Analysis of the Apical Base,

According to Rees

Venesha Sonia
1210343004
 The relation between extent of the apical base and the length of
the dental arch is expressed metrically for the upper and lower
jaws. The analysis is carried out as follows:

1. Erasing of the lip and cheek frena on the casts.

2. Construction of three perpendicular to the occlusal plane (mesial
to the first permanent molars and at the contact point of the
central incisors). These lines are extended by 8 – 10 mm from the
dental papilla toward the vestibular fold.
3. Measuring the distance from the mesial of the first permanent
molar on one side to that on the other side through the tips of the
vertical lines with the aid of a piece of thin adhesive tape.
4. Determining dental arch length by measuring the arch perimeter
mesial to the first permanent molars using a piece of brass wire.

The individual values are compared to one another within the same
arch and to the opposing arch (Fig. 564) and the calculated figures
compared to the standards according to rees (1953). This method is
confined to the permanent dentition.
Assessing the size of the apical base
562 Marking the reference points
Left: The incisal reference point is marked on a vertical line which extends
from the occlusal plane through the contact point of the central incisors
toward the vestibular fold, 8mm from the gingival margin.
Right : Using the same criteria, the molar point is marked bilaterally through
the mesial contact point of the first molar, 8mm from the gingival margin on
the alveolar process.
563 Measuring the apical base
Measurement of the apical base is carried out using a thin adhesive tape,
extending from the distal reference point on one side through the incisal
reference point to the distal marking on the other side.
The adhesive tape is then removed from the study cast and its length
measured.
564 Ideal relations according to Rees
For these measurements the second parameter is subtracted from the first.
The arrangement of comparisons is made in such a way that in the normal
case the first measurement is larger than the second.
In borderline cases the analysis provides information for treatment planning
(in particular extraction or nonextraction).

Measurement Ideal values (Rees)

Maxillary apical base—Maxillary dental arch +1,5 ----- +5,0 mm

Mandibular apical base—Mandibular dental arch +2,0 ----- +7,0 mm

Maxillary apical base—Mandibular apical base +3,0 ----- +9,5 mm

Maxillary dental arch—Mandibular dental arch +5,0 ----- +10,0 mm