Arch Length Considerations Due To The Curve of Spee - A Mathematical Model

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Arch length considerations due to the curve of Spee:

A mathematical model
Nicholas Germane, DMD, MS," Julie Ann Staggers, DDS, MS, b Loretta Rubenstein, DDS, = and
James T. Revere, DDS'
Augusta, Ga., and Richmond, Va.

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 c u r v e of Spee
has on arch circumference. Two mandibular arch forms, the catenary and the BonwilI-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 ram. 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. (AMJ OnrHOO DENTOFACORTHOP 1992;102:251-5.)

Arch length analysis requires that discrep- cumference than a flat arch. However, the amount of
ancies be measured not only within tile sagittal plane, additional arch circumference required to flatten the
but also relative to the vertical and transvers.le planes. curve is not as apparent. A popular theory is that 1 mm
The sagittal discrepancy is the amount of dental crowd- of arch circumference is needed to level each millimeter
ing. Transverse discrepancies take the form of posterior of the curve o f Spee. 2z Yet, Baldridge '~ and Garcia 5
crossbites. Vertical discrepancies are the.deviation of found that less 1 mm of arch circumference is required
the line of occlusion from the horizontal plane and is to level each millimeter of the curve of Spee. According
popularly known as the curve of Spee. to Woods, s the amount needed is variable depending
This curve was first described by Graf Spee' who on the type of mechanics used.
used skulls with abraded teeth to define a line of oc- Although leveling to the curve of Spee is an every-
clusion that lies on a cylinder that is tangent to the day occurrence in orthodontic practices, little research
anterior border of the condyle, the occlusal surface of has been dedicated to the examination of the relation-
the second molar, and the incisal edges of the mandib- ship between arch length and the depth of the curve of
ular incisors. Spee located the center of this cylinder Spee. With this in mind, the purpose of this study was
in the midorbital plane so that it had a radius of 6.5 to to produce a mathematical model of two mandibular
7.0 cm. Clinically, however, the curve of Spee is de- arch forms in three planes of space and to determine
termined by the distal marginal ridges of the most pos- the amount of arch circumference consumed by leveling
terior teeth in the arch and the incisal edges of ihe the curve of Spee.
central incisors.
MATERIALS AND METHODS
The deviation of the occlusal plane from a flat plane
has practical consequences when considering the arch Two mandibular arch fomls, the catenary curve (Fig. I)
circumference requirements necessary to ilatten the and the BonwilI-Hawley arch form (Fig. 2), were selected
curve. Indisputably, a curved arch has a greater cir- for the mathematical model. The catenary curve is a smooth
curve that can be best described by the curve of a hanging
chain. The mathematical formula of the catenary curve for
'Associate Professor and Chairman, Medical College of Georgia, School of the mandibular arch is:
Dentistry.
"Assistant Professor, Medical College of Georgia, School of Dentistry. Y = 5(e '"~ + e -~'~ - l0
'Associate Professor, Medical College of Virginia, School of Dentistry.
~Executive Associate Dean, Virginia Commonv, ealth University, School of
Dentistry. The Bonwill-tlawley arch form is described by three line
8/1/30449 segments: two straight line buccal segments and a curved
251
952 Germane et al. Am. J. Orthod. Dentofac. Orthop.
September 1992

cent, R-h)

/
i
[ ycent = 1/2y

Fig. 3. Curve of Spee modeled as a cylinder with a radius


of R.

where the values X range from:

- 10.98 -< X --- 10.98 and R = I~ + I2 + 0.67C + 3 m m

I, = average mandibular central incisor width


I2 = average mandibular lateral incisor width
C = average mandibular canine width

The formula for the right buccal segment is:

Y = 2.6139(X - 10.98) + 3.45

where the value of X range from:

10.98 < X < 89 mandibular intermolar width

Bonwill-Hawley Arch Form For this study, an intermolar width of 41.46 m m was
selected for the first molars and 47.17 m m for the second
Fig. 2. Bonwill-Hawley arch form.
molars on the basis of averages obtained by Moyer. s The
radius of the anterior curve was determined by using the
average mesial-distal widths of mandibular central incisors
anterior segment. In this study this arch form was based on (I~ = 5.46 mm), mandibular lateral incisors (Is = 6.05 mm),
the mesial-distal widths of the mandibular anterior teeth and and mandibular canines (C = 7.53 ram). 9
was constructed similar to the principles of Tweed. 7 However, The mathematical model used in this study described the
the buccal segments were modified to represent lines drawn curve of Spee as a cylinder perpendicular to the midsagittal
through the proximal contact points of the teeth. Three math- plane and centered on the arch anteroposteriorly. The hori-
ematical formulas are necessary to describe the mandibular zontal plane was defined as a plane of occlusion with no curve
Bonwill~ arch form. of Spee present. The midpoint of the arch anteroposteriorly
The formula for the left buccal segment is: along the horizontal plane was designated as Y center. The
Y = - 2 . 6 1 3 9 ( X + 10.98) + 3.45 cylinder had radius, R, which was centered above the hori-
zontal plane, R - h, where h was the maximum depth o f the
where the values of X range from: curve of Spee measured from a flat horizontal plane (Fig. 3).
- 1/2 mandibular intermolar width < X < - 10.98 The maximum depth of curve of Spee, h, was consistently
measured at Y center. The curve of Spee was described math-
The formula for the anterior segment is" ematically by"
Y = - ' k / R z + Xz + R Z = - ~ k / R z - (Y - Y center) 2 + (R - h)
Volume 102 Leveling the curve of Spee 253
Number 3

Table I. The differences in arch circumferences for curves of Spee of 0 to I0 mm for the catenary curve.
Arch circumferences were measured from the central fossae of the first molars (6s) and second molars (7s).

Difference ill arch circumference as compared with a flat


Arch circumference (mm) occlusal plane (mm)
Depth of curve I I
of Spee (mm) 6s 7s 6s 7s

0 78.39 104.97 0 0
1 78.44 105.07 0.05 0.10
2 78.57 105.37 0.18 0.41
3 78.80 105.88 0.40 0.92
4 79.11 106.59 0.71 1.63
5 79.51 107.50 1.12 2.53
6 79.99 108.60 1.59 3.63
7 80.55 109.89 2.16 4.93
8 81.19 111.37 2.80 6.41
9 81.90 113.04 3.51 8.06
10 82.69 114.88 4.29 9.91

Y centera + h 2 DISCUSSION
where R =
2h The calculated arch circumferences for the catenary
Each arch circumference was calculated in 0.05 mm in- and Bonwill-Hawley arch forms and how each respec-
crements by using the following distance formula, and the tive curve compared with a fiat occlusal plane were
increments were then summed to give the total arch circum- remarkably different. A catenary curve is generally nar-
ference, C. rower in the canine and second molar regions than is
C = C~ + X/(X, - X~.,)2 + (Y~ - y,_,)2 + (Z~ - Z~.,y the Bonwill-Hawley arch form. Consequently, for a
given curve of Spee the arch circumferences measured
Since 0.05 increments were used, the difference between X~ from either the first or second molars are longer for the
and Xi.! was 0.05 rlnn, and Y, Zi and Yi-, Z=_~were calculated catenary curve than for the Bonwill-Hawley arch form.
from Xi and X~_t,respectively, with the previously mentioned This implies that the type o f arch form used during
equations. The difference in circumferences for arches with orthodontic treatment will have a clinical impact on the
curves of Spee ranging from 0 to 10 mm were calculated for
amount of arch circumference.
curves extending from the central fossa of the first molars.
By using data obtained from direct measurements
The calculation were repeated for arches with curves of Spee
on dental casts, Baldridge 4 and Garcia 5 found a linear
ranging from 0 to 10 mm for curves extending to the central
fossa of the second molar. relationsip between arch circumference and the leveling
Calculations were done for both the catenary and Bonwill- of the curve of Spee. In each of these studies a linear
Hawley arch forms. All mathematical calculations were per- regression was preformed on the data. However, this
formed with a personal computer and Turbo Pascal 5.0 (Bor- type of statistical manipulation of the data forces the
land International, Scotts Valley, Calif.). relationship to be linear, but the true underlying rela-
tionship between the two variables may not be a linear
RESULTS one. In both studies, the independent variable was the
The calculated arch circumferences for the catenary total depth of the curve of Spee, which was defined as
arch form with curves of Spee from 0 to I0 m m and the sum of the maximum curve of Spee depth measured
differences in arch circumference from the flat plane on the right and the left sides o f the arch. The slope of
curve (h = 0 mm) are given in Table I. The difference the linear regression line in the study by Baldridge was
in arch circumferences were plotted against the depth 0.488 and the slope in the study by Garcia was 0.657.
of the curve of Spee (h) and are shown in Fig. 4. Both studies predicted a less than one to one relationship
Similarly, the calculated arch circumferences for the between the total depth of the curve of Spee and the
Bonwill-Hawley arch form with curves of Spee from amount of arch circumference needed to level curve.
0 to 10 mm and differences in arch circumference from Clinically, this means that less than 1 mm o f arch cir-
the flat plane curve (h = 0 mm) are given in Table II. cumference is used to level each millimeter of the curve
The differences in arch circumference wre plotted of Spee.
against the depth of the curve of Spee (h) and are shown In this study the amount of arch circumference con-
in Fig. 5. sumed as a result of flattening curves of Spee of varying
254 G e r m a n e et al. Am. J. Orthod. Dentofac. Orthop.
September 1992

Cantenary Curve
12

10 First Molar (6's) = = j~


jf /
E
E Second Molar (7's) ..... ..-" ,,.x
f /
Reference ........... J" /=

..J

"~ J zz
"~--"
(~ i i .1"/ ~ J if ~ I/
0

o
.m__
4
j/" /
/
fl .,-S'~an/I///~ r"
./
//

2 11 i" ~
fi "f .~i~ ~ ' ~
f~ ~

0 ~, , i [ i - - i .... ~ ...... ) i i ----

O 1 2 3 4 5 6 7 8 9 10
Curve of Spee (mm)
Fig. 4. Millimeters of arch length gained versus millimeters of curve of Spee leveled for catenary curve.

BonwilI-Hawley Arch Form


12 I

2'
I
i I

10 First Molar C6's) c __- z ~


E Second Molar (7's) "----~= . ~
E
8 Reference * ....... '~ .1-1 z~///"
/
i:::

_..I

6
.E
f I
o
4
(3)
..=_
O

/~ i ~ .,I~

0 ,~ I i i i i } i i i

0 1 2 3 4 5 6 7 8 9 10
Curve of Spee (mm)

Fig. 5. Millimeters of arch length gained versus millimeters of curve of Spee leveled for BonwilI-Hawley
arch form.
Volume 102 Leveling the cttrve of Spee 255
Number 3

Table II. The differences in arch circumference for curvcs of Spee of 0 to 100 m m for the Bonwill-Hawley
arch form. Arch circumferences were measured from the central fossae of the first molars (6s) and second
molars (7s).

Difference in arch circu~t~erence as compared with a flat


Arch circumference (ram) occlusal plane (ram)
Depth of curve
of Spee (mm) 6s ] 7s 6s I 7s
0 78.06 94.01 0 0
I 78.12 94.12 0.06 0.11
2 78.31 94.48 0.25 0.47
3 78.62 95.06 0.56 1.06
4 79.05 95.88 0.99 1.87
5 79.58 96.92 1.52 2.91
6 80.22 98.18 2.16 4.17
7 80.94 99.64 2.88 5.63
8 81.75 101.30 3.69 7.29
9 82.62 103.16 4.55 9.20
10 83.54 105.12 5.48 1I. 19

depths was a nonlinear relationship. The relationship REFERENCES


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where the arch circumference was measured. For the Archives fur Anatomic und Physiologie. Leipzieg: Verlag Veit
und Comp., 1890:285-93.
catenary arch form, the amount of arch circumference 2. Proffit WR, Epker BN. Treatment planning for dentofacial de-
required for leveling was consistently less than one to formities. In: Bell WH, Proffit WR, White RP, eds. Surgical
one for curves of spee of 10 m m or less (Table I and correctionof dentofacialdeformities. Philadelphia:WB Saunders,
Fig. 4). The amount of circumference necessary to level 1980:167.
the Bonwili-Hawley arch form was less than one to one 3. Proffit WR, Ackerman J. Diagnosis and treatment planning in
orthodontics. In: GraberTM, ed. Orthodontics:currentprinciples
for all the curves of 10 mm or less when the arch and techniques. St. Louis: CV Mosby, 1986:64.
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amount lost was also less than one to one when the arch length. J Pract Orthodont 1969;3:26-41.
curve of Spee was less than 9 mm and the circumference 5. Garcia R. Levelingthe curve of spee: a new prediction formula.
was measured to the second molar. Yet the arch cir- J Tweed Found 1985;13:65-72.
6. WoodsM. A reassessmentof space requirementfrom lower arch
cumference lost was greater than one to one when the leveling. J Clin Orthod 1986;20:770-8.
curve of Spee was 9 or 10 mm and the arch circum- 7. TweedCH. Clinicalorthodontics.St. Louis:CV Mosby, 1966:87-
ference was measured from the second molars. There- 95.
fore, in the Bonwill-Hawley form, the amount of arch 8. MoyersRE, van de LindenF, RioloML, McNamaraJA. Standard
circumference consumed by leveling the curve of Spee of human occlusal development.Ann Arbor: Universityof Mich-
igan, 1974:78-137.
varies depending on the depth of the curve and from 9. Moyer RE. llandbook of orthodontics. 4th ed. Chicago: Year
where the arch circumference is measured. Book Medical Publishers, 1988:120.
The results of this study showed that the amount of
Reprint requests to:
arch length required to level the curve of Spee is non- Dr. Nicholas Germane
linear and is consistently less than one to one for curves Department of Orthodontics
of Spee less than 9 mm. The results also suggest that Medical College of Georgia
the belief that 1 mm of arch circumference is necessary School of Dentistry
Augusta, GA 30912
to level each millimeter of curve of Spee present is an
overestimation. Where the arch circumference is mea-
sured from, the arch form, and the depth of the curve
of Spee all play a part in the amount of the space
required for leveling the curve of Spee.

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