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Bolton tooth-size ratio calculator

Compares upper and lower tooth widths to flag a size mismatch before orthodontic treatment.

What this calculator does

Bolton tooth-size ratio works out compares upper and lower tooth widths to flag a size mismatch before orthodontic treatment. Enter your own figures above and the answer updates as you type: nothing is fixed in the code, so the result reflects exactly the numbers you supply.

The formula this calculator evaluates is printed under the tool and explained below, so you can check the working by hand or reuse it in a spreadsheet.

The formula

FormulaAnterior ratio = mandibular 6-tooth sum / maxillary 6-tooth sum × 100 (mean 77.2%). Overall ratio = mandibular 12-tooth sum / maxillary 12-tooth sum × 100 (mean 91.3%)

The inputs explained

FieldWhat to enter
Mandibular anterior width sum (6 teeth) (mm)A number, measured in mm. Starts at 36.8.
Maxillary anterior width sum (6 teeth) (mm)A number, measured in mm. Starts at 47.7.
Mandibular total width sum (12 teeth) (mm)A number, measured in mm. Starts at 104.9.
Maxillary total width sum (12 teeth) (mm)A number, measured in mm. Starts at 114.9.

Worked examples

Every figure in the tables below is produced by this page’s own calculator at build time, so the numbers and the tool always agree. Select any row to load that scenario.

How the answer changes with mandibular anterior width sum (6 teeth)

Every other input is held at the calculator’s starting values while mandibular anterior width sum (6 teeth) varies. Select any row to load that scenario into the calculator.

How the answer changes with mandibular anterior width sum (6 teeth)
Mandibular anterior width sum (6 teeth) (mm)Anterior ratioOverall ratioStandard means (Bolton, 1958)
18.438.6%91.3%Anterior 77.2% · Overall 91.3%
27.657.9%91.3%Anterior 77.2% · Overall 91.3%
36.877.1%91.3%Anterior 77.2% · Overall 91.3%
55.2115.7%91.3%Anterior 77.2% · Overall 91.3%
73.6154.3%91.3%Anterior 77.2% · Overall 91.3%
110230.6%91.3%Anterior 77.2% · Overall 91.3%