Bolton Tooth-Size Ratio

Bolton anterior and overall tooth-size ratios against 77.2% and 91.3%, with the excess in mm.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Maxillary canine-to-canine sum of widths
47.5 mm
Mandibular canine-to-canine sum of widths
37.4 mm
Maxillary first-molar-to-first-molar sum
96.4 mm
Mandibular first-molar-to-first-molar sum
88.9 mm

Result: Anterior ratio (canine to canine) 78.7% against Bolton's 77.2% (SD 1.65): within 1 SD, a mandibular excess of 0.7 mm. Overall ratio (first molar to first molar) 92.2% against Bolton's 91.3% (SD 1.91): within 1 SD, a mandibular excess of 0.9 mm.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Maxillary canine-to-canine sum of widths
  • Mandibular canine-to-canine sum of widths
  • Maxillary first-molar-to-first-molar sum
  • Mandibular first-molar-to-first-molar sum
How this is calculated

Citation

Bolton WA. Disharmony in tooth size and its relation to the analysis and treatment of malocclusion. Angle Orthod. 1958;28(3):113-130. Read the sources: J Clin Med 2026 ↗, Cureus 2026 ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.