ABSTRACT
Bolton’s ratio is an indispensable parameter used in orthodontic diagnosis to evaluate the tooth size discrepancy. However, these norms have been established for Caucasian population and population variations necessitate the evaluation of these ratios for Vidarbha population. The objectives of the present study were to determine Bolton’s ratio for Vidarbha population, compare them with original Bolton’s ratios and determine the clinical significance of these differences.METHODSThe study sample consisted of study casts of 300 subjects in the age range of 18-30 years, all belonging to Vidarbha population, having a full complement of teeth. Tooth dimensions were measured using digital vernier caliper and Bolton’s overall ratio and anterior were calculated. The data calculated was statistically analysed for range, mean, standard deviation and coefficient of variation. Unpaired t-test was applied to draw a difference between the results of this study and the results from Bolton’s study.RESULTSBolton’s overall and anterior ratio norms for Vidarbha population sample were found to be 88.15 and 78.50, respectively, with standard deviation of 3.27 and 3.19, respectively. The range of overall ratio noted was 80.36–98.44, and the range of anterior ratio was 67.74–89.70.CONCLUSIONSIn general, the values obtained from this study for the Vidarbha population differ from the data of Caucasian population. So, it can be inferred that the established Bolton’s values for Caucasians cannot be used for the Vidarbha population. Hence, population specific standards are necessary for clinical assessment.
ABSTRACT
It is a frequent occurrence that teeth especially maxillary incisors are either completely avulsed or fractured due to trauma in facial region. Replacement of these missing teeth always possess a challenge if there are no prior dental records of the patient. Also, maxillary lateral incisors are frequently smaller in size – “Peg shaped” or congenitally absent. Aesthetic correction or/and replacement of this tooth also poses a problem when prior records are missing.METHODSTotally, 300 study casts were taken from the patients and digital vernier caliper was used to measure the mesiodistal width of maxillary central and lateral incisors and mandibular lateral incisors on both the sides. The mean and the standard deviations of the width was assessed. Similarly, the proportion between the widths of the maxillary lateral incisor and mandibular lateral incisor was also assessed and based on the proportions, the ViVan formula was derived.RESULTSBased on the proportions, ViVan Formula for Central Incisor and Lateral Incisor is derived.CONCLUSIONSViVan ratio determined the mesiodistal width of central and lateral incisor with the help of mandibular lateral incisor. This formula provides results accurately and with minimum error. One of the important diagnostic tools is the use of diagnostic model for estimation of tooth size. Tooth size must be proportionate to jaw size so as to avoid tooth size arch length discrepancy.
ABSTRACT
To establish speech, growth and development of maxillofacial region and hearing etc. towards normal is the aim of every professional working for cleft care. With a quest to attain and normalize the growth and development in CLP since ages, researchers and workers have invented and still inventing newer technique to treat them. The procedure of surgeries has evolved over a period of time. Controversies concerning speech and maxillofacial growth have challenged many surgeons who have come up with different views in surgical methods. Studies suggest that the palate repair is the main cause of the maxilla and growth disturbance that later is responsible for speech impairment due to fibrous tissue in anterior palate and constricted tissue in uvula due to repair. Many authors have noted that delayed hard palate repair has more positive effects on maxillary growth than that of early hard palate repair, but studies have also proved that late palate repair impair the speech with due respect. This unsolved controversy whether to opt for late/ early palatoplasty w.r.t to the improvement in speech is still unsolved controversy. The purpose of this article is to review the history of cleft palate surgery, its evolution, various surgical methods and optimal timing of cleft palate repair.