Measuring tooth size discrepancies using Bolton analysis: a comparative cross-sectional study among major ethnicity in Malaysia.

Background: The Bolton analysis is one of the commonly used tooth size analysis or diagnostic tools in deriving a treatment plan for orthodontic patients. Many studies have indicated and concluded that normal measurements for one group should not be considered normal for other ethnic groups. The aim...

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Publicado en:BMC Oral Health Vol. 23; no. 1; pp. 1 - 11
Autores principales: Abd Rahman, Aida Nur Ashikin, Othman, Siti Adibah, Marya, Anand
Formato: equations & formulas pictorial research tables/charts Journal Article
Publicado: BioMed Central 8/2/2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/2/2023
      vid: 23
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      pub: BioMed Central
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        10.1186/s12903-023-03185-7
        169727551
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        atl: Measuring tooth size discrepancies using Bolton analysis: a comparative cross-sectional study among major ethnicity in Malaysia.
      aug:
        au:
          Abd Rahman, Aida Nur Ashikin
          Othman, Siti Adibah
          Marya, Anand
        affil: Centre for Paediatric Dentistry and Orthodontic Studies, Faculty of Dentistry, Universiti Teknologi MARA, Selangor Branch, Sungai Buloh Campus, Jalan Hospital, Sungai Buloh, 47000, Selangor, Malaysia
      sug:
        subj:
          Ethnic Groups Malaysia
          Tooth Anatomy and Histology
          Orthodontics
          Tooth Abnormalities Diagnosis
          Tooth Abnormalities Therapy
          Human
          Malaysia
          Cross Sectional Studies
          Comparative Studies
          Chinese Persons
          Dental Models
          T-Tests
          Two-Way Analysis of Variance
          Descriptive Statistics
          Funding Source
      ab: Background: The Bolton analysis is one of the commonly used tooth size analysis or diagnostic tools in deriving a treatment plan for orthodontic patients. Many studies have indicated and concluded that normal measurements for one group should not be considered normal for other ethnic groups. The aims and objectives of this study were to investigate the applicability of Bolton's ratios in the orthodontic population of Malaysian main ethnics, Malay, Chinese, and Indians. Comparisons were made in terms of size and distribution of tooth size discrepancy in the Malaysian orthodontic population and the findings were converted in terms of millimeters. Methods: Hundred fifty pre-orthodontic study casts comprised of 52 Malay, 54 Chinese, and 44 Indian patients were selected. Digital calipers (Fowler Pro-Max) linked to Hamilton Tooth Arch Software were used to measure the tooth width and ratios. Statistical analysis was carried out to test for gender differences (independent t-test), to identify the effects of malocclusion and ethnic groups (Two-way ANOVA), and to compare the means of the current study with Bolton's standards (one sample t-test). Results: This study showed that there was no significant difference between the genders of the sample of each ethnicity. There was no correlation found between ethnic groups and malocclusion classes. There was a significant difference when comparing Bolton values with the Malay sample for both ratios. It was found that more Malay subjects presented with maxillary excess contrary to Chinese and Indians who presented more maxillary deficiency for the anterior and overall ratio. Conclusion: There was a significant difference found between the TSD of the three major ethnicities in Malaysia. The Bolton standards can be applied to Malaysian Chinese and Indians but not to Malays orthodontic populations for both anterior and overall ratios. Subsequently, a specific standard should be used for the Malays orthodontic population. It was found that more Malay subjects presented with maxillary excess contrary to Chinese and Indians who presented more maxillary deficiency for the anterior and overall ratio.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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