Comparative Analysis of Maxillary Central Incisor Width, Length, and Proportions between Genders

Authors

  • Abdullah Assistant Professor, Department of Prosthodontics, Saidu College of Dentistry, Saidu Sharif Swat, Khyber Pakhtunkhwa, Pakistan.
  • Samia Rahman Department of Orthodontics, Saidu College of Dentistry, Saidu Sharif Swat, Khyber Pakhtunkhwa, Pakistan.

DOI:

https://doi.org/10.65293/jbkcd.v2i02.22

Keywords:

Incisor, Maxilla, Sex Characteristics, Tooth Crown/Anatomy & Histology, Forensic Dentistry, Esthetics, Dental Caries

Abstract

Objective: To compare the width, length, and width-to-length ratio of the right and left maxillary central incisors between males and females.
Study Design: A cross-sectional study
Place and Duration of Study: Department of Prosthodontics, Saidu College of Dentistry, Saidu Sharif, Swat, Pakistan; from January 2023 to December 2023.
Materials and Methods: One hundred fifty participants (75 males; 75 females) were included. Mesiodistal width and gingivo-incisal length of right and left MCI were measured on casts using a digital Vernier caliper (0.01 mm). Group means were compared with independent-samples t-tests (two-sided α = 0.05); Cohen’s d and 95% CIs were reported.
Results: Males showed larger MCI dimensions than females. For the right MCI, width was 8.6 ± 0.4 mm in males vs 8.2 ± 0.3 mm in females (p < 0.001; d = 0.89), and length was 11.2 ± 0.5 mm vs 10.8 ± 0.4 mm (p < 0.001; d = 0.82). For the left MCI, width was 8.5 ± 0.4 mm vs 8.1 ± 0.3 mm (p < 0.001; d = 0.87), and length was 11.1 ± 0.5 mm vs 10.7 ± 0.4 mm (p < 0.001; d = 0.80). Differences in the W/L ratio were small (right: p = 0.051; d = 0.32; left: p = 0.034; d = 0.35).
Conclusion: Maxillary central incisors exhibit clear sexual dimorphism in size—males have broader and longer crowns—while the W/L ratio remains relatively stable between sexes, indicating maintained proportionality. These findings inform esthetic tooth selection and forensic identification.

Author Biography

Abdullah, Assistant Professor, Department of Prosthodontics, Saidu College of Dentistry, Saidu Sharif Swat, Khyber Pakhtunkhwa, Pakistan.

Corresponding Author: drabdullahscd@gmail.com

References

1. Bhochhibhoya A, Shrestha R, Guragain M, Sharma R, Joshi K. Clinical crown length, width and the width/length ratio of the maxillary central incisor among patients reporting to a tertiary care center in Nepal. J Nepal Prosthodont Soc. 2022;5(2):71–7.

2. Azim A, Shah JU, Ayub N, Ishaq W, Khattak MU, Kamal H. Gender-wise variations of width, length, and width-length ratio of right and left maxillary central incisors (MCI). Pak Oral Dent J. 2024;44:4–8.

3. Vadavadagi SV, Hombesh MN, Choudhury GK, Deshpande S, Anusha CV, Murthy DK. Variation in size and form between left and right maxillary central incisor teeth. J Int Oral Health. 2015;7(2):33–6.

4. Chaudhari CS, Dange SP, Khalikar AS. Golden rectangle ratio - how precious is it? A clinical study. IOSR J Dent Med Sci. 2024;13(5):1–6.

5. Varghese P, Cherian B, Sukumaran B, Anu S, Jacob BM, Raja VV. Analysis of geometric proportions on maxillary anterior teeth for esthetic smile design: An in vivo study. J Pharm Bioallied Sci [Internet]. 2021;13(Suppl 1):S778–82. Available from: http://dx.doi.org/10.4103/jpbs.JPBS_808_20

6. Ahmed N, Halim MS, Ab-Ghani Z, Abbasi MS, Aslam A, Safdar J, et al. The analysis of facio-dental proportions to determine the width of maxillary anterior teeth: A clinical study. J Clin Med [Internet]. 2022;11(24):7340. Available from: http://dx.doi.org/10.3390/jcm11247340

7. Liao P, Fan Y, Nathanson D. Evaluation of maxillary anterior teeth width: A systematic review. J Prosthet Dent [Internet]. 2019;122(3):275-281.e7. Available from: http://dx.doi.org/10.1016/j.prosdent.2018.10.015

8. Ahmed N, Halim MSB, Ghani ZA, Khan ZA, Abbasi MS, Jamayet NB, et al. A 2D photographic and 3D digital dental model analysis of golden percentage in maxillary anterior teeth. Biomed Res Int [Internet]. 2021;2021:6674400. Available from: http://dx.doi.org/10.1155/2021/6674400

9. Ahmed N, Halim MS, Khalid S, Ghani ZA, Jamayet NB. Evaluation of golden percentage in natural maxillary anterior teeth width: A systematic review. J Prosthet Dent [Internet]. 2022;127(6):845.e1-845.e9. Available from: http://dx.doi.org/10.1016/j.prosdent.2021.06.015

10. Forster A, Velez R, Antal M, Nagy K. Width ratios in the anterior maxillary region in a Hungarian population: addition to the golden proportion debate. J Prosthet Dent [Internet]. 2013;110(3):211–5. Available from: http://dx.doi.org/10.1016/S0022-3913(13)60359-5

11. Rokaya D, Kitisubkanchana J, Wonglamsam A, Santiwong P, Srithavaj T, Humagain M. Nepalese Esthetic Dental (NED) proportion in Nepalese population. Kathmandu Univ Med J (KUMJ) [Internet]. 2015;13(51):244–9. Available from: http://dx.doi.org/10.3126/kumj.v13i3.16816

12. Al-Marzok MI, Majeed KRA, Ibrahim IK. Evaluation of maxillary anterior teeth and their relation to the golden proportion in Malaysian population. BMC Oral Health [Internet]. 2013;13(1):9. Available from: http://dx.doi.org/10.1186/1472-6831-13-9

13. Agrawal VS, Kapoor S, Bhesania D, Shah C. Comparative photographic evaluation of various geometric and mathematical proportions of maxillary anterior teeth: A clinical study. Indian J Dent Res [Internet]. 2016;27(1):32–6. Available from: http://dx.doi.org/10.4103/0970-9290.179811

14. Wadud A, Kitisubkanchana J, Santiwong P, Srithavaj MLT. Face proportions, and analysis of maxillary anterior teeth and facial proportions in a Thai population. Open Dent J [Internet]. 2021;15(1):398–404. Available from: http://dx.doi.org/10.2174/1874210602115010398

15. Özdemir H, Köseoğlu M, Bayindir F. An investigation of the esthetic indicators of maxillary anterior teeth in young Turkish people. J Prosthet Dent [Internet]. 2018;120(4):583–8. Available from: http://dx.doi.org/10.1016/j.prosdent.2017.12.015

16. Al-Kaisy N, Garib BT. Analysis of the golden proportion and width/height ratios of maxillary anterior teeth in Arab and Kurdish populations. J Prosthet Dent [Internet]. 2018;119(6):981–6. Available from: http://dx.doi.org/10.1016/j.prosdent.2017.08.017

17. Mahajan V, Nagpal A, Gupta R, Vaidya S, Jabeen F, Thakur K. Comparative evaluation of Golden Proportion, Recurring Esthetic Dental proportion and Golden Percentage in himachal demographic. J Adv Med Med Res [Internet]. 2019;1–7. Available from: http://dx.doi.org/10.9734/jammr/2019/v29i1030133

18. Kantrong N, Traiveat K, Wongkhantee S. Natural upper anterior teeth display an increasing proportion in mesio-distal direction. J Clin Exp Dent [Internet]. 2019;11(10):e890–7. Available from: http://dx.doi.org/10.4317/jced.56206

19. Aldegheishem A, Azam A, Al-Madi E, Abu-Khalaf L, Bani Ali B, Anweigi L. Golden proportion evaluation in maxillary anterior teeth amongst Saudi population in Riyadh. Saudi Dent J [Internet]. 2019;31(3):322–9. Available from: http://dx.doi.org/10.1016/j.sdentj.2019.03.001

20. Maharjan A, Joshi S. Clinical evaluation of maxillary anterior teeth in relation to golden proportion, red proportion and golden percentage. J Nepal Health Res Counc [Internet]. 2018;16(1):11–5. Available from: http://dx.doi.org/10.3126/jnhrc.v16i1.19382

21. Rodríguez-López S, Escobedo Martínez MF, Pesquera Velasco J, Junquera L, García-Pola M. Analysis of dental esthetic proportions in a Spanish population sample. J Oral Sci [Internet]. 2021;63(3):257–62. Available from: http://dx.doi.org/10.2334/josnusd.21-0019

22. Londono J, Ghasemi S, Lawand G, Dashti M. Evaluation of the golden proportion in the natural dentition: A systematic review and meta-analysis. J Prosthet Dent [Internet]. 2023;129(5):696–702. Available from: http://dx.doi.org/10.1016/j.prosdent.2021.07.020

23. Swelem AA, Al-Rafah EM. Evaluation of “Golden Proportion” in Saudi individuals with natural smiles. Saudi Dent J [Internet]. 2019;31(2):277–83. Available from: http://dx.doi.org/10.1016/j.sdentj.2019.01.012

24. Kalia R. An analysis of the aesthetic proportions of anterior maxillary teeth in a UK population. Br Dent J [Internet]. 2020;228(6):449–55. Available from: http://dx.doi.org/10.1038/s41415-020-1329-9

25. Alqahtani AS, Habib SR, Ali M, Alshahrani AS, Alotaibi NM, Alahaidib FA. Maxillary anterior teeth dimension and relative width proportion in a Saudi subpopulation. J Taibah Univ Med Sci [Internet]. 2021;16(2):209–16. Available from: http://dx.doi.org/10.1016/j.jtumed.2020.12.009

Downloads

Published

2024-12-31

How to Cite

1.
Abdullah, Rahman S. Comparative Analysis of Maxillary Central Incisor Width, Length, and Proportions between Genders. JBKCD [Internet]. 2024 Dec. 31 [cited 2026 May 20];2(02):14-20. Available from: https://jbkcd.bkcd.edu.pk/index.php/website/article/view/22

Issue

Section

Original Articles