MODEL ANALYSIS

INTRODUCTION

 The study model provides a three dimensional view of the

maxillary and mandibular dental arches in all three planes of
space, i.e., sagittal, vertical and transverse planes.
Advantages
1. They are three dimensional records of the patients
dentition.
2. Occlusion can be visualized from lingual aspect.
3. They provide a permanent record of the intermaxillary
relationship.
4. Helps to motivate the patients as they can visualize the
treatment progress.
5. They are needed for comparison purposes at the end of
the treatment and act as a reference for post treatment
changes.
6. They serve as a reminder for the parent and the patient
of the condition present at the start of the treatment.
7. In case the patient has to be transferred to another
clinician study model are an important record.
PARTS OF A STUDY MODEL

 Anatomic Portion - Consists of the actual

impressions of the dental arch & its surrounding
structures.
 Artistic Portion - Consists of the plaster base that
supports the anatomic portion and helps in analysing
the occlusion & orientation of the study models.
 The ratio of the anatomic portion to the artistic
portion should be 3:1.
CAST ANALYSIS
• CAST APART
• CAST IN OCCLUSION
CAST APART

 Arch form
 Arch symmetry
 Teeth present
 Teeth absent
 Crowding
 Spacing
 Buccoversion / linguoversion
 Supraversion / infraversion
 Torsiversion
 Transposition
 Proclined
 Retroclined
DEFINITIONS

 Buccoversion when the tooth is displaced bodily in a labial

or buccal direction
 Linguoversion when entire tooth is displaced in a lingual or
palatal direction
 Infraversion tooth that has not erupted enough in
comparison to adjacent teeth
 Supraversion tooth that has over-erupted
 Torsiversion rotated tooth or tooth movements around its
long axis
 Transposition when two teeth have exchanged their
positions
 LINGUOVERSION

TORSIVERSION
BUCCOVERSION

SUPRAVERSION
TRANSPOSITION
CAST IN OCCLUSION

 Incisor relationship
 Canine relation
 Molar relation
 Overjet
 Positive – Class II
 Negative – Class III
 Overbite
 Positive – Deepbite
 Negative - Openbite
 Crossbite
 Palatal Crossbite
 Buccal Crossbite – Scissors bite
 Dental midline
Anterior Crossbite
Posterior Crossbite
Anterior Crossbite
Palatal Crossbite
 Buccal Palatal
Molar and canine
relationships
MIDLINES
Arch Perimeter Analysis
ARCH PERIMETER ANALYSIS
Tooth Material and Arch Length Discrepancy (ALD)

 Many malocclusions occur due to discrepancy

between arch length & tooth material
 It is done in the upper arch
 Two measurements are required for intra-
maxillary analysis of space requirement:
1. Calculation of space required
2. Calculation of space available
 Arch perimeter is the geometrical dental arc
formed by teeth at their incisal / cuspal edges
PROCEDURE

 DETERMINATION OF SPACE REQUIRED:

Measure the mesiodistal dimension of all the teeth mesial to the first molar
(54321│12345)
DETERMINATION OF SPACE AVAILABLE:
1. Measure the arch perimeter using brass wire. From mesiobuccal line
angle of maxillary right first molar , pass the wire along the buccal
cusp and incisal edges in the anterior region, ‘pass the wire on the left
quadrant like a mirror image till the mesiobuccal line angle of the left
maxillary first molar.
2. Mark the wire and measure the wire, which gives the space available.
 In case of proclined incisors, pass the brass wire in the cingulum
region, and if the anterior teeth are retroclined, pass the wire labial to
them like a smooth curve.
SPACE REQUIRED

SPACE AVAILABLE
DETERMINATION OF THE
DISCREPANCY
 The difference between the space required and space
available gives the arch discrepancy or excess.
 If the tooth material is more than the arch length, the space
available for alignment is not sufficient results in crowding.
 If the tooth material is less than the space then there can be
spacing.
CAREY’S ANALYSIS

 The arch length-tooth material discrepancy is the main

cause for most malocclusions.
 This discrepancy can be calculated with the help of Carey’s
analysis.
 The analysis is carried out in the lower arch.
INTERPRETATION OF ARCH
PERIMETER ANALYSIS
ARCH LENGTH DISCREPANCY
ALD INFERENCE

Proximal stripping can be carried out to

reduce the minimal tooth material excess
0 to 4 mm
Avoid extractions

Patient can be treated with or without

extractions depending on lip procumbency
4 to 8 mm
and other factors

Extraction of teeth usually first premolar

Greater than 8mm might be required
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