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Ú¿˜ (1.52±1.22) (p≤0.001). (Á) ∏ ÛÙ·ıÂÚ‹ ÙÈÌ‹ ÙÔ˘ study it was found different (1.23±0.62). However,
ÚfiÛıÈÔ˘ Ì‹ÎÔ˘˜ ÙfiÍÔ˘ (0.69±1.42) ‹Ù·Ó ÛËÌ·ÓÙÈο this difference was not statistically significant.
‰È·ÊÔÚÂÙÈ΋ ·fi ÙËÓ ÚÔÙÂÈÓfiÌÂÓË ÙÈÌ‹ (0.98±0.47) CONCLUSIONS: According to the results of this study,
(p<0.001). (‰) ¶·ÚfiÏÔ Ô˘ Û‡Ìʈӷ Ì ÙËÓ Â͛ۈÛË maxillary dental arch dimensions of Iranian popula-
ÙÔ˘ Tonn ÙÔ ¿ıÚÔÈÛÌ· ÙˆÓ ¿Óˆ ÙÔ̤ˆÓ (∞∞∆) Â›Ó·È tions are different from the standard values published
1.42±1.21, ÛÙËÓ ÌÂϤÙË ·˘Ù‹ ‚Ú¤ıËΠ‰È·ÊÔÚÂÙÈÎfi in major orthodontic references.
·ÔÙ¤ÏÂÛÌ· (1.23±0.62). øÛÙfiÛÔ, Ë ‰È·ÊÔÚ¿ ·˘Ù‹
‰ÂÓ ‹Ù·Ó ÛÙ·ÙÈÛÙÈο ÛËÌ·ÓÙÈ΋. Key words: Posterior arch width, anterior arch width,
™Àª¶∂ƒ∞™ª∞∆∞: ™‡Ìʈӷ Ì ٷ ·ÔÙÂϤÛÌ·Ù· Ù˘ anterior arch length, posterior arch length, palatal
·ÚÔ‡Û·˜ ÌÂϤÙ˘, ÔÈ ‰È·ÛÙ¿ÛÂȘ ÙÔ˘ ¿Óˆ Ô‰ÔÓÙÈÎÔ‡ height
ÙfiÍÔ˘ ÛÙÔÓ ÏËı˘ÛÌfi ÙÔ˘ πÚ¿Ó ‰È·Ê¤ÚÔ˘Ó ·fi ÙȘ Hell Orthod Rev 2007;10:67-74.
ÛÙ·ıÂÚ¤˜ ÙÈ̤˜ Ô˘ ¤¯Ô˘Ó ‰ËÌÔÛÈ¢Ù› ÛÙËÓ ÔÚıÔ‰Ô- Received: 25.01.2007 – Accepted: 19.09.2007
ÓÙÈ΋ ‚È‚ÏÈÔÁÚ·Ê›·.
π‰·ÓÈ΋ ÙÈÌ‹ o›ÛıÈÔ˘ ‡ÚÔ˘˜ ÙfiÍÔ˘ = ∞∞∆ x 100/65 SUI = (SLI x 4.3) ± 0.5
™ÙȘ ÂÚÈÙÒÛÂȘ Ì ˘ÂÚÌÂÁ¤ıÂȘ ‹ ˘ÔÏ·ÛÙÈÎÔ‡˜ ¿Óˆ Using the total mesiodistal width of lower incisors,
ÙÔÌ›˜, Ô Ù‡Ô˜ ÙÔ˘ Tonn ÙÚÔÔÔÈÂ›Ù·È Ì ٤ÙÔÈÔ ÙÚfiÔ another index is proposed for estimation of the ideal
ÒÛÙ ÙÔ Â‡ÚÔ˜ ÙÔ˘ ÙfiÍÔ˘ Ó· ˘ÔÏÔÁ›˙ÂÙ·È ·fi ÙÔ ¿ıÚÔÈ- dental arch length (Stiften et al., 1958):
ÛÌ· ÙÔ˘ ‡ÚÔ˘˜ ÙˆÓ Î¿Ùˆ ÙÔ̤ˆÓ (∞∫∆ = ÕıÚÔÈÛÌ· ∫¿Ùˆ Ideal value of anterior arch width = SLI x 100/165
∆Ô̤ˆÓ). °È· ÙÔ ÛÎÔfi ·˘Ùfi, ÙÔ È‰·ÓÈÎfi ‡ÚÔ˜ ÙˆÓ ¿Óˆ
ÙÔ̤ˆÓ ˘ÔÏÔÁ›˙ÂÙ·È Ì ÙÔÓ ·Ú·Î¿Ùˆ Ù‡Ô (Rakosi Î·È Korkhaus et al. in 1900 (refered by Rakosi et al. 1993)
Û˘Ó., 1993): based upon results of his study in palatal depth (PD)
measurements found a relationship between “posterior
∞∞∆ = (∞∫∆ x 4.3) ± 0.5 arch width” (PAW) and palatal depth in cases with nor-
ÃÚËÛÈÌÔÔÈÒÓÙ·˜ ÙÔ Û˘ÓÔÏÈÎfi ‡ÚÔ˜ ÙˆÓ Î¿Ùˆ ÙÔ̤ˆÓ, mal occlusion. The mathematical relationship is as fol-
ÚÔÙ›ÓÂÙ·È ¤Ó·˜ ¿ÏÏÔ˜ ‰Â›ÎÙ˘ ÁÈ· ÙÔÓ Î·ıÔÚÈÛÌfi ÙÔ˘ lows:
ȉ·ÓÈÎÔ‡ Ì‹ÎÔ˘˜ ÙÔ˘ Ô‰ÔÓÙÈÎÔ‡ ÙfiÍÔ˘ (Stifen Î·È Û˘Ó.,
42 = PD / PAW x 100
1958):
Among all, Pont’s index has attracted more researchers’
π‰·ÓÈ΋ ÙÈÌ‹ ÚfiÛıÈÔ˘ ‡ÚÔ˘˜ ÙfiÍÔ˘ = ∞∞∆ x 100/165 attention. Stiften et al. (1958) and later Gupta et al.
√È Korkhaus Î·È Û˘Ó. ÙÔ 1900 (·Ó·Ê¤ÚÂÙ·È ·fi ÙÔ˘˜ (1979) also recommended this index when ideal occlu-
Rakosi Î·È Û˘Ó. 1993) ‚·ÛÈ˙fiÌÂÓÔÈ ÛÙ· Â˘Ú‹Ì·Ù· Ù˘ sion is an objective of treatment. However, according to
ÌÂϤÙ˘ ÙÔ˘˜ ÁÈ· ÙËÓ Ì¤ÙÚËÛË ÙÔ˘ ‚¿ıÔ˘˜ Ù˘ ˘ÂÚÒ·˜ them, there are exceptions. Joondeph et al. (1970) and
(BY = µ¿ıÔ˜ ˘ÂÚÒ·˜) ‚Ú‹Î·Ó ÌÈ· Û¯¤ÛË ÌÂٷ͇ ÙÔ˘ Dalidjan et al. (1995) believed that Pont’s index is clini-
«Ô›ÛıÈÔ˘ ‡ÚÔ˘˜ ÙfiÍÔ˘» (√∂∆) Î·È ÙÔ˘ ‚¿ıÔ˘˜ Ù˘ ˘Â- cally applicable only in some cases. In fact, there is not
ÚÒ·˜ ÛÙȘ ÂÚÈÙÒÛÂȘ ÌÂ Ê˘ÛÈÔÏÔÁÈ΋ Û‡ÁÎÏÂÈÛË. ∏ enough research concerning palatal depth measurement
Ì·ıËÌ·ÙÈ΋ Û¯¤ÛË Â›Ó·È Ë ·ÎfiÏÔ˘ıË: (Dalidjan et al., 1995; Ferrario et al., 1994, 1999), neither
is a substantial evidence to correlate arch length to other
42 = µÀ / √∂∆ x 100
dimensions (BeGole et al., 1998; Braun et al., 1998; Mau-
∞Ó¿ÌÂÛ· Û fiÏÔ˘˜ ÙÔ˘ ‰Â›ÎÙ˜, Ô ‰Â›ÎÙ˘ ÙÔ˘ Pont ¤¯ÂÈ rice et al., 1998; Carter et al., 1998; Braun et al., 1999).
ÙÚ·‚‹ÍÂÈ ÙÔ ÌÂÁ·Ï‡ÙÂÚÔ ÂӉȷʤÚÔÓ ÙˆÓ ÂÚ¢ÓËÙÒÓ. √ Aim of this study was to investigate and evaluate the
Stifen Î·È Û˘Ó. (1958) Î·È ·ÚÁfiÙÂÚ· Ô Gupta Î·È Û˘Ó. Pont's and Korkhaus indices of dental arch dimensions
(1979) ˘ÔÛÙ‹ÚÈÍ·Ó ÙË ¯Ú‹ÛË ÙÔ˘ Û˘ÁÎÂÎÚÈ̤ÓÔ˘ ‰Â›ÎÙË and compare them with the corresponding measure-
fiÙ·Ó Ô ÛÙfi¯Ô˜ Ù˘ ıÂڷ›·˜ Â›Ó·È Ë È‰·ÓÈ΋ Û‡ÁÎÏÂÈÛË. ments of Iranian adolescents.
øÛÙfiÛÔ, Û‡Ìʈӷ Ì ÙÔ˘˜ ›‰ÈÔ˘˜, ˘¿Ú¯Ô˘Ó ÂÍ·ÈÚ¤ÛÂȘ.
√ Joondeph Î·È Û˘Ó. (1970) Î·È Ô Dalidjan Î·È Û˘Ó. (1995) MATERIALS AND METHODS
›ÛÙ¢·Ó fiÙÈ Ô ‰Â›ÎÙ˘ ÙÔ˘ Pont Â›Ó·È ÎÏÈÓÈο ÂÊ·ÚÌfiÛÈÌÔ˜
ÌfiÓÔ Û ÔÚÈṲ̂Ó˜ ÂÚÈÙÒÛÂȘ. ™ÙËÓ Ú·ÁÌ·ÙÈÎfiÙËÙ· ‰ÂÓ Study models from 80 high school students (40 boys and
˘¿Ú¯ÂÈ Â·Ú΋˜ ¤Ú¢ӷ Û¯ÂÙÈο Ì ÙȘ ÌÂÙÚ‹ÛÂȘ ÙÔ˘ 40 girls, age range: 14-18 years, mean age 14.11±0.82
‚¿ıÔ˘˜ Ù˘ ˘ÂÚÒ·˜ (Dalidjan Î·È Û˘Ó.,1995; Ferrario Î·È years) with skeletal and dental Class I occlusal relation-
Û˘Ó., 1994, 1999), ÂÓÒ ‰ÂÓ ˘¿Ú¯Ô˘Ó Î·È ·ÚÎÂÙ¤˜ ·Ô‰Â›- ships were evaluated. The subjects did not present any
ÍÂȘ Ô˘ Ó· Û˘Û¯ÂÙ›˙Ô˘Ó ÙÔ Ì‹ÎÔ˜ ÙÔ˘ Ô‰ÔÓÙÈÎÔ‡ ÙfiÍÔ˘ Ì crossbites, proximal restorations, or history of any kind
ÙȘ ˘fiÏÔȘ ‰È·ÛÙ¿ÛÂȘ (BeGole Î·È Û˘Ó., 1998; Braun of orthopedic or orthodontic treatment.
Î·È Û˘Ó., 1998; Maurice Î·È Û˘Ó., 1998; Carter Î·È Û˘Ó., After taking upper and lower alginate impressions, the
1998; Braun Î·È Û˘Ó., 1999). prepared plaster models were trimmed according to
√ ÛÎÔfi˜ Ù˘ ÂÚÁ·Û›·˜ ‹Ù·Ó Ë ‰ÈÂÚ‡ÓËÛË Î·È ·ÍÈÔÏfiÁË- Proffit guidelines (Lee et al., 1999). A digital caliper
ÛË ÙˆÓ ‰ÂÈÎÙÒÓ Î·Ù¿ Pont Î·È Korkhaus ÁÈ· ÙȘ ‰È·ÛÙ¿ÛÂȘ (Mitutoyo Corp., Japan) was used to measure dental
ÙˆÓ Ô‰ÔÓÙÈÎÒÓ ÙfiÍˆÓ Î·ıÒ˜ Î·È Ë Û‡ÁÎÚÈÛ‹ ÙÔ˘˜ Ì ·ÓÙ›- arches in the following dimensions: (a) anterior arch
ÛÙÔȯ˜ ÌÂÙÚ‹ÛÂȘ ¤ÊË‚ˆÓ πÚ·ÓÒÓ. width (AAW) (b) posterior arch width (PAW) and (c) arch
length (AL). Reference points on the study casts were
À§π∫∞ ∫∞π ª∂£√¢√™ marked according to Pont’s index. (Gupta et al., 1979;
Stiften et al., 1985; Rakosi et al., 1993) (Figure 1). Also,
∞ÍÈÔÏÔÁ‹ıËÎ·Ó 80 ÂÎÌ·Á›· ÌÂϤÙ˘ Ì·ıËÙÒÓ Ï˘Î›Ԣ the palatal heights and arch lengths of study models
(40 ·ÁfiÚÈ· Î·È 40 ÎÔÚ›ÙÛÈ·, ‡ÚÔ˜ ËÏÈΛ·˜: 14-18 ¤ÙË, were measured according to Korkhaus index (Figure 2).
̤ÛÔ˜ fiÚÔ˜ ËÏÈΛ·˜ 14.11±0.82 ¤ÙË) Ì ÛÎÂÏÂÙÈ΋ Î·È Ô‰Ô- To determine correlation between mesiodistal width of
ÓÙÈ΋ ∆¿ÍË π. ∆· ¿ÙÔÌ· ‰ÂÓ ÂÌÊ¿ÓÈ˙·Ó ÛÙ·˘ÚÔÂȉ‹ teeth and dental arch width, statistical evaluation was
Û‡ÁÎÏÂÈÛË, fiÌÔÚ˜ ·ÔηٷÛÙ¿ÛÂȘ, ‹ ÈÛÙÔÚÈÎfi ÔÔÈ·Û- performed by means of Pearson analysis and paired t-
‰‹ÔÙ ÔÚıԷȉÈ΋˜ ‹ ÔÚıÔ‰ÔÓÙÈ΋˜ ıÂڷ›·˜. tests using the statistical software SPSS (version 10.0)
ªÂÙ¿ ÙËÓ Ï‹„Ë ·ÔÙ˘ˆÌ¿ÙˆÓ Ì ·ÏÁÈÓÈÎfi Ù˘ ¿Óˆ Î·È and Excel 97.
οو ÁÓ¿ıÔ˘, ηٷÛ΢¿ÛÙËÎ·Ó ÂÎÌ·Á›· ÌÂϤÙ˘ Ô˘
‰È·ÌÔÚÊÒıËÎ·Ó Û‡Ìʈӷ ÙȘ ηÙ¢ı˘ÓÙ‹ÚȘ ÁÚ·Ì̤˜ RESULTS
ÙÔ˘ Proffit (Lee Î·È Û˘Ó., 1999). ÃÚËÛÈÌÔÔÈ‹ıËΠ„ËÊÈ·-
Îfi ·¯‡ÌÂÙÚÔ (Mitutoyo Corp., Japan) ÁÈ· ÙËÓ Ì¤ÙÚËÛË In Table 1, the different dental arch dimensions are pre-
ÙˆÓ ·Ú·Î¿Ùˆ ‰È·ÛÙ¿ÛÂˆÓ ÙˆÓ Ô‰ÔÓÙÈÎÒÓ Ùfi͈Ó: (·) sented. The most proportional change (CV = SD/Mean X
ÚfiÛıÈÔ Â‡ÚÔ˜ ÙfiÍÔ˘ (¶∂∆), (‚) Ô›ÛıÈÔ Â‡ÚÔ˜ ÙfiÍÔ˘ 100) was related to palatal depth (PD). The least propor-
(√∂∆) Î·È (Á) Ì‹ÎÔ˜ ÙfiÍÔ˘ (ª∆). ∆ÔÔıÂÙ‹ıËÎ·Ó ÛËÌ›· tional change was also related to posterior arch width.
∂ÈÎfiÓ· 1. ∏ Û˘ÓÔÏÈ΋ ÂÁÁ‡˜ ¿ˆ ‰È¿ÛÙ·ÛË ÙˆÓ ‰ÔÓÙÈÒÓ ÌÂÙÚ‹ıËΠ∂ÈÎfiÓ· 2. ∆Ô ‡„Ô˜ Ù˘ ˘ÂÚÒ·˜ Î·È ÙÔ Ì‹ÎÔ˜ ÙˆÓ ÙfiÍˆÓ ÌÂÙÚ‹ıËηÓ
„ËÊÈ·Îfi ·¯‡ÌÂÙÚÔ ¯ÚËÛÈÌÔÔÈÒÓÙ·˜ ÙÔ˘˜ ‰Â›ÎÙ˜ ÙˆÓ Korkhaus Ì „ËÊÈ·Îfi ·¯‡ÌÂÙÚÔ Û‡Ìʈӷ Ì ÙÔÓ ‰Â›ÎÙË ÙÔ˘ Korkhaus.
Î·È Pont.
Figure 2. The palatal heights and arch lengths were measured by
Figure 1. The total mesiodistal width of teeth was measured by digital caliper according to Korkhaus index.
digital caliper using Korkhaus and Ponts' indices.
·Ó·ÊÔÚ¿˜ Û‡Ìʈӷ Ì ÙÔÓ ‰Â›ÎÙË ÙÔ˘ Pont (Gupta Î·È To analyze the dental arch dimensions of the subjects,
Û˘Ó., 1979; Stiften Î·È Û˘Ó., 1985; Rakosi Î·È Û˘Ó., 1993) correlation of some values were tested using Pearson
(∂ÈÎfiÓ· 1). ∂›Û˘ ÙÔ ‡„Ô˜ Ù˘ ˘ÂÚÒ·˜ Î·È ÙÔ Ì‹ÎÔ˜ ÙÔ˘ analysis. The results of this evaluation were the follow-
ÙfiÍÔ˘ ÌÂÙÚ‹ıËÎ·Ó Û‡Ìʈӷ Ì ÙÔÓ ‰Â›ÎÙË ÙÔ˘ Korkhaus ing:
(∂ÈÎfiÓ· 2). ñ Correlation between sum of upper incisors (SUI) and
°È· ÙÔÓ Î·ıÔÚÈÛÌfi Ù˘ Û˘Û¯¤ÙÈÛ˘ ÌÂٷ͇ ÙÔ˘ ÂÁÁ‡˜ ¿ˆ posterior arch width (PAW) was r =0.47
‡ÚÔ˘˜ ÙˆÓ ‰ÔÓÙÈÒÓ Î·È ÙÔ˘ ‡ÚÔ˘˜ ÙÔ˘ Ô‰ÔÓÙÈÎÔ‡ ÙfiÍÔ˘, ñ Correlation between SUI and anterior arch width
Ú·ÁÌ·ÙÔÔÈ‹ıËΠÛÙ·ÙÈÛÙÈ΋ ÂÂÍÂÚÁ·Û›· Ì ÙËÓ ·Ó¿Ï˘- (AAW) was r =0.47
ÛË ÙÔ˘ Pearson Î·È paired t-tests ¯ÚËÛÈÌÔÔÈÒÓÙ·˜ ÙÔ ñ Correlation between SUI and sum of lower incisors
ÏÔÁÈÛÌÈÎfi ÛÙ·ÙÈÛÙÈ΋˜ SPSS (¤Î‰ÔÛË 10.0) Î·È ÙÔ Excel 97. (SLI) was r =0.69
ñ Correlation between SUI and anterior arch length
∞¶√∆∂§∂™ª∞∆∞ (AAL) was r =0.62
The palatal index was also 36.44. The notable points
™ÙÔÓ ¶›Ó·Î· 1, ·ÚÔ˘ÛÈ¿˙ÔÓÙ·È ÔÈ ‰È·ÊÔÚÂÙÈΤ˜ ‰È·ÛÙ¿- about this measurement were firstly the wide range of
ÛÂȘ ÙˆÓ Ô‰ÔÓÙÈÎÒÓ Ùfi͈Ó. ∏ ÈÔ ·Ó·ÏÔÁÈ΋ ‰È·ÊÔÚ¿ (CV the value (16.22 mm) and secondly its large standard
= SD/Mean X 100) Û¯ÂÙÈ˙fiÙ·Ó Ì ÙË ‚¿ıÔ˜ Ù˘ ˘ÂÚÒ·˜ deviation (SD=3.82).
(µÀ). ∏ ÏÈÁfiÙÂÚÔ ·Ó·ÏÔÁÈ΋ ‰È·ÊÔÚ¿ Û¯ÂÙÈ˙fiÙ·Ó Ì ÙÔ Ô›-
ÛıÈÔ Â‡ÚÔ˜ ÙfiÍÔ˘. °È· ÙËÓ ·Ó¿Ï˘ÛË ÙˆÓ ‰È·ÛÙ¿ÛÂˆÓ ÙÔ˘ Then the value for mesiodistal width of 4 upper incisors,
Ô‰ÔÓÙÈÎÔ‡ ÙfiÍÔ˘ ÙˆÓ ·ÙfiÌˆÓ Ô˘ Û˘ÌÌÂÙ›¯·Ó, Ú·ÁÌ·- posterior and anterior arch width, anterior arch width
ÙÔÔÈ‹ıËΠ¤ÏÂÁ¯Ô˜ Ù˘ Û˘Û¯¤ÙÈÛ˘ ÔÚÈÛÌ¤ÓˆÓ ÙÈÌÒÓ Ì was measured based on standard formula. Table 2 com-
ÙËÓ ·Ó¿Ï˘ÛË Pearson. ∆· ·ÔÙÂϤÛÌ·Ù· Ù˘ ·Ú·¿Óˆ pares the values of SUI, AAW, PAW, and AAL with the
·ÍÈÔÏfiÁËÛ˘ Â›Ó·È Ù· ·ÎfiÏÔ˘ı·: ones calculated from the proposed or standard formu-
ñ ∏ Û˘Û¯¤ÙÈÛË ÌÂٷ͇ ÙÔ˘ ·ıÚÔ›ÛÌ·ÙÔ˜ ÙˆÓ ¿Óˆ ÙÔ̤ˆÓ las.
(AAT) Î·È ÙÔ˘ Ô›ÛıÈÔ˘ ‡ÚÔ˘˜ ÙfiÍÔ˘ (√∂∆) ‹Ù·Ó
r=0.47 According to the results of the paired t-test, there was
ñ ∏ Û˘Û¯¤ÙÈÛË ÌÂٷ͇ ∞∞∆ Î·È ÚfiÛıÈÔ˘ ‡ÚÔ˘˜ ÙfiÍÔ˘ also a significant difference between the arch length
(¶∂∆) ‹Ù·Ó r=0.47 measured and the calculated in our formula and the
¶›Ó·Î·˜ 1. ∆ÈÌ‹ Û˘Û¯ÂÙÈÛÌÔ‡ Î·È Â›Â‰Ô ÛËÌ·ÓÙÈÎfiÙËÙ·˜ ÁÈ· ‰È¿ÊÔÚ˜ ‰È·ÛÙ¿ÛÂȘ ÙÔ˘ Ô‰ÔÓÙÈÎÔ‡ ÙfiÍÔ˘ (¶∂∆, √∂∆, ¶ª∆, & ∞∫∆) Û ۇÁÎÚÈÛË
Ì ÙÔ ∞∞∆ Û‡Ìʈӷ Ì ÙËÓ ·Ó¿Ï˘ÛË ÙÔ˘ Pearson.
Table 1. Correlation value and the level significance for different dental arch dimensions (AAW, PAW, AAL, & SLI) in comparison with SIU
according to Pearson analysis.
∞∞∆ ™˘Û¯¤ÙÈÛË ÌÂ
SIU Correlation with
¶ÚfiÛıÈÔ Â‡ÚÔ˜ ÙfiÍÔ˘ Anterior Arch Width 0.47 0.01
√›ÛıÈÔ Â‡ÚÔ˜ ÙfiÍÔ˘ Posterior Arch Width 0.47 0.01
¶ÚfiÛıÈÔ Ì‹ÎÔ˜ ÙfiÍÔ˘ Anterior Arch Length 0.62 0.01
∞∫∆
SLI 0.69 0.01
ñ ∏ Û˘Û¯¤ÙÈÛË ÌÂٷ͇ ∞∞∆ Î·È ·ıÚÔ›ÛÌ·ÙÔ˜ ÙˆÓ Î¿Ùˆ standards (p<0.0001). Statistically significant difference
ÙÔ̤ˆÓ (∞∫∆) ‹Ù·Ó r=0.69 was found between the value obtained from our formu-
ñ ∏ Û˘Û¯¤ÙÈÛË ÌÂٷ͇ ∞∞∆ Î·È ÚfiÛıÈÔ˘ Ì‹ÎÔ˘˜ ÙfiÍÔ˘ la and the standard formula when anterior or posterior
(¶ª∆) ‹Ù·Ó r=0.62 arch width was calculated (p<0.0001). Thus, the pro-
∂›Û˘, Ô ˘ÂÚÒÈÔ˜ ‰Â›ÎÙ˘ ‹Ù·Ó 36.44. ∞ÍÈÔÛËÌ›ˆÙÔ, posed formulas for dental arch dimension are:
Û¯ÂÙÈο Ì ·˘Ù‹ ÙËÓ Ì¤ÙÚËÛË ‹Ù·Ó ÚÒÙÔÓ ÙÔ ÌÂÁ¿ÏÔ Anterior arch width= 0.47 SUI ± 22.38
‡ÚÔ˜ Ù˘ ÙÈÌ‹˜ (16.22 mm) Î·È ‰Â‡ÙÂÚÔÓ Ë ÌÂÁ¿ÏË ÛÙ·- Posterior arch width= 0.45 SUI ± 31.1
ıÂÚ‹ ·fiÎÏÈÛË (SD=3.82). Anterior arch length=0.42 SUI ± 5.7
SUI = 0.86 SLI ± 10.9
™ÙËÓ Û˘Ó¤¯ÂÈ· Ë ÙÈÌ‹ ÁÈ· ÙÔ ÂÁÁ‡˜-¿ˆ ‡ÚÔ˜ ÙˆÓ ¿Óˆ ÙÂÛ-
Û¿ÚˆÓ ÙÔ̤ˆÓ, ÙÔ˘ Ô›ÛıÈÔ˘ Î·È ÚfiÛıÈÔ˘ ‡ÚÔ˘˜ ÙfiÍÔ˘ To evaluate the applicability of these formulas in com-
ÌÂÙÚ‹ıËÎÂ ÌÂ ‚¿ÛË ¤Ó· ÚfiÙ˘Ô Ì·ıËÌ·ÙÈÎfi Ù‡Ô. √ parison to conventional formulas, a pilot study was per-
¶›Ó·Î·˜ 2 Û˘ÁÎÚ›ÓÂÈ ÙȘ ÙÈ̤˜ ∞∞∆, ¶∂∆, √∂∆ Î·È ¶ª∆ Ì formed on 6 students of 14-18 years old (3 boys and 3
·˘Ù¤˜ Ô˘ ‚Ú¤ıËÎ·Ó ·fi ÙËÓ ¯Ú‹ÛË ÙˆÓ ÚÔÙÂÈÓfiÌÂÓˆÓ ‹ girls), according to which we concluded that:
ÚfiÙ˘ˆÓ Ì·ıËÌ·ÙÈÎÒÓ Ù‡ˆÓ. ñ According to Pont formula, the expected value of
anterior arch width (AAW) was 2.13±1.93, while this
™‡Ìʈӷ Ì ٷ ·ÔÙÂϤÛÌ·Ù· ÙÔ˘ paired t-test, ˘‹Ú¯Â study’s formula suggested a value of 1.27±1.3
›Û˘ ÛËÌ·ÓÙÈ΋ ‰È·ÊÔÚ¿ ÌÂٷ͇ ÙÔ˘ Ì‹ÎÔ˘˜ ÙfiÍÔ˘ Ô˘ (p<0.001).
ÌÂÙÚ‹ıËÎÂ Î·È ÙÔ˘ Ì‹ÎÔ˘˜ ÙfiÍÔ˘ Ô˘ ˘ÔÏÔÁ›ÛıËΠ·fi ñ Again, according to Pont formula the expected value
ÙÔÓ Ì·ıËÌ·ÙÈÎfi Ù‡Ô Î·È ·fi ÙȘ ÛÙ·ıÂÚ¤˜ ÙÈ̤˜. of posterior arch width (PAW) was 1.52±1.42, while
(p<0.0001). µÚ¤ıËΠÛÙ·ÙÈÛÙÈο ÛËÌ·ÓÙÈ΋ ‰È·ÊÔÚ¿ ÌÂÙ·- this study’s formula indicated a value of 1.04±0.54
͇ ÙˆÓ ÙÈÌÒÓ Ô˘ ÚÔ‹Ïı·Ó ·fi ÙÔÓ Ì·ıËÌ·ÙÈÎfi Ù‡Ô Î·È (p<0.001).
ÙˆÓ ÛÙ·ıÂÚÒÓ ÙÈ̤˜ ÛÙȘ ÂÚÈÙÒÛÂȘ fiÔ˘ ÌÂÙÚ‹ıËΠÙÔ ñ Furthermore, the value for anterior arch length (AAL)
ÚfiÛıÈÔ ‹ ÙÔ Ô›ÛıÈÔ Â‡ÚÔ˜ ÙfiÍÔ˘ (p<0.0001). ∂Ô̤ӈ˜, based on the conventional formula was 0.69±1.42,
ÔÈ ÚÔÙÂÈÓfiÌÂÓÔÈ Ì·ıËÌ·ÙÈÎÔ› Ù‡ÔÈ ÁÈ· ÙȘ ‰È·ÛÙ¿ÛÂȘ ÙˆÓ while according to this study’s formula it was
Ô‰ÔÓÙÈÎÒÓ ÙfiÍˆÓ Â›Ó·È: calculated as 0.98±0.47 (p<0.001).
¶ÚfiÛıÈÔ Â‡ÚÔ˜ ÙfiÍÔ˘ = 0.47 ∞∞∆ ± 22.38 ñ Finally, Tonn’s formula predicated the SUI value as
√›ÛıÈÔ Â‡ÚÔ˜ ÙfiÍÔ˘ = 0.45 ∞∞∆ ± 31.1 1.24±1.21, while our formula suggested a different
¶ÚfiÛıÈÔ Ì‹ÎÔ˜ ÙfiÍÔ˘ = 0.42 ∞∞∆ ± 5.7 value of 1.23±0.62. However, this difference was not
∞∞∆ = 0.86 ∞∫∆ ± 10.9 significant.
¶›Ó·Î·˜ 2. ª¤Û˜ ÙÈ̤˜ ‰È·ÊÔÚ¿˜, ÛÙ·ıÂÚ¤˜ ·ÔÎÏ›ÛÂȘ Î·È ÛËÌ·ÓÙÈÎfiÙËÙ· ÙˆÓ ÌÂÙÚ‹ÛÂˆÓ ÙˆÓ ‰È·ÛÙ¿ÛÂˆÓ ÙˆÓ Ô‰ÔÓÙÈÎÒÓ ÙfiÍˆÓ Û‡Ìʈӷ ÌÂ
ÙȘ Û˘Ì‚·ÙÈΤ˜ ÌÂÙÚ‹ÛÂȘ Î·È Û‡Ìʈӷ Ì ÙËÓ ‰ÈÎÈ¿ Ì·˜ Â͛ۈÛË.
Table 2. Mean differences, standard deviations and significances of the measurements of dental arch dimensions according to conventional
and to our formula.
ÙÔ˘ ÙfiÍÔ˘ ÛÙËÓ ÂÚÈÔ¯‹ ÙˆÓ ÚÔÁÔÌÊ›ˆÓ Î·È Ì ÙÔ Â‡ÚÔ˜ (Joondeph et al., 1970; Gupta et al., 1979; Stiften et al.,
ÙÔ˘ ÙfiÍÔ˘ ÛÙËÓ ÂÚÈÔ¯‹ ÙˆÓ ÁÔÌÊ›ˆÓ ‹Ù·Ó 0.48. √È ·Ú·- 1985) while others (Ferrario et al., 1994; Dalidjan et al.
¿Óˆ ÙÈ̤˜ Â›Ó·È ·ÚfiÌÔȘ Ì ٷ ·ÔÙÂϤÛÌ·Ù· Ù˘ 1995) assume less clinical applicability for that.
·ÚÔ‡Û·˜ ÌÂϤÙ˘. √ Stiften Î·È Û˘Ó. (1958), ‰‹ÏˆÛ·Ó Based upon the results of present study, AAL can be pre-
fiÙÈ ÛÙȘ ÂÚÈÙÒÛÂȘ Ì ȉ·ÓÈ΋ Û‡ÁÎÏÂÈÛË ˘¿Ú¯ÂÈ ÛËÌ·- dicted from SUI (r=0.62).
ÓÙÈ΋ Û˘Û¯¤ÙÈÛË ÌÂٷ͇ ÙÔ˘ Û˘ÓÔÏÈÎÔ‡ ‡ÚÔ˘˜ ÙˆÓ ÙÔ̤- To analyze dental arch form, palatal index (PI) has been
ˆÓ Ì ÙÔ Ô›ÛıÈÔ Î·È ÙÔ ÚfiÛıÈÔ Â‡ÚÔ˜ ÙÔ˘ Ô‰ÔÓÙÈÎÔ‡ studied by some researchers. However selection of vari-
ÙfiÍÔ˘. eties of reference points and different methodology of
ªÈ· ¿ÏÏË ¤Ú¢ӷ Ú·ÁÌ·ÙÔÔÈ‹ıËΠ·fi ÙÔÓ Bolton research has attributed to different or perhaps incompa-
(·Ó·Ê¤ÚÂÙ·È ÛÙÔ˘˜ Rakosi Î·È Û˘Ó., 1993) ÁÈ· ÙËÓ ‰ÈÂÚ‡- rable results. Not to mention the fact that the difference
ÓËÛË Ù˘ Èı·Ó‹˜ Û˘Û¯¤ÙÈÛ˘ ÌÂٷ͇ ÙÔ˘ ‡ÚÔ˘˜ ÙˆÓ ¿Óˆ in findings may be related to the method of sampling
Ì ÙÔ˘˜ οو ÙÔÌ›˜. ∫·È Û ·˘Ù‹ ÙËÓ ÌÂϤÙË ‚Ú¤ıËΠıÂÙÈ- and measurement.
Îfi˜ Û˘Û¯ÂÙÈÛÌfi˜ ÌÂٷ͇ ∞∞∆ Î·È ∞∫∆ (r=0.69). According to statistical analysis, it can be concluded that
√ Joodeph Î·È Û˘Ó. (1970) ÂÚ‡ÓËÛ·Ó ÂÚÈÛÙ·ÙÈο 10 there is a significant difference between PAW and AAW
¯ÚfiÓÈ· ÌÂÙ¿ ÙÔ Ù¤ÏÔ˜ Ù˘ Û˘ÁÎÚ¿ÙËÛ˘ Î·È ‚Ú‹Î·Ó ·‰‡- values of our introduced indices with other indices in
Ó·ÌÔ Û˘Û¯ÂÙÈÛÌfi (r=0.2-0.3) ÌÂٷ͇ ÙÔ˘ ·ıÚÔ›ÛÌ·ÙÔ˜ ÙÔ˘ orthodontic literature. As such, the findings of present
‡ÚÔ˘˜ ÙˆÓ ÙÔ̤ˆÓ Î·È ÙÔ˘ ‡ÚÔ˘˜ ÙÔ˘ Ô‰ÔÓÙÈÎÔ‡ ÙfiÍÔ˘. study are more applicable for Iranian population. This
ªÈ· ¿ÏÏË ÌÂϤÙË Ô˘ ‚·Û›ÛÙËΠÛÙÔÓ ‰Â›ÎÙË ÙÔ˘ Pont was re-evaluated in subsequent above-mentioned pilot
Ú·ÁÌ·ÙÔÔÈ‹ıËΠ·fi ÙÔ˘˜ Dalidjan Î·È Û˘Ó., (1995) Û study. Furthermore, this unpublished study proposed a
ÙÚÂȘ ‰È·ÊÔÚÂÙÈΤ˜ ÂıÓÈΤ˜ ÔÌ¿‰Â˜, Ì ۯ‰ȷÛÌfi ‰È·¯ˆÚÈ- formula different from Tonn's, suitable for Iranian ado-
ÛÌÔ‡ ʇÏÔ˘. ™‡Ìʈӷ Ì ·˘ÙÔ‡˜, ‰ÂÓ ˘‹Ú¯·Ó Û·Ê›˜ lescents. However, there is a debate concerning the rea-
·Ô‰Â›ÍÂȘ fiÙÈ ÔÈ ‰È·ÊÔÚ¤˜ ʇÏÔ˘ Â›Ó·È ÎÚÈÙ‹ÚÈÔ ·ÍÈÔÏfi- sons for such differences. Undoubtedly, factors, such as
ÁËÛ˘. ∏ ÂÚÂ˘Ó¿ ÙÔ˘˜ ¤‰ÂÈÍ ·‰‡Ó·ÌË Û˘Û¯¤ÙÈÛË (r=0.2- tonicity of soft tissue surrounding dental arch, dental
0.4) Î·È Û ÔÚÈṲ̂Ó˜ ÂÚÈÙÒÛÂȘ Û¯ÂÙÈο ·‰‡Ó·ÌË arch form related to ethnic groups, complexity of dento-
Û˘Û¯¤ÙÈÛË (r=0.4-0.5) ·Ó¿ÌÂÛ· ÛÙȘ ˘fi ÂͤٷÛË ÌÂÙ·‚ÏË- facial relations, and dental occlusion pattern, may influ-
Ù¤˜. ∂Ô̤ӈ˜, Ô ‰Â›ÎÙ˘ ÙÔ˘ Pont ¤¯ÂÈ ˘ÔÛÙËÚȯı› ·fi ence to some extent the clinical applicability of these
ÔÚÈṲ̂ÓÔ˘˜ Û˘ÁÁÚ·Ê›˜ (Joondeph Î·È Û˘Ó., 1970; Gupta indices (Harris et al., 1997).
Î·È Û˘Ó., 1979; Stiften Î·È Û˘Ó., 1985) ÂÓÒ ¿ÏÏÔÈ ıˆ-
ÚÔ‡Ó fiÙÈ ¤¯ÂÈ ÌÈÎÚfiÙÂÚË ‰˘Ó·ÙfiÙËÙ· ÎÏÈÓÈ΋˜ ÂÊ·ÚÌÔÁ‹˜. CONCLUSIONS
ªÂ ‚¿ÛË Ù· ·ÔÙÂϤÛÌ·Ù· Ù˘ ·ÚÔ‡Û·˜ ÌÂϤÙ˘, ÙÔ ¶∂∆
ÌÔÚ› Ó· ÚÔ‚ÏÂÊı› ·fi ÙÔ ∞∞∆ (r=0.62). Even though, Pont’s Index and Tonn’s formula are not
°È· ÙËÓ ·Ó¿Ï˘ÛË Ù˘ ÌÔÚÊ‹˜ ÙÔ˘ Ô‰ÔÓÙÈÎÔ‡ ÙfiÍÔ˘, ÔÚÈ- the sole diagnostic tools in orthodontics, they can be
Ṳ̂ÓÔÈ ÂÚ¢ÓËÙ¤˜ ¯ÚËÛÈÌÔÔ›ËÛ·Ó ÙÔÓ ˘ÂÚÒÈÔ ‰Â›ÎÙË reliable guides for a treatment planning. According to
(Palatal Index = PI). øÛÙfiÛÔ, Ë ÂÈÏÔÁ‹ ‰È·ÊÔÚÂÙÈÎÒÓ the results of this study, both formulas may be used for
ÛËÌ›ˆÓ ·Ó·ÊÔÚ¿˜ Î·È ‰È·ÊÔÚÂÙÈ΋˜ ÌÂıÔ‰ÔÏÔÁ›·˜ ›¯·Ó diagnostic purposes for the Iranian children, taking how-
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Û ·È‰È¿ ÛÙÔ πÚ¿Ó, ·›ÚÓÔÓÙ·˜ ‚¤‚·È· ÙȘ ˘¿Ú¯Ô˘Û˜
‰È·ÊÔÚ¤˜ ˘ã fi„ÈÓ.
¢È‡ı˘ÓÛË ÁÈ· ·Ó¿Ù˘·:
Reprint requests:
Assoc. Prof. A Hamid Zafarmand
Department of Orthodontics
Shaheed Beheshti University of Medical Sciences
School of Dental Medicine
Tehran, Iran.
E-mail: ahzafarmand@hotmail.com