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Arch Length Considerations Due To The Curve of Spee - A Mathematical Model
Arch Length Considerations Due To The Curve of Spee - A Mathematical Model
Arch Length Considerations Due To The Curve of Spee - A Mathematical Model
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
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).
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
..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~ ~
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.
2'
I
i 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).