{"title":"Investigation of the Effects of Tooth-Borne, Tooth-Bone-Borne and Bone-Borne Rapid Maxillary Expansion Appliances on the Nasomaxillary Complex Using CBCT.","authors":"Gizem Yazdan Özen, İsmail Ceylan","doi":"10.4274/TurkJOrthod.2026.2025.25","DOIUrl":"10.4274/TurkJOrthod.2026.2025.25","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the effects of tooth-borne, tooth-bone-borne, and bone-borne rapid maxillary expansion (RME) on the nasomaxillary complex in individuals with maxillary transverse constriction using cone-beam computed tomography (CBCT), and to compare the outcomes of these expansion modalities.</p><p><strong>Methods: </strong>CBCT images from 45 patients (aged 10-17 years) with maxillary transverse constriction who were treated with RME were evaluated. Patients were divided into three groups according to the appliance used: tooth-borne (Hyrax), tooth-bone-borne (hybrid), and bone-borne. CBCT records were obtained at three time points: before treatment, after active expansion, and after a 3-month retention period. Dentoalveolar and skeletal measurements were performed on the CBCT images. Intergroup comparisons were conducted using one-way ANOVA and Kruskal-Wallis tests, while intragroup comparisons were performed using repeated-measures ANOVA and Friedman tests.</p><p><strong>Results: </strong>CBCT evaluation revealed no statistically significant intergroup differences in dental and skeletal measurements. However, all RME groups showed significant increases between time points, most of which were maintained after the retention period. In the mandible, increases in intercanine, interpremolar, and intermolar widths, observed during the active expansion phase, partially relapsed or lost their statistical significance following retention.</p><p><strong>Conclusion: </strong>All RME modalities produced significant skeletal and dental expansion in the maxilla, with the bone-borne appliance showing greater skeletal effects than the hybrid and tooth-borne appliances.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"39 1","pages":"17-25"},"PeriodicalIF":1.8,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13041106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595322","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":"The 100 Most Cited Studies on Impacted Canines: A Bibliometric Analysis Study.","authors":"Mehmet Gümüş Kanmaz, Genta Agani Sabah","doi":"10.4274/TurkJOrthod.2026.2025.141","DOIUrl":"10.4274/TurkJOrthod.2026.2025.141","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the scientific literature on impacted canines using bibliometric and altmetric analyses.</p><p><strong>Methods: </strong>A systematic search of the Web of Science Core Collection was performed using keywords related to impacted canines. Three independent reviewers identified, screened, and evaluated the 100 most-cited articles. Citation data were cross-verified with Scopus and Google Scholar. Extracted information included citation counts, study design, publication year, authors, institutions, journals, and countries. Bibliometric mapping was conducted using VOSviewer, and altmetric indicators were obtained from dimensions. Statistical analysis was performed using Spearman's rank correlation, with significance set at p<0.05.</p><p><strong>Results: </strong>The 100 most-cited articles received 10,429 citations in the Web of Science, and citation counts were strongly correlated across databases (p<0.001). Most studies were observational (69%), followed by narrative reviews (12%) and interventional studies (10%). Research topics primarily addressed the etiology, radiographic assessments, and associated anomalies. The most cited article in the Web of Science database was Ericson and Kurol's 1988 study on the interceptive extraction of primary canines. Publications were concentrated in orthodontic specialty journals, with the USA, Italy, and Israel being the leading countries.</p><p><strong>Conclusion: </strong>Analysis of the 100 most-cited articles revealed that influential research on impacted canines is predominantly, focusing on etiology and diagnosis. Areas such as mandibular impactions, periodontal outcomes, and long-term treatment effects remain underexplored.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"39 1","pages":"35-42"},"PeriodicalIF":1.8,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13041079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595364","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}
Jéssica Feliciano, Pedro Mariano Pereira, Luis Proença, Joana Borga, Iman Bugaighis
{"title":"3D Assessment of the Relationship of the Mandibular Buccal Shelf with the Mandibular Canal: A CBCT Retrospective Study.","authors":"Jéssica Feliciano, Pedro Mariano Pereira, Luis Proença, Joana Borga, Iman Bugaighis","doi":"10.4274/TurkJOrthod.2025.2025.37","DOIUrl":"10.4274/TurkJOrthod.2025.2025.37","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the micro-implant safest insertion site on the mandibular buccal shelf (MBS) without compromising the integrity of the mandibular canal (MC).</p><p><strong>Methods: </strong>This retrospective investigation included cone-beam computed tomography (CBCT) of 96 Portuguese patients (58 females and 38 males, average age of 25.5±10.2 years). Measurements were taken in four bilateral MBS sites buccal to the mandibular second molar; tangent to the distal surface (7D), distobuccal cusp tip (7CD), buccal groove (7S) and mesiobuccal cusp tip (7CM). The transversal MBS midpoint was also determined, and the maximum angulation from the transversal MBS midpoint was extracted relative to the true vertical plane. Subsequently, the distance from the MBS midpoint to the MC was calculated at this angulation. Descriptive and inferential statistical analyses were performed at p<0.05.</p><p><strong>Results: </strong>Significant correlations were observed among several variables and age, sex and bilateral asymmetry (p<0.05). The MBS transversal width and the distance from the MBS midpoint to the MC progressively increased in the posterior direction while the angulation decreased.</p><p><strong>Conclusion: </strong>The most appropriate micro-implant insertion location compared to the other MBS investigated sites, in the absence of impacted third molars, is adjacent to the distal surface of the second molar. This finding is consistent across all age groups, sexes, and insertion sides. However, due to the demonstrated variability, taking a CBCT scan prior to mini-implant insertion might be considered to minimize the risk of injury to the inferior alveolar nerve.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"38 4","pages":"199-205"},"PeriodicalIF":1.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12758433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858114","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}
Yasemin Tunca, Nihal Fahrzadeh, Murat Tunca, Yüksel Akınay
{"title":"Comparison of Mechanical, Surface, and Chemical Properties of Different Thermoplastic Retainer Materials before and after Thermoforming: Scanning Electron Microscopy and Fourier Transform Infrared Spectroscopy Analyses.","authors":"Yasemin Tunca, Nihal Fahrzadeh, Murat Tunca, Yüksel Akınay","doi":"10.4274/TurkJOrthod.2025.2025.85","DOIUrl":"10.4274/TurkJOrthod.2025.2025.85","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the surface hardness, surface roughness, and chemical structure changes of four vacuum-formed retainer (VFR) materials after thermoforming.</p><p><strong>Methods: </strong>Four groups of VFR materials were evaluated: Taglus, Lumex-G, Atmos, and Duran. Each group consisted of 12 samples (n=12) that were thermoformed according to the manufacturer's guidelines. Surface roughness was measured using a high-precision profilometer, and hardness was assessed with a micro-Vickers hardness tester. Chemical structure analysis was conducted using Fourier transform infrared spectroscopy (FTIR), and surface morphology was examined using scanning electron microscopy (SEM).</p><p><strong>Results: </strong>Hardness measurements demonstrated a general decrease across all groups following thermoforming. After thermoforming, surface roughness increased significantly in the Taglus and Lumex-G groups, whereas the Atmos and Duran groups maintained greater surface stability. FTIR demonstrated that all materials retained their chemical stability, and no significant changes in functional groups were detected. SEM results revealed more pronounced surface irregularities in the Taglus and Lumex-G groups.</p><p><strong>Conclusion: </strong>Polyethylene terephthalate glycol copolyester-based materials with high surface homogeneity, such as Atmos and Duran, may be recommended for clinical use due to their superior surface stability and chemical resilience. By contrast, the surface irregularities observed in Taglus and Lumex-G may compromise their long-term clinical performance.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"38 4","pages":"224-232"},"PeriodicalIF":1.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12758443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858084","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 Bracket Positioning; A Customized System Versus the Conventional Method.","authors":"Kübra Sucu, Mete Özer","doi":"10.4274/TurkJOrthod.2025.2025.44","DOIUrl":"10.4274/TurkJOrthod.2025.2025.44","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the positioning of brackets in customized and conventional bonding methods in accordance with Andrews' approach to bracket placement.</p><p><strong>Methods: </strong>Twenty-six patients were enrolled; 11 were treated with the Insignia system and 15 with Kalange's method. Crown length was measured on a digital diagnostic model and the facial axis (FA) point was calculated. After leveling and alignment, a new digital model was created, and the bracket position was measured along the vertical axis. The distance between the bracket position and the FA point was calculated, and the deviation was determined according to Andrews' method. Teeth with significant deviation (TSD), i.e., >0.5 mm, were identified. Frequencies and percentages of TSD were calculated.</p><p><strong>Results: </strong>The TSD percentage was 56.65% in the Insignia group and 69.5% in the modified Kalange group; the difference between groups was significant (p=0.003). The anterior and posterior regions differed significantly within groups: in the Insignia group, this difference was observed in the maxilla (p=0.002), whereas in the modified Kalange group it was observed in both the mandible and maxilla (P < 0.001). In both groups, the anterior TSD percentage was higher than the posterior TSD percentage in both the maxilla and the mandible. The deviation was predominantly occlusal or incisal: Insignia group, 86.9%; modified Kalange group, 97.6%.</p><p><strong>Conclusion: </strong>In the Insignia system and Kalange's method, brackets are positioned more incisally/occlusally relative to Andrews' FA point. In both methods, anterior brackets are positioned more incisally than posterior brackets.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"38 4","pages":"206-215"},"PeriodicalIF":1.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12758432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858090","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":"Three-Dimensional Evaluation of Midfacial Changes After Maxillary Skeletal Expander Application: A Retrospective Study.","authors":"Fırat Vural, Yeşim Kaya, Özer Alkan","doi":"10.4274/TurkJOrthod.2025.2025.21","DOIUrl":"10.4274/TurkJOrthod.2025.2025.21","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the skeletal and dental effects of the maxillary skeletal expander (MSE) using cone beam computed tomography (CBCT) images analyzed in the coronal zygomatic and axial palatal sections (APS).</p><p><strong>Methods: </strong>Pre- and post-expansion CBCT images of 18 subjects (10 females and 8 males) aged 12-16 years with maxillary transverse deficiency who were treated with MSE 2 were included in this retrospective study. In the coronal zygomatic section (CZS), upper interzygomatic distance and lower interzygomatic distances (LID), orbital distance (OD), alveolar distances (AD), and dental distances (DD), as well as nasal cavity width (NCW) and molar basal bone angle, were assessed. In the APS, the separation between the anterior nasal spine (ANS) and posterior nasal spine (PNS) was assessed. All measurements were performed using OnDemand3D software. Pre- and post-expansion treatment changes were compared using paired t-tests, with statistical significance set at p<0.05.</p><p><strong>Results: </strong>In the CZS, a pyramidal skeletal expansion pattern was observed, with the greatest increase in DD (R: 2.83 mm, L: 3.18 mm), followed by AD (R: 1.63 mm, L: 1.97 mm), NCW (R: 1.66 mm, L: 2.28 mm), LID (R: 1.48 mm, L: 1.92 mm), and OD (R: 0.42 mm, L: 0.56 mm). Along with greater skeletal expansion, slightly reduced dental tipping and minimal alveolar bone bending were observed. In the APS, a nearly equal separation was observed at both the ANS (R: 1.79 mm, L: 2.46 mm) and PNS (R: 1.85 mm, L: 2.49 mm), indicating a parallel split of the midpalatal suture. Furthermore, among the 36 pterygopalatine sutures examined, only three showed separation between the medial and lateral pterygoid processes.</p><p><strong>Conclusion: </strong>MSE 2 application provides more favorable skeletal outcomes reduces dentoalveolar side effects, and results in a more parallel midpalatal suture split.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"38 4","pages":"190-198"},"PeriodicalIF":1.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12766058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858175","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}
Esra Erkan, Şeniz Karaçay, Esra Çikler, İlayda Özge Polat
{"title":"Evaluation of in Vivo Effects of Low-Intensity Pulsed Ultrasound and Low-Level Laser Therapy on Premaxillary Suture During Rapid Maxillary Expansion.","authors":"Esra Erkan, Şeniz Karaçay, Esra Çikler, İlayda Özge Polat","doi":"10.4274/TurkJOrthod.2025.2025.79","DOIUrl":"10.4274/TurkJOrthod.2025.2025.79","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate and compare the effects of low-intensity pulsed ultrasound (LIPUS), low-level laser therapy (LLLT), and their combined effects on sutural bone regeneration during rapid maxillary expansion (RME) of rats.</p><p><strong>Methods: </strong>Twenty-eight Sprague-Dawley rats were randomly assigned to four groups: LLLT group, LIPUS group, combination group, and control group. RME was performed on all groups for 11 days. The Both LLLT and LIPUS groups received their respective therapies (30 J/cm<sup>2</sup>), while the combination group received both therapies, each at 30 J/cm<sup>2</sup>. All treated rats received their doses on days 0, 4, and 8 and were sacrificed on day 11. Numbers of osteoblasts, capillaries, and osteoclasts were counted, and suture widths and areas of newly formed bone were measured histomorphometrically. General and cellular immunoreactivity of bone morphogenetic protein-2 (BMP-2), vascular endothelial growth factor (VEGF), and osteopontin (OPN) was evaluated by immunohistochemistry.</p><p><strong>Results: </strong>The number of osteoblasts was significantly higher in the combination group than in the control group (p<0.05). The combination group showed the highest general BMP-2 immunoreactivity and cellular VEGF immunoreactivity among all groups, and exhibited increased cellular OPN immunoreactivity compared with the control group (p<0.05). Both the area of newly formed bone (p<0.05) and suture width (p<0.01) were significantly greater in the LIPUS group than in the LLLT group.</p><p><strong>Conclusion: </strong>LIPUS is a more effective adjuvant therapy than LLLT for increasing sutural bone formation during RME. Combined therapy with LIPUS and LLLT has a synergistic effect and accelerates sutural bone regeneration by enhancing cellular activation more than either LIPUS or LLLT alone.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"38 4","pages":"233-243"},"PeriodicalIF":1.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12758436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858058","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":"Measurement of Aligner Thickness and Gap Width in Two Types of Clear Aligner Sheets Manufactured Using Two Different Thermoforming Machines - A Nano-CT Pilot Study.","authors":"Gowardhan S, Mahalakshmi Krishnakumaran, Balaji Krishnan, Shanthini Priya Arumugam, Aswini Soundharya Sekar, Subashree R","doi":"10.4274/TurkJOrthod.2025.2025.16","DOIUrl":"10.4274/TurkJOrthod.2025.2025.16","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to compare the effects of two thermoforming machines on the gap width and thickness of passive aligners with the same nominal thickness from different manufacturers by using nano-computed tomography (CT).</p><p><strong>Methods: </strong>An intraoral scan of a patient with Angle's Class I malocclusion was conducted, and a 3D maxillary arch model was printed. The aligners (n=16) were fabricated using two thermoforming machines: Ministar machine (n=8) and a Plastpress machine (n=8). Each group was subdivided on the basis of aligner material: polyethylene terephthalate glycol (PET-G) (Group A) and thermoplastic polyurethane (TPU) (Group B). Sheets with a nominal thickness of 0.75 mm were used. Nano-CT was performed, and the rendered 3D models were sliced into central incisor, canine, and molar regions to assess gap width and aligner thickness in the buccal, incisal, and palatal regions.</p><p><strong>Results: </strong>Comparing thermoforming machines, PET-G (p=0.010) and TPU (p=0.004) aligners showed significant differences in gap width in the molar region. Similar results were found for aligner thickness (TPU, p=0.05; PET-G, p=0.004). Comparing PET-G and TPU sheets thermoformed via the same machine, significant differences were observed only in the molar region (p=0.004), with no differences in the canine and incisor regions. Adaptation in the anterior region was greater than in that of the posterior region, whereas aligner thickness increased from posterior to anterior.</p><p><strong>Conclusion: </strong>Aligner material type significantly affected gap width and thickness only in the molar region, whereas the specific thermoforming machine did not substantially affect these characteristics.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"38 4","pages":"216-223"},"PeriodicalIF":1.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12758435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858230","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 Postural Balance, Cervical Lordosis and Neck Disability after Orthognathic Surgery.","authors":"Sinem İnce-Bingöl, Seçil Çubuk, Esra Beyler, Oya Ümit Yemişçi, Burak Bayram","doi":"10.4274/TurkJOrthod.2025.2025.52","DOIUrl":"10.4274/TurkJOrthod.2025.2025.52","url":null,"abstract":"<p><strong>Objective: </strong>The present study aimed to investigate changes in cervical lordosis, neck disability, and postural balance through static and dynamic tests in patients with skeletal Class III malocclusion who were treated with bimaxillary orthognathic surgery.</p><p><strong>Methods: </strong>In this prospective observational study, 18 patients (mean age 23.3±5.4 years) with maxillary retrusion and mandibular prognathia were treated by bimaxillary orthognathic surgery. Static and dynamic balance tests were recorded with the Kinesthetic Ability Trainer preoperatively (T1) and at least 2 months postoperatively (T2). Cervical lordosis angle (C2-C7) was evaluated with the posterior tangent method on the lateral cephalometric films taken at T1 and T2. Neck disability and pain were assessed through questionnaires at both time points.</p><p><strong>Results: </strong>The median follow-up time was 5.8 months. The mean maxillary advancement was 4.0 mm at point A (p=0.001). The mean mandibular setback was 2.4 mm at point B (p=0.166). An 8.4 mm maxillomandibular correction was observed according to the Wits appraisal (p=0.001). Static and dynamic balance tests, cervical lordosis angle, neck disability, and pain revealed no significant change between T1 and T2. No statistically significant correlation was observed between surgical movements and changes in the cervical lordosis angle.</p><p><strong>Conclusion: </strong>Orthognathic surgical correction of skeletal Class III malocclusion, -primarily through maxillary advancement with less mandibular setback- did not lead to significant changes in cervical lordosis, neck disability, or postural balance as assessed through static and dynamic tests.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"38 3","pages":"142-148"},"PeriodicalIF":1.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12485643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201591","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":"Face Mask versus Carrière Motion<sup>®</sup> Class III Appliance: Comparison of Skeletal, Soft Tissue, and Dental Effects in Growing Individuals.","authors":"Melike Polat, Berza Yılmaz","doi":"10.4274/TurkJOrthod.2025.2025.98","DOIUrl":"10.4274/TurkJOrthod.2025.2025.98","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effects of the face mask and Carrière Motion<sup>®</sup> III appliance in growing patients with Class III malocclusion associated with maxillary retrognathia. The null hypothesis was that both appliances, applied after rapid maxillary expansion, would have similar effects.</p><p><strong>Methods: </strong>Skeletal, dental, and soft tissue changes were evaluated using lateral cephalometric radiographs of 26 patients aged 6-9 years, taken before (T0) and after treatment (T1). Cephalometric analyses were performed using Nemoceph<sup>®</sup> software (NEMOTEC, Madrid, Spain). Statistical analyses were carried out with MedCalc version 12.7.7 (MedCalc Software bvba, Ostend, Belgium) with significance set at p<0.05.</p><p><strong>Results: </strong>SNA°, A-NasionPerp, and Co-A increased significantly in both groups, with no significant intergroup difference. Co-Gn, Wits, ANB°, S-N, and the articular angle also increased significantly in both groups. SNB° decreased significantly only in the Carrière Motion<sup>®</sup> III group. Greater anterior maxillary rotation occurred with the face mask, while reduced rotation was observed with the Carrière Motion<sup>®</sup> III. Lower facial height decreased slightly but significantly in the Carrière Motion<sup>®</sup> III group, and increased in the face mask group. Overjet and molar relationship improved significantly in both groups. The UL-E line distance decreased in the face mask group, while the Carrière Motion<sup>®</sup> III showed no significant soft tissue changes.</p><p><strong>Conclusion: </strong>The null hypothesis was rejected. The two appliances had different effects; however, the Carrière Motion<sup>®</sup> III proved effective for early Class III treatment and may be considered an alternative, particularly for patients with social concerns about extraoral traction.</p>","PeriodicalId":37013,"journal":{"name":"Turkish Journal of Orthodontics","volume":"38 3","pages":"149-160"},"PeriodicalIF":1.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12485644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201597","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}