Turkish Journal of Orthodontics最新文献

{"title":"Accuracy of 3D Printer Technologies Using Digital Dental Models.","authors":"Şule Gökmen, Serkan Görgülü, Kübra Gülnur Topsakal, Gökhan Serhat Duran","doi":"10.4274/TurkJOrthod.2024.2023.8","DOIUrl":"10.4274/TurkJOrthod.2024.2023.8","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the manufacturing accuracy of different printing techniques - Stereolithography (SLA), Digital Light Processing (DLP), and PolyJet-using digital dental models.</p><p><strong>Methods: </strong>The study included cast models of 30 patients aged between 12 and 20 years. The selected models were scanned using an intraoral scanner, and surface topography format files were obtained. The models were produced from 3D printers with SLA, DLP, and PolyJet technology and scanned with an intraoral scanner. The digital files of the reference and printed models were superimposed with reverse engineering software. Root mean squared (RMS) values and point registration differences were evaluated. Furthermore, digital mesiodistal measurements of the teeth were taken to determine the point registration deviation values. Descriptive statistics were used to evaluate the measurements. ANOVA was used to evaluate differences between normally distributed data. In addition, a box plot was used to show the variability in the measurements, and the Bland-Altman test was used to examine the agreement between the measurements.</p><p><strong>Results: </strong>According to the digital superimposition data of DLP-SLA-PolyJet technologies, PolyJet had the smallest RMS (0.145±0.10 mm), followed by DLP and SLA (0.161±0.12 mm and 0.345±0.23 mm, respectively). In the mesiodistal dimensional measurement evaluations, there was no statistically significant difference (p>0.05) between the averages of the main reference and DLP, PolyJet, and SLA measurements for all teeth.</p><p><strong>Conclusion: </strong>According to the results of this study, all three production technologies are clinically usable at the model production stage. However, SLA was found to be less accurate than DLP and PolyJet.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 4","pages":"257-264"},"PeriodicalIF":0.8,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Effects of Fixed and Removable Functional Orthodontic Treatment on the Mandibular Trabecular Bone in Fractal Analysis.","authors":"Nurver Karslı, Can Arslan, Derya Germeç Çakan, Ayşe Tuba Altuğ, Senem Tuğra Dönmez, Asya Atasoy Yücesan","doi":"10.4274/TurkJOrthod.2023.2023.73","DOIUrl":"10.4274/TurkJOrthod.2023.2023.73","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this retrospective study was to compare the effects of the Twin block and Herbst appliances on the mandibular trabecular pattern using fractal dimension analysis (FDA) of panoramic radiographs (PRs).</p><p><strong>Methods: </strong>The PRs of 50 subjects with skeletal Class II malocclusion who underwent the Twin block (T-group, average age: 11.63±0.87; 25 girls, 25 boys), 50 subjects with skeletal Class II malocclusion who underwent the Herbst (H-group, average age: 11.72±0.91; 27 girls, 23 boys), and 50 controls (C-group average age: 11.67±0.83; 24 girls, 26 boys) were selected. The condyle, corpus, and angulus regions of all groups in the mandible were examined using FDA.</p><p><strong>Results: </strong>The condylar region (p≤0.001) and corpus mandible in the treatment groups (T-group: right, p≤0.05, left, p≤0.01; H-group: p≤0.05), as well as the left and right condylar region (p≤0.001) and left corpus mandible (p≤0.05) in the C-group, all indicated substantial increases in FDA between T0 and T1. Inter-group comparisons indicated that the T-group had greater variances in the condyle (p≤0.001) compared to the H group.</p><p><strong>Conclusion: </strong>As the findings revealed both Twin block and Herbst appliances not only contributed to the dentoalveolar structure but also provided remodeling of the mandibular trabecular structure. Consequently, the null hypothesis was rejected.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 4","pages":"265-275"},"PeriodicalIF":0.8,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Microleakage in Flash-Free and Conventional Ceramic Brackets: A Microcomputed Tomography Study.","authors":"Gökay Üstdal, Eyüp Burak Küçük","doi":"10.4274/TurkJOrthod.2024.2024.21","DOIUrl":"10.4274/TurkJOrthod.2024.2024.21","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate and compare microleakage under the conventional and flash-free ceramic brackets bonded with different agents.</p><p><strong>Methods: </strong>Forty extracted human maxillary premolar teeth were randomly divided into five groups. According to the groups, adhesive coated and conventional bracket systems were bonded to the tooth surfaces with the specified adhesive agents. To simulate a six-month oral environment, all teeth were subjected to a thermal cycle procedure. Micro-computed tomography (micro-CT) was used to view and measure the microleakage. Kruskal-Wallis test was used to compare the parameters and Mann-Whitney U test was used for the determination of the group that caused the difference. For intragroup comparisons Wilcoxon signed-rank test was used.</p><p><strong>Results: </strong>Microleakage volume (mm³) and microleakage percentage (%) measured in Blugloo™ group was found significantly lower (p<0.05) then other groups. There was no significant difference in microleakage volume (mm³) and percentage (%) in comparison of gingival and occlusal regions (p>0.05).</p><p><strong>Conclusion: </strong>Adhesive precoated flash-free brackets were not shown a significant difference compared to their conventional equivalent for microleakage volume. The brackets bonded with Blugloo™ adhesive were showed significant less microleakage than the other groups.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 4","pages":"242-248"},"PeriodicalIF":0.8,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing of Therapeutic Extractions Can Affect En Masse Anterior Retraction: A Split Mouth Randomized Clinical Trial.","authors":"Devi Priya, Shobha Sundareswaran, Navnita Mishra, Sreehari Sathyanathan, Mohammed Shibin, Baby Jisha","doi":"10.4274/TurkJOrthod.2024.2023.6","DOIUrl":"10.4274/TurkJOrthod.2024.2023.6","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of deferred timing of therapeutic extraction on the rate of space closure during en masse anterior retraction.</p><p><strong>Methods: </strong>Twenty-six patients (aged 16-24 years) with bimaxillary protrusion, crowding <3 mm, requiring bilateral extraction of four first premolars were recruited. Permuted block randomization was done. Allocations were concealed in opaque envelopes which were numbered and sealed. Each patient's right and left quadrant was randomly assigned for premolar extraction. The extraction of the contralateral side was deferred until the commencement of retraction. The primary outcome was the rate of space closure, and the secondary outcomes were anchorage loss and canine rotation. Blinding was applied only during the outcome assessment. The independent t-test and Intraclass correlation tests were used for statistical evaluation.</p><p><strong>Results: </strong>Twenty-four patients completed the study. The mean rate of space closure over a period of 4 months was found to be significantly higher for the recently extracted site (0.818±0.208) when compared with healed site(0.426±0.184)(p<0.001). The tipping of the canine was also significantly higher for the former (6.042°±1.398°) than the latter (5.125°±1.035°) (p<0.05). However, the amounts of anchorage loss and canine rotation were insignificant. No adverse effects were noted.</p><p><strong>Conclusion: </strong>The rate of space closure at the recent extraction site was faster than that at the healed site. There was no significant difference in the mesial movement of anchorage molars or rotation of canines into the extraction site. The tipping of canines was significantly greater in the recent extracted quadrant. The results of this trial indicate a clinical recommendation to initiate orthodontic retraction immediately following therapeutic extractions and offer a practical, non-invasive, safe procedure for increasing the rate of tooth movement.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 4","pages":"213-220"},"PeriodicalIF":0.8,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Different Liquids and Thermal Aging Procedures on the Shear Bond Strength of APC II, APC Flash-Free, and Conventional Ceramic Brackets: An <i>In Vitro</i> Study.","authors":"Hasan Camcı, Şeyda Canbaz Çevik","doi":"10.4274/TurkJOrthod.2023.2023.5","DOIUrl":"10.4274/TurkJOrthod.2023.2023.5","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to compare the effects of cherry juice, coffee, coke, gastric acid, and the thermo-aging procedure (TAP) on the shear bond strength (SBS) of APC II, APC flash-free, and conventional ceramic brackets.</p><p><strong>Methods: </strong>A total of 180 human premolar teeth were randomly divided into three major groups according to the type of ceramic bracket. Then, six subgroups (n=10) were established from each major group: Group 1: control; Group 2: only TAP; Group 3: 72 hours of cherry juice exposure + TAP; Group 4: 72 hours of coffee exposure + TAP; Group 5: 72 hours of coke exposure + TAP; and Group 6: 24 hours gastric acid exposure + TAP. SBS was assessed for each specimen using a universal test device, and the adhesive remnant index (ARI) was scored under a light microscope. Kruskal-Wallis and post-hoc Tamhane tests were used to analyze the data.</p><p><strong>Results: </strong>Among the control groups, the highest SBS value belonged to conventional ceramic brackets (p<0.01). SBS values for all groups decreased as a result of each liquid and TAP. Gastric acid and coke had the greatest detrimental effects on SBS, while TAP had the least negative effects. The SBS values of APC II, APC flash-free, and conventional brackets were found to be statistically insignificant after different liquid exposures and TAP.</p><p><strong>Conclusion: </strong>TAP and various fluids had a negative impact on the SBS value of ceramic brackets. SBS values, however, were still higher than clinically acceptable (8-9 MPa) values, even after exposure to gastric acid and coke.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 3","pages":"140-145"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11589170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Effects of Orthopedic Treatment on the Dentofacial Structure and Upper Airway of Subjects with Skeletal Class III Malocclusion.","authors":"Hilal Kan, Tevfik Sözen, Oğuz Öğretmenoğlu, Semra Ciğer","doi":"10.4274/TurkJOrthod.2023.2023.3","DOIUrl":"10.4274/TurkJOrthod.2023.2023.3","url":null,"abstract":"<p><strong>Objective: </strong>The present study aimed to evaluate the effect of rapid maxillary expansion (RME) and face mask treatment on the upper airway in patients with maxillary retrusion in two dimensions using digital cephalograms and volumetric evaluation using acoustic rhinometric measurements.</p><p><strong>Methods: </strong>A total of 22 individuals with a concave profile and skeletal and dental Class III malocclusion during growth and development with a mean age of 9.9±1.38 years were included in the study. A bonded RME appliance and a petit face mask were adapted for the patients. Before treatment (T0) and after maxillary protraction (T1), lateral cephalometric films and acoustic rhinometric recordings were obtained. The dependent sample t-test was used for statistical evaluation.</p><p><strong>Results: </strong>Cephalometric analysis revealed forward movement of the maxilla and backward downward rotation of the mandible. A significant increase was observed in the nasopharyngeal and oropharyngeal regions of the upper airway. Three-dimensional evaluation of the upper airway by acoustic rhinometry revealed only an increase in the volumes of the left nasal cavity after decongestant administration. A statistically significant increase in acoustic rhinometric measurements in nasal valves. When the correlation of the cephalometric findings of the nasopharyngeal region with the acoustic rhinometry findings was examined, no statistically significant relationship was found.</p><p><strong>Conclusion: </strong>As a result of this study, we observed an increase in the cephalometric measurements of the nasopharyngeal and oropharyngeal areas. A significant increase was observed in the minimal cross-sectional area measured by acoustic rhinometry.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 3","pages":"153-161"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11589176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharyngeal Airway Space Changes after Single Mandibular and Two-Jaw Surgery in Patients with Skeletal Class II Malocclusion.","authors":"Nurver Karslı, Ayşe Tuba Altuğ","doi":"10.4274/TurkJOrthod.2024.2023.50","DOIUrl":"10.4274/TurkJOrthod.2024.2023.50","url":null,"abstract":"<p><strong>Objective: </strong>To retrospectively evaluate the effects of single mandibular advancement (MA) and two-jaw surgery (2J-S) on the pharyngeal airway space (PAS) and hyoid position for the correction of skeletal Class II malocclusion.</p><p><strong>Methods: </strong>Eleven adult patients who underwent only MA surgery and twelve adult patients who underwent Le Fort I maxillary impaction-MA surgery (2-JS) were included in the retrospective study. A total of 46 cephalometric recordings obtained before (T1) and after treatment (T2) were examined. Craniofacial changes, area, and linear measurements of the pharyngeal airway and hyoid bone position were obtained in both groups. The Wilcoxon signed-rank test was used to evaluate time-dependent changes within groups. The Mann-Whitney U test was used to compare differences between groups.</p><p><strong>Results: </strong>Hyoid-Vert values increased significantly in both groups (MA, p<0.01; 2J-S, p<0.05); however, Hyoid-Hor values decreased significantly only in the 2J-S group (p<0.01). The anteroposterior dimensions of the airway increased in both groups, except for the PNS-P and PPS groups (p<0.01). Although a significant increase was observed in the nasopharyngeal area (A1) in the MA group (p<0.05), the decrease was found to be statistically significant in 2JG (p<0.01). Significant increases were found in the oropharyngeal (A2) and hypopharyngeal areas (A3) in both groups (p<0.01, p<0.05).</p><p><strong>Conclusion: </strong>Both surgical procedures for the correction of Class II malocclusion resulted in increased hypopharyngeal, oropharyngeal, and total airway measurements.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 3","pages":"182-192"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11589177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Effects of TENS Therapy and Acetaminophen on Pain Alleviation in Initial Orthodontic Treatment.","authors":"Kunal Sharma, Rajiv Ahluwalia, Stutee Grewal, Tina Chugh","doi":"10.4274/TurkJOrthod.2024.2022.21","DOIUrl":"10.4274/TurkJOrthod.2024.2022.21","url":null,"abstract":"<p><strong>Objective: </strong>This prospective study aimed to evaluate the analgesic effects of acetaminophen and Transcutaneous Electric Nerve Stimulation (TENS) therapy for pain control.</p><p><strong>Methods: </strong>Forty orthodontic patients who underwent fixed orthodontic treatment were randomly assigned to one of 3 groups: (1) acetaminophen, (2) TENS therapy, or (3) control. Pain was evaluated at 12, 24, 36, and 48 hours after the placement of both 0.014\" NiTi and 0.016\" NiTi archwires using a 10 cm visual analogue scale (VAS). Because the data were found to be non-normal, Kruskal-Wallis test was employed for both stage I and stage II intra-group comparisons.</p><p><strong>Results: </strong>For both stage I and stage II, evaluation of the VAS scores for all 3 groups at different time intervals showed that the difference between groups A and B was statistically insignificant (p>0.05). The scores of Group A compared to Group C were significant, and Group B compared to Group C showed significant values.</p><p><strong>Conclusion: </strong>Both TENS and acetaminophen reduced the pain experienced by patients compared with the placebo group. The acetaminophen group showed VAS results similar to those of the TENS group.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 3","pages":"162-167"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11589175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bibliometric Analysis of Maxillary Expansion Publications Trends.","authors":"Ali Kiki, Alper Özdoğan, Muhammed Abdullah Kiki, Yavuz Selim Genç","doi":"10.4274/TurkJOrthod.2023.2023.113","DOIUrl":"10.4274/TurkJOrthod.2023.2023.113","url":null,"abstract":"<p><strong>Objective: </strong>Maxillary expansion is a common treatment in clinical orthodontics and can be performed in a wide age range using different methods. This bibliometric analysis aims to provide an overview of research on maxillary expansion.</p><p><strong>Methods: </strong>A literature search was performed in the Web of Science database, and publications related to maxillary expansion between 1970 and 2023 were included. Data, including titles, abstracts, keywords, countries, regions, and references, were exported and analyzed within the scope of the bibliometric indicators.</p><p><strong>Results: </strong>The study was conducted on 2633 publications. Between 1970 and 2023, research on maxillary expansion showed a general upward trend in the number of publications. From the analyzed publications, we observed that rapid maxillary expansion (RME) was the most common type of maxillary expansion, accounting for 78% of all publications. Most publications originated from the United States (24.3%), and these articles were also the most cited (17180). Lorenzo Franchi contributed the most publications (85, 3.2%) and was cited 2830 times for maxillary expansion. The highest number of publications was from the University of Sao Paolo (119), and the most cited institution was the University of Florence (3287).</p><p><strong>Conclusion: </strong>The bibliometric indicators showed a rapid increase in the number of published works on the topic of maxillary expansion, particularly in recent years. Advances in patient evaluation (3D imaging, modeling) and application methods (mini-screws, clear aligners) appear to have helped to maintain the popularity of maxillary expansion. We also observed that maxillary expansion is associated with several other specialties in addition to dentistry.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 3","pages":"193-200"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11589172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Maxillary Protraction Using a Mini Screw-Retained Palatal C-Shaped Plate and Face Mask.","authors":"Mohamed Abdallah Elsaharty, Safaa Ali Ghobashi, Eman El-Shorbagy","doi":"10.4274/TurkJOrthod.2023.2022.63","DOIUrl":"10.4274/TurkJOrthod.2023.2022.63","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate a newly designed minimally invasive palatal-plate face mask combination for the management of developing Class III malocclusion due to maxillary deficiency.</p><p><strong>Methods: </strong>A sample of 16 Class III patients due to maxillary deficiency in the early mixed dentition (8 boys and 8 girls) aged between 7 and 9 years participated in this study and were treated with a combination of palatal plate face masks. Extra-oral elastics were attached between the intra-oral and extra-oral appliances; the elastics were set at 30° to the occlusal plane. The force magnitude was 250-300 g per quadrant. Cephalometric radiographs were taken before and immediately after maxillary protraction. In addition, skeletal measurements were measured, tabulated, and statistically analyzed. The pre- and post-protraction measurements were compared using the Student's t-test, and the significance level was set at a p-value <0.05.</p><p><strong>Results: </strong>A statistically significant increase in SNA angle and maxillary length was observed by 3.13±1.52 degrees and 2.60±0.75 mm (p<0.05), respectively, indicating forward maxillary growth. The skeletal and soft tissue patterns were also improved, as evidenced by the statistically significant increase in the ANB angle, Wits appraisal, and H angle by 4.50±1.28 degrees, 5.30±1.86 mm, and 5.02±3.24 degrees (p<0.05), respectively. A favorable clockwise mandibular rotation was observed as evidenced by the increase in the SN/MP angle and the decrease in the SNB angle by 1.46±1.96 degrees and -1.38±1.86 degrees (p<0.05), respectively.</p><p><strong>Conclusion: </strong>The palatal-plate facemask combination is an effective treatment alternative for Class III malocclusion due to maxillary deficiency with minimal pain and discomfort.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"37 3","pages":"146-152"},"PeriodicalIF":0.8,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11589173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}