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JP Journals 10021 1110
JP Journals 10021 1110
JP Journals 10021 1110
5005/jp-journals-10021-1110
RESEARCH ARTICLE
Vikrant Bhandari et al
ABSTRACT
Introduction: The aim of this study was to evaluate the distances between the mandibular permanent teeth and the alveolar process in
Himachali population with normal occlusion.
Materials and methods: Fifty mandibular casts from untreated subjects of Himachal population were selected who had permanent dentition. A
computer program was used to calculate the distances between the dental reference points and the alveolar process for each tooth. The mean
values were then compared to the normal values by applying the Student t-test at a significance level of 0.05.
Results: The results showed a progressive increase of these distances from the anterior region (incisors) to the posterior region (molars), from
0.00 to 2.46 mm.
Conclusion: Himachali population with normal occlusion have more lingual crown positions for the incisors, premolars and molars compared
with Americans with normal occlusion.
Keywords: WALA ridge, FA point, Glass beads.
How to cite this article: Bhandari V, Singla A, Mahajan V, Jaj HS, Seth V. Evaluation of Distances between the Mandibular Teeth and the
Alveolar Process in Himachali Population with Normal Occlusion. J Ind Orthod Soc 2012;46(4):300-303.
300 JAYPEE
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Evaluation of Distances between the Mandibular Teeth and the Alveolar Process in Himachali Population with Normal Occlusion
RESULTS
The mean values of the distance between the FA point of the Fig. 2: Red and black glass beads showing FA points and
mandibular teeth and the WALA ridge progressively increased WALA ridge respectively
from the central incisor to the second permanent molar, from
0.00 to 2.46 mm respectively (Fig. 3).
No statistically significant difference was found between
the mean values of our sample and Andrews2 values for the
distance of first permanent molar (Table 1).
DISCUSSION
Discovering the nature of equilibrium of the natural dentition
is of primary importance to orthodontists whose concern is
Table 1: Comparison of mean values of distance between the FA point of mandibular teeth and
WALA ridge (mm) with Andrew’s values2 by the student t-test
to alterations as a result of ‘environmental’ forces. These molars after applying the Student t-test to compare our
forces may tip the teeth around their centers of rotation. Even numbers to the values of Andrews and Andrews.2 The results
though most patients with a malocclusion have an altered dental of our study are in concordance with the study conducted by
arch form, the alterations achieved with mechanics during Tarcila Trivino, Danilo Furquim3 in Brazillian with normal
orthodontic treatment should not affect the balance between occlusion.
bone , dental and muscular structures. The arrangement of these Ronay et al20 conducted a study which shows the distal to
structures adjacent to teeth and jaws should be considered the the mandibular canines, the average distance between FA and
limit for orthodontic movement.4-7 Hypothetically, when this WALA points describing the same tooth changes
occurs, the centers of rotation of the mandibular teeth, which buccolingually. In this posterior area, the FA points are more
remain in the center of the basal bone, do not alter, however, lingually located than the WALA points. They also reported
the crowns and root apex may be altered.3 only positive values between FA and WALA points and
According to some authors,8-15 the dental arch can be projected that the points at the mucogingival junction were
described by diagrams constructed from patients. Measure- always more buccally positioned than the most prominent part
ments or diagrams that describe mean curves are determined of the tooth crown.
by mathematical equations. Other studies have shown wide The results of our study disagree with the results of study
variations in dental arch shapes between subjects; this caused conducted by Kanashiro and Vigorito21 who found lower mean
author to search for universal landmarks that might establish values for the central incisors (–0.38 mm), lateral incisors (–
an individualized shape for each patient.16-19 0.12 mm) and canines (0.24 mm), and higher mean values for
Andrews and Andrews2 suggested the use of an anatomic first premolars (1.49 mm), second premolars (2.67 mm), first
reference, such as a parameter with the object of centralizing molars (3.00 mm) and second molars (3.51 mm), indicating
the roots of teeth in the basal bone, which they denominated more lingually placed posterior teeth as compared to Himachal
via the WALA ridge (named after Will Andrews and Larry
population.
Andrews). The WALA ridge is the strip of soft tissue
The discrepancy between the mean values of the FA points
immediately above the mucogingival junction of the mandible,
and the WALA ridge distances in this study and the results of
at the level of the line that passes through the centers of
other authors can be attributed to the different methodologies
rotation of the teeth or close to it, and is exclusive to the
and the differences in their samples. In our study, we chose to
mandible. Therefore, the center line of rotation (hypothetical
bond glass beads because of the difficulty in visualizing the
line that passes through the horizontal center of rotation of
distances between the FA points and the WALA ridge in the
each tooth) would be the line that best conserves the original
mandibular incisor region. Evaluation of the method error
and ideal form of the dental arch. Thus, the ideal form of the
showed no systematic and casual error, demonstrating the
maxillary and mandibular dental arches would be dictated by
accuracy of this methodology.3
the form of the basal bone of the mandible. When the form of
the mandibular dental arch is correct, the wire that unites the On the contrary, this study suggests that all basal and dental
bracket slots of ‘straightwire’ brackets should have the same arches should be individually derived. Furthermore, the basal
shape as that of the WALA ridge.3 The mandibular alveolar arch, represented by WALA points, can be used as a clinical
process is selected because its shape would be minimally guide in fabricating individualized archwire templates.20
effected by faciolingual tipping of the teeth, this would happen
CONCLUSION
because of the shape of the underlying basal bone.3 By taking
it as a base of the study, i.e. relation between teeth and the It was concluded from our study that Himachali population
WALA ridge, standard distances were established between FA with normal occlusion, there are standardized distances
points and the WALA ridge which would influence the between the FA points and the WALA ridge, decreasing from
treatment plan. the posterior to the anterior regions of the dental arch,
In this study, dental casts with normal occlusion of indicating a progressively lingual position of the mandibular
Himachali patient were taken and distance between FA point teeth.
and WALA ridge were calculated. The mean values of the
distance between FA point and WALA ridge were 0.00 mm REFERENCES
for central incisors, 0.19 mm for lateral incisors, 0.95 mm
1. Raberin M, Laumon B, Martin JL, Brunner F. Dimensions and
for canines, 1.17 mm for first premolar, 1.53 mm for second form of dental arches in subjects with normal occlusions. Am J
premolar, 2.04 mm for first molar and 2.46 mm for second Orthod Dentofacial Orthop 1993 Jul;104(1):67-72.
molar. A gradual increase was observed from anterior to 2. Andrews LF, Andrews WA. The syllabus of the Andrews
posterior region. So it was concluded that the mandibular teeth orthodontic philosophy (9th ed). San Diego: Calif: LF. Andrews
Foundation 2001;7-29.
were more lingually placed in Himachali population as
3. Trivino T, Siqueira DF, Andrews WA. Evaluation of distances
compared to study conducted by Andrews and Andrews2 on between the mandibular teeth and the alveolar process in Brazilians
Caucasians except for central and lateral incisors (Table 1). with normal occlusion. Am J Orthod Dentofacial Orthop
No statistically significant difference was observed at first 2010:137;308.e1-e4.
302 JAYPEE
JIOS
Evaluation of Distances between the Mandibular Teeth and the Alveolar Process in Himachali Population with Normal Occlusion
4. Brader AC. Dental arch form related with intraoral forces: PR 5 14. Ferrario VF, Sforza C, Miani AJ, Tartaglia G. Mathematical
C. Am J Orthod 1972;61:541-61. definition of the shape of dental arches in human permanent healthy
5. Strang RHW. Factors of influence in producing a stable result in dentitions. Eur Orthod Soc 1994;16:287-94.
the treatment of maloclusion. Am J Orthod Oral Surg 1946;32: 15. Wakabayashi K, Sohmura T, Takahashi J, Kojima T, Akao T,
313-32. Nakamura T, et al. Development of the computerized dental cast
form analyzing system—three-dimensional diagnosis of dental arch
6. Strang RHW. The fallacy of denture expansion as a treatment
form and the investigation of measuring condition. Dent Mater J
procedure. Angle Orthod 1949;14:12-22. 1997;16:180-90.
7. Lear CSC, Moorrees CFA. Buccolingual muscle force and dental 16. Engel GA. Preformed archwires: Reability of fit. Am J Orthod
arch form. Am J Orthod 1969;56:379-93. 1979;76:497-504.
8. Lu KH. An orthogonal analysis of the form, symmetry, and 17. Ricketts RM. Provocations and perceptions in craniofacial
asymmetry of the dental arch. Arch Oral Biol 1966;11:1057-69. orthopedics: Dental science and facial art. Denver: RMO
9. Currier JH. A computerized geometric analysis of human dental 1989;1(2):686-711.
arch form. Am J Orthod 1969;56:164-79. 18. Raberin M, Laumon B, Martin JL, Brunner F. Dimensions and
10. Sanin C, Sarava BS, Thomas DR, Clakson QD. Arc length of the form of dental arches in subjects with normal occlusions. Am J
dental arch estimated by multiple regression. J Dent Res Orthod Dentofacial Orthop 1993;104:67-72.
19. McLaughlin RP, Benett JC. Arch form considerations for stability
1970;49:885.
and esthetics. Rev Esp Ortod 1999;29:216-33.
11. Biggerstaff RH. Three variations in dental arch form estimated 20. Ronay V, Miner RM,Will LA, Arai K. Mandibular arch form:
by a quadratic equation. J Dent Res 1972;51:1509. The relationship between dental and basal anatomy. Am J Orthod
12. Pepe SH. Polynomial and catenary curve fits to human dental Dentofacial Orthop 2008;134:430-38.
arches. J Dent Res 1975;54:1124-32. 21. Kanashiro LK, Vigorito JW. Distance between the buccal aspects
13. Hechter FJ. Symmetric and dental arch form of orthodontically of the dental arches and alveolar ridge in different types of
treated patients. J Can Dent Assoc 1978;44:173-84. occlusion. Ortodontia SPO 2007;40:115-23.