The importance of analyzing dental volume and Bolton discrepancy for excellent orthodontic finishing – case report

Vol. 15 – Number 58 – 2022 Case report Page 22-29 The importance of analyzing dental volume and Bolton discrepancy for excellent orthodontic finishing – case report Marcelo de Morais Curado1 Raíssa de Oliveira Leite2 Bruno Lima Minervino3 Cristiany Albuquerque Silveira Gomes4 Marcelo Sousa Gomes5 Abstract Recognizing the presence of discrepancies in the teeth size between the mandibular and maxillary arches is essential to obtain a correct orthodontic diagnosis and treatment. Bolton analysis is a methodology able to verify discrepancies in the teeth size both in the maxilla and the mandible, that can negatively affect a correct dental relationship, which is expected after the corrective orthodontic treatment. In the present study, a clinical case report aiming to resolve Bolton discrepancy present in the upper incisors is presented. However, only orthodontic intervention may not provide satisfactory results regarding to aesthetics, as individual dental characteristics (size, shape, proportion, height, width) do not change with this therapeutic aspect. Therefore, interdisciplinary treatment is necessary to obtain better functional and aesthetic results. The presence of Bolton discrepancy is frequent in the orthodontist’s day-to-day life and the detailed diagnosis associated with an adequate treatment plan allows to obtain excellent results as observed in the case described. Descriptors: Bolton discrepancy, analysis, dental anatomy, dental aesthetics. 1 Department of Orthodontics – UNICEPLAC, Lecturer – ABO Taguatinga, Lecturer and Coord. – Postgraduate – SL Mandic. 2 Undergraduate student at the Department of Orthodontics – UNICEPLAC. 3 Department of Orthodontics – UNICEPLAC, Lecturer and Coordinator. – Post-graduation – UNIABO – Reg Taguatinga. 4 Postgraduate Orthodontics – UNIUBE, Postgraduate Studies in Orthodontics – IOA. 5 Post-Doctoral Student, Doctor, Master and Specialist in Orthodontics and Functional Orthopedics of the Jaws, Coordinator of the Specialization Course in Orthodontics – IOA DF and UNIUBE MG. DOI: 10.24077/2022;1557-0192076