INTRODUCTION: Previous studies have shown that populations differ with respect to interarch tooth-size relationships, and differences in tooth sizes are not systematic. The aims of this study were to determine the Bolton ratios in Spanish subjects. METHODS: We used a digital method and measured the casts to the nearest 0.05 mm. The sample consisted of 100 pairs of dental casts of Spanish subjects. The Kolmogorov-Smirnov test, t test, and 95% confidence intervals were used. RESULTS: Anterior tooth-width ratios were 78.31% +/- 2.59% for women and 78.34% +/- 2.16% for men (P = .955). Total tooth-width ratios were 91.91% +/- 2.04% for women and 92.10% +/- 1.73% for men (P = .668). No significant differences were found in tooth-width ratios according to sex, so the sexes were pooled and new ratios calculated: 78.32% +/- 2.45%, CI 95% (77.83%-78.81%), for the anterior tooth-width ratio and 91.97% +/- 1.95%, CI 95% (91.58%-92.35%), for the total tooth-width ratio. CONCLUSIONS: Twenty-one percent of the subjects had a significant anterior discrepancy (greater than 2 SD from Bolton's), and 5% had a total discrepancy. Differences between Spanish values and Bolton's were significant, and specific standards for Spanish people might be needed.
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