The purpose of this study was to determine whether there is a prevalent ten
dency for intermaxillary tooth size discrepancies among different malocclus
ion groups. This study consisted of 60 subjects who served as the normal oc
clusion group and 300 patients divided into 5 malocclusion groups (ie, Clas
s I with bimaxillary protrusion, Class II Division 1,Class II Division 2, C
lass III, and Class III surgery). Tooth size measurements were performed on
the models of normal occlusion and pretreatment models of patients by the
Three Dimension Measuring Machine. Moreover, tooth size ratios, analyzed as
described by Bolton and the Student t test showed no sexual dimorphism for
these ratios in each of 6 groups, so the sexes were combined for each grou
p. Then these ratios were compared among different malocclusion groups. The
results showed no significant difference between subcategories of malocclu
sion, so these groups were combined. There were now 120 cases in each of 3
categories: Class I, Class II, and Class III. A significant difference was
found for all the ratios between the groups, the ratios showing that Class
III > Class I > Class II. It demonstrated that intermaxillary tooth size di
screpancy may be one of the important factors in the cause of malocclusions
, especially in Class II and Class III malocclusions. Thus this study prove
d the fact that Bolton analysis should be taken into consideration during o
rthodontic diagnosis and therapy.