The curve of Spee revisited

Abstract

Through the use of a sophisticated measuring device and support computer technology, accurate arch circumferences were determined for 27 casts that exhibited moderate to severe curves of Spee. Arch circumference differences were subsequently obtained by comparing the measured arch length to a planar projection formed by the center of the incisal tips anteriorly and the distobuccal cusp tips of the second molars distally. A general relationship has been derived for the arch circumference differential, resulting from the elimination of the curve of Spee, versus the severity of the curve. The arch circumference reduction is considerably less than that found by earlier investigators, implying that the incisor protrusion often associated with leveling the curve of Spee is not primarily due to the aforementioned differential, but rather more directly due to the mechanics used in leveling the curve of Spee.