Objective: The purpose of this study was to evaluate the role of Angle's class, overall ratio and anterior ratio in the creation of tooth size discrepancies, and to determine whether any tooth extraction combinations create more severe discrepancies.
Methods: 166 dental casts of orthodontic patients were selected randomly. These models were classified according to angle's criterion. Mesio-distal dimensions of mandibular and maxillary teeth were measured before treatment, and subjected to Bolton's analysis. Hypothetical tooth extraction by the following combinations: all the first premolars, all the second premolars, upper first and lower second premolars, and upper second and lower first premolars, was performed on each patient. The measurement results were again subjected to Bolton's analysis to see whether any tooth-size discrepancy had been created. The results were evaluated statistically by means of Logistic regression model.
Results: Overall ratio, anterior ratio and extraction models affected mesio-distal tooth size ratio of both maxillary and mandibular teeth in the final stage of orthodontic treatment, Whereas, the results showed no significant difference among these groups of malocclusion.
Conclusion: The results suggested that dentists should always keep in mind that each patient should be treated individually and should be aware of that other factors also played important roles in determining what teeth, if any, should be removed and the Bolton analyses of all kinds of extraction models should be carried out, as well as the general Bolton analysis.