Arch length analysis should consider discrepancies not only within the sagittal plane but also within the vertical and transverse planes. The vertical deviation of the occlusal plane from a flat plane is known as the curve of Spee. The purpose of this study was to produce a mathematical model of the mandibular arch form in three planes of space and to determine the effect that the curve of Spee has on arch circumference. Two mandibular arch forms, the catenary and the Bonwill-Hawley, were examined. The curve of Spee was modeled as a cylinder perpendicular to the midsagittal plane centered on the arch anteroposteriorly. A mathematical distance formula was used to calculate arch circumferences from the central fossa of the first molars for 10 arches with curves of Spee ranging from 0 to 10 mm. This procedure was repeated for arch circumferences extending from the central fossa of the second molars. Plots for the difference in arch circumferences verses depth of the curve of Spee showed that the relationship between these two variables is not linear and is less than one to one. This model showed that clinical practice of allowing 1 mm of arch circumference for leveling each millimeter of curve of Spee overestimates the amount of arch circumference needed to flatten the curve of Spee.
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http://dx.doi.org/10.1016/S0889-5406(05)81060-1 | DOI Listing |
J Clin Exp Dent
December 2024
Doctor, Lecturer. Faculty of Odonto-Stomatology, University of Medicine and Pharmacy at Ho Chi Minh City, 652 Nguyen Trai Street, Ward 11, District 5, 749000, Ho Chi Minh City, Vietnam.
Background: Bite force is one of the important factors that determine the chewing efficiency of molars. This study aimed to investigate the relationship of the maximum bite force (MBF) to the 3-dimensional (3D) arrangement of the first mandibular molars in Angle's class I healthy adults using a digital protocol.
Material And Methods: Subjects were 33 adults (16 males and 17 females) aged 18-25, with Angle's class I occlusions and healthy dentitions.
Orthod Craniofac Res
January 2025
Department of Neuroscience, Reproductive Sciences and Oral Sciences, Section of Orthodontics, University of Naples Federico II, Naples, Italy.
Objective: This retrospective study aims to assess the predictability of Overbite (OVB) reduction and Curve of Spee (COS) levelling in patients with deep bite malocclusion treated with Clear Aligner Therapy (CAT). The research evaluates the accuracy of the prescribed movements in growing and non-growing patients.
Materials And Methods: Thirty-six patients treated with Invisalign from January 2018 using SmartTrack were included.
BMC Oral Health
January 2025
Oral and Dental Disease Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Background: Molariform second premolar is a rare dental anomaly where the second premolar resembles a molar in size and shape. This condition is often linked to macrodontia, a rare enlargement of teeth that disrupts dental proportions and can manifest in isolated, relative, or generalized forms. Although mandibular second premolars are more prone to morphological variability, the occurrence of bilateral molariform premolars, induced by a unique form of gemination, is exceptionally uncommon and infrequently documented, thus making this case clinically significant.
View Article and Find Full Text PDFJ Med Internet Res
January 2025
Yunnan Key Laboratory of Stomatology, Department of Orthodontics, Kunming Medical University & Affiliated Stomatological Hospital, Kunming, China.
Background: Investigating the safe range of orthodontic tooth movement is essential for maintaining oral and maxillofacial stability posttreatment. Although clear aligners rely on pretreatment digital models, their effect on periodontal hard tissues remains uncertain. By integrating cone beam computed tomography-derived cervical and root data with crown data from digital intraoral scans, a 3D fusion model may enhance precision and safety.
View Article and Find Full Text PDFAm J Orthod Dentofacial Orthop
December 2024
Department of Orthodontics, Faculty of Dentistry, Ege University, Izmir, Turkey. Electronic address:
Introduction: This study aimed to assess the effect of the mandibular second molars on the stress distribution and initial displacements during leveling the curve of Spee using different archwire thicknesses and materials by means of finite element analysis.
Methods: After construction of all anatomic structures, including the mandibular alveolar bone, periodontal ligament, and dentition, 0.022-in slot brackets and 0.
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