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Carey's Analysis in Orthodontics

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17 views28 pages

Carey's Analysis in Orthodontics

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© All Rights Reserved
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Available Formats
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MODEL ANALYSIS

Model analysis involves the study of the


maxillary & mandibular dental arches in all the
three planes of space (sagittal, vertical &
transverse planes) which is a valuable tool in
orthodontic diagnosis and treatment planning.

DEFINITION
Carey’s Analysis

Asley–Howe Analysis

TOOTH SIZE-ARCH Pont’s Analysis.


WIDTH
DISCREPANCY Linder Harth Analysis

Bolton’s Analysis
 Difference between the basal bone and the tooth
material i.e. in determining the extent of

CAREY’S Discrepancy.

ANALYSIS  Performed on lower cast


 Arch length anterior to 1st premolar is
measured using a soft brass wire.
 Wire is placed contacting the mesial
surface of 1st molar of one side - passed
over the buccal cusps of the premolars -
continued on opposite side in the same way
DETERMINATION up to the mesial surface of opposite 1st
OF molar.

ARCH LENGTH  Proclined Anteriors – wire is passed along


cingulum of anterior teeth.
 Retroclined Anteriors – wire is passed
labial to the teeth.
 Well Aligned Anteriors – wire is passed
over incisal edge of anteriors
DETERMINATION  Sum of mesio distal width of teeth anterior to
OF 1 molars (2nd premolars – 2nd premolars)
TOOTH MATERIAL
Difference between Arch length & Tooth
material :
DETERMINATION OF  0 – 2.5 mm :- min. tooth material excess –
proximal stripping can be considered ( non
DISCREPANCY extraction approach)
 2.5 – 5 mm :- need to extract 2nd premolars
 > 5 mm :- need to extract 1st premolars
 Difference between the basal bone and the
ARCH tooth material i.e. in determining the extent
of Discrepancy.
PERIMETER  Same as Carey’s analysis.
ANALYSIS  Analysis is done in maxillary cast.
 Ashley Howe considered tooth crowding to be
due to deficiency in arch width rather than
arch length.

ASHLEY
HOWE’S
ANALYSIS
 The mesio distal width of all the teeth mesial
to the 2nd molars is measured and the values
are summed up. This value is called Total
Tooth material (TTM).
Determination
of total tooth
material.
 Above the maxillary first bicuspids and below
of mandibular first bicuspids.
 The canine fossa is found distal to the canine
eminence.
Determination  The measurement of the width from canine
of Premolar fossa of one side to the canine fossa of other.
Basal Arch
Width
(P.M.B.A.W)
 Premolar diameter (PMD) is the arch width measured at
the top of the buccal cusps of the first premolars
Determination of
Premolar
diameter.
(P.M.D)
Determination of the percentage of arch length
to the tooth material.

B.A.L = %
TTM

The percentage relationship is more important


than the actual measurement.
INFERENCE
 Pont suggested that the ratio of combined
incisor to arch width ( as measured from the
center of the occlusal surface of the teeth)
was ideally 0.8 in the bicuspid area and 0.64
in the first molar area.
 Pont’s analysis helps in,

PONT’S a) Determining whether dental arch is narrow


or is normal.
ANALYSIS b) Determining the need for lateral arch
expansion.
c) Determining how much expansion is
possible at the premolar and molar
regions.
Determination of sum of Determination of measured Determination of measured
incisors (S.I) premolar value (M.P.V) molar value (M.M.V)

Determination of calculated Determination of calculated


premolar value (C.P.V) molar value (C.M.V)
 Measured value is less than the calculated
value - arch is narrow for the sum incisors
width - needs expansion.

INFERENCE  Measured value is greater than the calculated


value - arch is wider - no scope for the
expansion.
Similar to Pont-Index

 He made a variation in the formula to


determine the calculated premolar and
molar value

LINDER
 Ideal value anterior arch width = SI x
HARTH 100
ANALYSIS
85

Ideal value posterior arch width = SI x


100
64
BOLTON  It considers the ratio of tooth material of
maxillary arch to mandibular arch.
ANALYSIS
 Sum of mandibular 12.
 Sum of maxillary 12.
 Sum of mandibular 6.
 Sum of maxillary 6.
MEASUREMENTS
 Overall Ratio.
 Anterior Ratio.
Overall Ratio = Sum of mandibular 12 X 100
Sum of maxillary 12

Determination 1. If ratio is less than 91.3%, maxillary tooth


Of Overall material excess.
Ratio
2. If ratio is more than 91.3%, Mandibular

tooth material excess.


Amount of
 Maxillary 12 – Mandibular 12 X 100
maxillary
excess is 91.3

determined by
Amount of
 Mandibular - Maxillary 12 X 91.3
mandibular
excess is 100

determined by
Anterior Ratio = Sum of mandibular 6 X 100
Sum of maxillary 6

Determination 1) If ratio is less than 77.2%, maxillary

Of Anterior anterior excess.


Ratio 2) If ratio is more than 77.2%, Mandibular

anterior excess.
AIM : To compare the space available
for unerupted permanent canine &
premolars with the space needed.
The difference gives us the amount
MIXED - of crowding or spacing that can be
DENTITION expected.
ANALYSIS 3 basic approaches
i. Measurement of teeth on radiograph
ii. Estimation from proportionality tables.
iii. A combined approach of collecting data
from radiographs & prediction tables.
The size of unerupted permanent cuspids &
MOYERS premolars are predicted from the knowledge

MIXED of sizes of erupted permanent teeth.

DENTITION The mesio-distal width of 4 lower incisors are


ANALYSIS measured & summed up.
The space available for permanent cuspids &
premolars is determined by measuring the
distance between lateral incisor & mesial
surface of permanent 1st molar.

PROCEDURE The predicted tooth size of permanent


cuspids & premolars is compared with the
arch length available to determine the
discrepancy.
Given by Tanaka & Johnston in 1974.

The width of the lower incisors to predict the


widths of unerupted canines & premolars of
TANAKA upper & lower arches.

JOHNSTON Tanaka and Johnston prediction values


METHOD Estimated
+10.5m mandibular
width
canine
of
and
One half of m premolars in one
the quadrant
mesiodistal Estimated width of
width of the +11.0m maxillary canine and
four lower m premolars in one
incisors quadrant
THANK YOU

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