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Accuracy in Mixed Dentition Arch Length Discrepancy Prediction Methods in Surabayan Children
Alexander Patera Nugraha1,2, Andree Salim1, Delfia Amanda Putri1
1Department of Orthodontics, Faculty of Dental Medicine, Airlangga University, Surabaya, Indonesia.
European Journal of Dentistry
|January 8, 2026
Summary
Arch length discrepancy (ALD) analysis is crucial for orthodontic treatment. This study found significant differences in maxillary arch length discrepancy using Moyers, Sitepu, and Tanaka-Johnston methods in growing children.
Area of Science:
- Dentistry
- Orthodontics
- Pediatric Dentistry
Background:
- Accurate space evaluation in malocclusion is essential for effective orthodontic interceptive treatment.
- Arch length discrepancy (ALD) analysis is a key tool during the mixed dentition (MD) and growth and development stages (GDS).
Purpose of the Study:
- To analyze ALD using Sitepu, Moyers, and Tanaka-Johnston methods.
- To compare ALD measurement techniques (brass wire and segmentation) in Javanese children with Angle's Class I malocclusion during MD and GDS.
Main Methods:
- Sixty study models of Javanese children in MD and GDS were analyzed.
- Cervical vertebral maturation stage determined GDS, and Steiner's analysis assessed skeletal malocclusion.
- ALD analysis employed Moyers, Sitepu, and Tanaka-Johnston methods, alongside brass wire and segmentation techniques.
Main Results:
- Statistically significant differences in ALD were found for the maxillary arch (p < 0.05), but not the mandibular arch (p > 0.05).
- Significant differences existed between Moyers and Sitepu methods in the maxillary arch (p < 0.05).
- A significant difference was observed between Moyers segmented and brass wire methods in the maxilla (p < 0.05).
Conclusions:
- The Moyers, Sitepu, and Tanaka-Johnston methods show statistically significant differences in maxillary arch length discrepancy during mixed dentition and growth stages.
- No significant differences were found in mandibular arch length discrepancy among these methods.
- The choice of ALD analysis method can impact treatment planning for growing orthodontic patients.

