANALYSIS. TANAKA-JOHNSTON ANALYSIS. HIXON-OLD FATHER METHOD HUCKABA ANALYSIS UPPER/LOWERTOOTH SIZE DISHORMONY BOLTON’S TOOTH RATIO ANALYSIS TOOTH-SHAPE DISHORMONY PECK & PECKINDEX. www.indiandentalaca
  • 7. PHOTOGRAPHIC ANALYSIS OF STUDY MODEL • STEROPHOTOGRAMETRY • OCCLUSOGRAMS • HOLOGRAPHIC IMAGE ANALYSIS • COMPUTERIZED ANALYSIS • OSCOPO • REFLEX METROGRAPHY www.indiandentalaca
  • 8. PONT’S ANALYSIS • Pont’s in 1909 presented a system whereby mere measurement of Incisors automatically gives width of the arch in premolar &molar region www.indiandentalaca
  • 9. • Pont’s analysis helps in determining whether the dental arch is narrow or normal, need for lateral expansion &how much expansion is possible. • S.I.-sum of m-d width of 4 max. incisor is determined • M.P.V.-width from distal pit to distal pit (P.M.) • M.M.V.-Width from mesial pit to mesial pit. (M) • C.P.V-- S.I. × 100/ 80 • C.M.V– S.I × 100/64 INFERENCE- if measured value is < then calculated value, it indicates the need for the expansion, indicating how much expansion is needed in molar & premolar regions. www.indiandentalaca
  • 10. Drawbacks of Pont's analysis 1.Study based on French population,hence universal validity is questionable. 2.Does not consider the alignment of teeth. 3.Doesn't consider the malformation of teeth-e.g, peg laterals. www.indiandentalaca
  • 11. • LINDERHARTH INDEX This analysis is similar to pont’s analysis except that a new formula has been proposed to determine the calculated premolar & molar value. • C.P.V.– S .I. × 100/85 • C.M.V.--- S.I. × 100/64 www.indiandentalaca
  • 12. • KORKHAUS ANALYSIS-This is similar to pont’s analysis. According to this,for a given width of upper incisor,a specific value of the distance b/n midpoint of inter premolar line to point in b/n the max.incisor exist. INFERENCE-Increase in this measurement denotes proclined upper anteriors, while reduced value indicates retroclined upper anteriors. www.indiandentalaca
  • 13. ASHLEY-HOWE’S ANALYSIS- Ashley howe considered tooth crowding to be due to arch width rather than arch length.he found a r/nship between the total width of all 12 teeth mesial to second molar and width of the dental arch in the 1 st premolar region. According to this analysis to determine whether the apical bases could accommodate the teeth ,the following measurements have to be obtained: www.indiandentalaca
  • 14. *Determination of premolar diameter (P.M.D.) The premolar diameter refers to the arch width from the tip of the buccal cusp of the opposite first premolar. *Determination of premolar basal arch width (P.M.B.W.) The measurement of the width from canine fossa To the other gives us the width of dental arch at basal bone. Or else measurement is made from a point 8 mm below the crest of inter-dental papilla to distal of canine. www.indiandentalaca
  • 15. • INFERENCE- If PMBAW>PMD-The basal arch is sufficient to allow expansion of the premolars. If PMBAW<PMD- Three possibilities- No need of treatment Move teeth distally to wider part of the arch. Extract some teeth. www.indiandentalaca
  • 16. • Calculation of premolar basal arch width percentage: P.M.B.A.W.%=P.M.B.A.W*100/T.T.M. www.indiandentalaca
  • 17. • According to Howe, to achieve a normal occlusion with full complement of teeth the PMBAW should be 44 percent. * If percentage is in between 37-44%- Borderline case. *Percentage less than 37%- First premolar extraction. *Any value above 44%- Non extraction case www.indiandentalaca
  • 18. CAREY’S ANALYSIS /ARCH PERIMETER ANALYSIS • Carey’s Analysis helps in determinining the extent of discrepancy b/n arch length & tooth material discrepency.it is performed in lower cast & same on upper is called arch – perimeter analysis. • The arch anterior to the first permanent molar is measured using soft brass wire touching mesial surface of 1 st molar of one side and passed over buccal cusps of the premolar&along anteriors & is continued opposite side first molar. www.indiandentalaca
  • 19. Determination of tooth material: m-d width of teeth anterior to 1st molar is determined and summed up. The discrepancy is the difference b/n arch length & tooth material DISCREPANCY 0-2.5 mm –In this proximal stripping can be carried out to reduce T.T.M. 2.5-5mm-Extraction of second premolar is indicated. >5mm-Extrction of first premolar is indicated. www.indiandentalaca
  • 20. BOLTON’S ANALYSIS- According to Bolton there exist a ratio b/n the m-d widths of max. & mandibular teeth. Boltan’s analysis helps in determining disproportion in size b/n max. & mand. Teeth procedure- Determination of overall ratio- m-d width of teeth ant. to 2nd molar. overall ratio= sum of man.12Χ 100/ sum of max. teeth=91.3 www.indiandentalaca
  • 21. If the ratio is less than 91.3%-Indicates maxillary tooth material excess. The amount of maxillary excess is determined by: sum of max.12-sum of mandibular 12*100/91.3. If the overall ratio is more than 91.3- Indicates mandibular tooth Material excess. The amount of mandibular tooth material excess is determined by: sum of mandibular 12- sum of maxillary 12*91.3/100 www.indiandentalaca
  • 22. DETERMINATION OF ANTERIOR RATIO • The sum of mesio-distal width of the mandibular anteriors should be 77.2% of m-d width of the maxillary anteriors. Anterior ratio=sum of mand.6*100/sum of- -max.6 If the anterior ratio is less than 77.2% it indicates max. anterior excess. If the anterior ratio is more than 77.2% it indicates mandibular anterior excess. www.indiandentalaca
  • 23. • The amount of maxillary anterior excess is determined by – sum of max.6-sum of mand.6*100/77.2 The amount of mandibular anterior excess is determined by – sum of mand.6-sum of max.6*77.2/100 www.indiandentalaca
  • 24. Bolton’s analysis: • The purpose of mixed dentition analysis is evaluate the amount of space available in arch for erupting permanent. Canines & premolars • This analysis predicts the combined m-d width of 3,4&5 based on the sum of the width of four incisors . • Space available from distal of lateral incisor to mesial of 1ST permanent molar is determined • The expected width of 3,4 & 5 is are predicted by referring the probability chart. While doing so ,the75%level of probability is considered more reliable. www.indiandentalaca
  • 26. Tanaka & Johnston prediction values • In this analysis one half of m-d width of 4 lower incisors+10.5mm= estimated width of mandibular canine+premolars in one quadrant. • one half of m-d width of 4 lower incisors+11 mm = estimated width of max. canine+premolars in one quadrant. www.indiandentalaca
  • 27. CONCLUSION • There are numerous model analysis based on different criteria.it is left to the orthodontist to accept which analysis he feels best suites his group of population &diagnosis and treatment planning. • The basis remains the same only the ways to express it differs so does not matter which analysis one follows but what matters is that how efficiently one imply the results to the treatment planning and do justice to the patient. www.indiandentalaca
  • 28. MOYERS MIXED DENTITION ANALYSIS  The purpose of a mixed dentition analysis is to evalute the amount of space available in the arch for the erupting permanent canines and premolars. In this analysis the size of the unerupted permanent cuspids and premolars are predicted from the knowledge of the sizes of certain permanent teeth that are already erupted in the mouth. www.indiandentalaca
  • 29.  The moyers analysis predicts the combined mesio- distal width of 3,4,5 based on the sum of the widths of the four lower permanent incisors.  the mesio-distal width of the four lower incisor are measured and summed up.the amount of space available for the 3,4and 5 after incisor alignment is determined by measuring the distance between the distal surface of lateral incisor and the mesial surface of first permanent molar. www.indiandentalaca
  • 30.  Based on the mesio-distal width of four mandibular incisors, the expected width of the canines, first and second premolars are predicted by referring the probability chart. While doing so,the 75%level of probability is considered reliable.  The predicted tooth size of 3,4,5 is compared with arch length available for them so as to determine the discrepancy. If the predicted value is greater than the available arch length,crowding of teeth can be expected www.indiandentalaca
  • 31. • Total mandibular width of 345 incisor width 19.5 20.6, 20.1 20.0 20.9,20.4 20.5 21.2,20.7 21.0 21.3,21.0 21.5 21.8,21.3 22.0 22.0, 21.6 22.5 22.3,21.9 23.0 22.6,22.2 23.5 22.9, 22.5 24.0 23.1, 22.8 www.indiandentalaca
  • 32. HUCKABA’S ANALYSIS • Here both study cast and radiographs are used for determining the width of unerupted tooth. • Principle • with any type of radiograph, it is necessary to compensate for enlargement of the radiographic image. This can be done by measuring an object that can be seen both in radiograph and on the cast. www.indiandentalaca
  • 33. YI= X1 xY2/X2 • y1= width of unerupted tooth whose measurement is to be determined . • y2= width of unerupted tooth on radiograph. • X1=width of a tooth that has erupted measured on the cast. • X2=Width of a tooth that has erupted,measured on the radiograph www.indiandentalaca
  • 34. • Accuracy of this method of determining the width of the unerupted tooth is fair to good, depending upon the quality of the radiographs and their position in the arch • this technique can be used in maxillary and mandibular arches for all ethnic groups. www.indiandentalaca
  • 35. HIXON AND OLD FATHER’S • The mesio-distal width of mandibular central and lateral incisor is obtained from the casts. Determine the width of the premolars from the intraoral periapical radiographs made using long cone technique. Sum up the width of central and lateral incisor along with the width of unerupted premolars of that particular side. www.indiandentalaca
  • 36. • The estimated sum total width of the cuspids and bicuspids of that particular side can be obtained from the chart. Every measured sum width of incisor and bicuspids has a corresponding sum width of the cuspids and bicuspids in the chart. www.indiandentalaca
  • 37. • measured values estimated tooth size 46 18.4 • 47 18.7 • 48 19.0 • 49 19.4 • 50 19.7 • 51 20.0 • 52 20.3 • 53 20.7 • 54 21.0 • 55 21.3 • 56 21.6 www.indiandentalaca
  • 38. Nance careys analysis This analysis is similar to arch perimeter analysis of the permanent dentition. PROCEDURE measure the mesio-distal width of the erupted permanent teeth. measure the width of each unerupted tooth, cuspids and bicuspids (3,4,5) from the intra-oral periapical radiographs. www.indiandentalaca
  • 39.  The total mesio-distal width of all the teeth in each quadrant will indicate space required to accommodate the permanent tooth .  using brass wire measure the arch perimeter.  compare the space required and space available to arrive at the arch length discrepancy. www.indiandentalaca
  • 40. Thank you www.indiandentalaca