Dental Press Journal of Orthodontics最新文献

{"title":"Comparative evaluation of single camera photogrammetry and LIDAR-based facial scanning.","authors":"Aditi Singh, Payal Sharma, Piush Kumar","doi":"10.1590/2177-6709.31.4.e2625120.oar","DOIUrl":"10.1590/2177-6709.31.4.e2625120.oar","url":null,"abstract":"<p><strong>Introduction: </strong>Orthodontic diagnosis and treatment planning relies on precise diagnostic records, including facial imaging. While two-dimensional (2D) photography is widely used, it cannot fully represent three-dimensional (3D) facial structures. Recent advances in 3D imaging, including LiDAR-based scanning and single-camera photogrammetry (SCP), offer improved accuracy.</p><p><strong>Objectives: </strong>This study evaluates these cost-effective 3D scanning methods in facial soft tissue assessment, by comparing measurements from SCP and LiDAR-based mobile apps, with manual method measurements as gold standard.</p><p><strong>Methods: </strong>Thirty-six patients (21 females, 15 males) aged 15-25 years requiring orthodontic treatment participated. Scanning was conducted using SCP and LiDAR technology, while manual measurements used digital calipers. Statistical analysis evaluated accuracy, precision, and reliability.</p><p><strong>Results: </strong>Both SCP and LiDAR-based scanning techniques show clinically acceptable accuracy in facial soft tissue analysis. LiDAR-based scanning demonstrates better depth perception than SCP, though both methods are viable alternatives to conventional imaging.</p><p><strong>Conclusion: </strong>The study highlights smartphone-based 3D facial scanning as viable alternatives to traditional imaging in Orthodontics. While SCP and LiDAR scanning show comparable accuracy, further research is needed. The findings support implementing affordable 3D scanning technologies in orthodontic diagnostic protocols.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 4","pages":"e2625120"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196040","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":"Legal vulnerability of orthodontists in professional practice: a cross-sectional study.","authors":"Isabela Sales Pinheiro, Cléverson Raymundo Sbarzi Guedes, Analina Braga Apolinário, Matheus de Melo Pithon, Isabel Cristina Gonçalves Leite, Marcio José da Silva Campos, Robert Willer Farinazzo Vitral","doi":"10.1590/2177-6709.31.4.e262670.oar","DOIUrl":"10.1590/2177-6709.31.4.e262670.oar","url":null,"abstract":"<p><strong>Introduction: </strong>In Brazil, the population's easy access to the judicial system exposes healthcare professionals, including orthodontists, to the risk of becoming involved in legal disputes for which they are often inadequately prepared.</p><p><strong>Objective: </strong>In this context, the aim of this study was to assess the legal vulnerability of professionals involved in orthodontic practice and to identify factors associated with professional practice.</p><p><strong>Material and methods: </strong>This cross-sectional observational study was conducted using a previously validated questionnaire administered to 247 professionals engaged in orthodontic practice. Participants were classified into low, moderate, and high levels of legal vulnerability. Data were analyzed using descriptive and inferential statistics, including Pearson's chi-square and Fisher's exact tests.</p><p><strong>Results: </strong>The results indicated greater vulnerability among non-specialists, professionals with fewer years since graduation and shorter clinical experience, as well as among those who graduated from private institutions (p < 0.001). In addition, 72.8% of participants believed that patients' economic status may influence the occurrence of legal claims, and 53.5% reported lacking legal guidance for drafting contracts in their professional practice.</p><p><strong>Conclusion: </strong>The findings suggest the presence of vulnerabilities related to legal knowledge and professional practices, particularly among less experienced professionals and non-specialists in Orthodontics.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 4","pages":"e262670"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196471","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":"Minimally invasive orthodontic management: a paradigm shift in interceptive care. Part II - early management of oral habit-related malocclusions.","authors":"Ana Cláudia de Castro Ferreira Conti, Felicia Miranda, Daniela Garib, Amanda Lopes, Cibele Albergaria, Silvio Augusto Bellini-Pereira, Camila Massaro","doi":"10.1590/2177-6709.31.4.e26spe4","DOIUrl":"10.1590/2177-6709.31.4.e26spe4","url":null,"abstract":"<p><strong>Introduction: </strong>Deleterious oral habits are common during childhood and, when persistent, may influence craniofacial growth and occlusal development. Among the malocclusions associated with oral habits, anterior open bite (AOB) and posterior crossbite (PCB) are particularly noteworthy.</p><p><strong>Objective: </strong>This article presents a conceptual and clinical overview of oral habits and their impact on occlusal development, with emphasis on early diagnosis and Minimally Invasive Orthodontic (MIO) management.</p><p><strong>Results: </strong>The literature describes associations between non-nutritive sucking, tongue interposition, mouth breathing, and occlusal alterations, especially dentoalveolar AOB and transverse maxillary deficiency. The reported interceptive approaches focus on habit interruption, combined with simple orthodontic appliances and interdisciplinary management.</p><p><strong>Conclusions: </strong>An interdisciplinary orthodontic approach to the management of oral habit-related malocclusions improves functional balance and quality of life during childhood, while reducing the complexity of comprehensive treatment. These principles represent the primary purpose of the \"Orange July\" campaign and MIO, which emphasizes timely preventive and interceptive approaches during childhood.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 4","pages":"e26spe4"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196485","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":"Effectiveness of a fully digital mandibular advancement appliance compared with CPAP in the treatment of obstructive sleep apnea.","authors":"Taciana Morum, Daniela Sampaio, Julia Badia Hecksher, Jorge Faber","doi":"10.1590/2177-6709.31.4.e262663.oar","DOIUrl":"10.1590/2177-6709.31.4.e262663.oar","url":null,"abstract":"<p><strong>Introduction: </strong>Clinicians often face the decision of recommending Continuous Positive Airway Pressure (CPAP) or a Mandibular Advancement Appliance (MAA) for Obstructive Sleep Apnea (OSA).</p><p><strong>Objective: </strong>The objective of this study was to evaluate the effectiveness of a fully digital workflow MAA and compare its outcomes with CPAP therapy.</p><p><strong>Methods: </strong>Twenty adults with OSA confirmed by Type I polysomnography (AHI < 50 events/hour), non-adherent to CPAP, were enrolled in a crossover clinical study. After MAA titration (50% and 75% of maximum protrusion), participants underwent home sleep testing under three conditions: no treatment, CPAP, and MAA. Outcomes included oxygen desaturation index (ODI), snoring score, oxyhemoglobin saturation (SpO₂), hypoxic burden, and mean heart rate. Treatment-induced changes (Δ = treatment - no treatment) were compared using the Wilcoxon signed-rank test (α = 5%).</p><p><strong>Results: </strong>Both therapies significantly reduced ODI and snoring, compared to baseline. Median ODI decreased from 13.55 events/hour (untreated) to 6.05 with MAA and 5.30 with CPAP. No statistically significant differences were found between MAA and CPAP for ΔODI (p = 0.401), snoring (p = 0.103), hypoxic burden (p = 0.165), or heart rate (p = 0.824). A significant difference in SpO₂ was observed (p = 0.003), favoring CPAP; however, the difference was small.</p><p><strong>Conclusions: </strong>The fully digital MAA was effective in reducing oxygen desaturation, snoring, and hypoxic burden, showing no clinically meaningful difference compared with CPAP, supporting its use as a viable therapeutic alternative for OSA.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 4","pages":"e262663"},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196064","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":"Knowledge about sucking habits. Elaboration, validation and application of an online questionnaire: an exploratory study.","authors":"Karen Regina Francisco Silva, Fernanda Cordeiro Ramos, Mariana Neder Bomfim, Maria Vitória Rangel Campos, Lidiane Alipio Pereira, Lucas Alves Jural, Marcela Baraúna Magno","doi":"10.1590/2177-6709.31.4.e2625342.oar","DOIUrl":"https://doi.org/10.1590/2177-6709.31.4.e2625342.oar","url":null,"abstract":"<p><strong>Objective: </strong>This exploratory study aimed to assess the population's knowledge about sucking habits (SHs).</p><p><strong>Material and methods: </strong>An observational study was developed using data collection through an electronic questionnaire, which had previously been elaborated and validated and was sent to the general population (over 18 years of age) through social media and message applications. The validity of the convergent and discriminant construct, reliability, and internal consistency of the data were evaluated in order to validate the questionnaire's acceptability. The influence of sociodemographic factors - being a mother/father and SH history concerning the participants' average knowledge on the issue - was evaluated through linear regression (α=0.05).</p><p><strong>Results: </strong>The questionnaire showed good acceptability and discriminating properties (p<0.05), strong construct validity (r=0.62), satisfactory reliability (Cronbach's alpha =0.72), and replicability (ICC=0.89). In total, 294 participants were included and presented an average of 5.21 [± 2.04] correct answers. After linear regression, participants who only worked in health areas and who had only one child continued to present greater knowledge about SHs (p<0.05).</p><p><strong>Conclusion: </strong>It can therefore be concluded that the knowledge of the population concerning SH is insufficient and further studies, as well as strategies for education, guidance, and dissemination of information regarding SHs should be conducted.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 4","pages":"e2625342"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116025","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":"Quality and reliability of clear aligner information on Brazilian orthodontists' websites: a DISCERN-based evaluation.","authors":"Mohamad Jamal Bark, Gil Guilherme Gasparello, Rosilene Andrea Machado, Tayla Granemann Jede, Matheus Melo Pithon, Isabela Alex Kloss, Orlando Motohiro Tanaka","doi":"10.1590/2177-6709.31.3.e262657.oar","DOIUrl":"https://doi.org/10.1590/2177-6709.31.3.e262657.oar","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate, using the DISCERN questionnaire, the quality, reliability, and decision-support capacity of aligner-related information published on orthodontists' websites.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in July 2024. Google (www.google.com.br) was searched using Portuguese-language keywords (\"tratamento ortodôntico\", \"alinhadores\", and \"ortodontia\") in incognito mode from a Brazilian IP address. The first 130 non-sponsored websites were screened; 113 met the inclusion criteria. Two calibrated orthodontists independently evaluated each website using the validated Brazilian Portuguese version of the DISCERN instrument. Inter-rater reliability was assessed using the Intraclass Correlation Coefficient (ICC). Descriptive statistics and Spearman rank-order correlations were calculated using SPSS v.25.</p><p><strong>Results: </strong>The mean overall DISCERN score was 26.3 (SD = 5.8; range 15-52) out of a maximum of 75. The ICC was 0.87 (95% CI = 0.82-0.91), indicating good-to-excellent inter-rater reliability. Among the 113 websites, 54.3% were rated as very poor, 30.7% as poor, 11.5% as fair, 3.5% as good, and none as excellent. The lowest-scoring items were Q4 (sources of information, 99.1% very poor or poor), Q5 (publication date, 87.6%), Q8 (areas of uncertainty, 95.6%), Q11 (treatment risks, 98.2%), and Q12 (consequences of no treatment, 100%).</p><p><strong>Conclusions: </strong>The quality of clear aligner information on Brazilian orthodontists' websites is critically poor. Orthodontists should provide evidence-based, transparent, and balanced content - including treatment risks, alternatives, and references - to support informed patient decision-making.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 4","pages":"e262657"},"PeriodicalIF":0.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13623374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116110","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 articles on malocclusion's biopsychosocial impact in school-aged youth: bibliometric study.","authors":"Millena Barroso Oliveira, Andrea Sayuri Silveira Dias Terada, Danilo Cassiano Ferraz, Marcelo Bighetti Toniollo, Walbert de Andrade Vieira, Saul Martins Paiva, Rafael Rodrigues Lima, Luiz Renato Paranhos","doi":"10.1590/2177-6709.31.3.e2625242.oar","DOIUrl":"10.1590/2177-6709.31.3.e2625242.oar","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed the characteristics of the 100 most-cited papers on the biopsychosocial impact of malocclusion in school-aged youth.</p><p><strong>Methods: </strong>The Web of Science Core Collection (WoS-CC) database was searched. Data extracted included title of the paper, year of publication, authorship, number of citations, institution, country, continent, study design, journal and its impact factor, and keywords. A content analysis was performed to extract information on malocclusion diagnosis indices, age group, sample size, biopsychosocial outcomes, and assessment instruments. Bibliometric networks were created using VOSviewer and Power BI software. Descriptive analyses and Poisson regression were conducted (p < 0.05).</p><p><strong>Results: </strong>The 100 most-cited articles were selected from the 1,297 studies, totaling 3,621 citations. Most of the studies were cross-sectional (n=89), with a majority originating from Brazil (n=54). The Angle Orthodontist and the American Journal of Orthodontics and Dentofacial Orthopedics stood out with the highest number of publications and citations (11 articles, 532 and 461 citations, respectively). The authors with the most citations was C.A. Feldens, being the most cited author (n = 256). \"Malocclusion\" was the most used keyword (n = 39). The most prolific institutions were Universidade Federal de Minas Gerais (12 articles), Universidade Estadual de Campinas (11 articles), and Universidade Federal de Santa Maria (8 articles).</p><p><strong>Conclusion: </strong>Cross-sectional studies conducted by Brazilian authors examining the impact of malocclusion on oral health-related quality of life predominated. More diverse study designs, broader geographic representation, and longitudinal approaches are necessary to strengthen the evidence on the biopsychosocial effects of malocclusion.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 3","pages":"e2625242"},"PeriodicalIF":0.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888937","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":"Scientific overview of mandibular advancement devices: a bibliometric and altmetric analysis.","authors":"Karina Cardoso, Isabela Ramos, Aurélio de Oliveira Rocha, Julia Mulinari, Julia Maldonado Garcia, Carla Miranda Santana, Mariane Cardoso","doi":"10.1590/2177-6709.31.3.e2625248.oar","DOIUrl":"10.1590/2177-6709.31.3.e2625248.oar","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate publications on mandibular advancement devices through bibliometric and altmetric analysis.</p><p><strong>Methods: </strong>A search was conducted in the Web of Science Core Collection (WoS-CC) initially in August 2024, with an update in December 2025, including all articles on mandibular advancement devices, with no restrictions on language or publication date. Editorials, abstracts, and conference papers were excluded. Two independent reviewers selected the studies and extracted data on citations, year, journal, study design, type of device, study objective, geographic origin, authors, and keywords. Altmetric analysis was performed using Dimensions. Spearman's correlation tested associations between impact factor, year, and citations, and bibliometric networks were created with VOSviewer.</p><p><strong>Results: </strong>A total of 446 articles were published between 1979-2025. The most cited article received 352 citations, and the American Journal of Orthodontics and Dentofacial Orthopedics published the largest number of studies (n = 174). Clinical trials were the most frequent design (n = 175), mainly addressing skeletal, dental, facial, and esthetic changes (n = 175). The Herbst appliance was the most investigated (n = 129). Germany (n = 52) and Europe (n = 236) led the publications, with Giessen University as the most productive institution (n = 37). The most prolific author was Pancherz H (n = 31). Altmetric analysis revealed relevant mentions on Mendeley and Facebook.</p><p><strong>Conclusion: </strong>Europe concentrated the largest scientific output on mandibular advancement devices, particularly the Herbst appliance, in studies focused on skeletal, dental, facial, and esthetic changes.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 3","pages":"e2625248"},"PeriodicalIF":0.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888898","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":"Validation of a digital tool for Moyers mixed dentition analysis: agreement and efficiency compared with the manual method.","authors":"Mariana Vasconcellos Bazoli Rodrigues, Luciana Rougemont Squeff, Amanda Cunha Regal de Castro, Antônio Carlos de Oliveira Ruellas, Sergio Luiz Mota-Júnior","doi":"10.1590/2177-6709.31.3.e262634.oar","DOIUrl":"10.1590/2177-6709.31.3.e262634.oar","url":null,"abstract":"<p><strong>Introduction: </strong>Mixed dentition analysis is essential for predicting space requirements and guiding early orthodontic decision-making. Moyers analysis is widely used due to its simplicity and clinical applicability, however, manual execution may increase execution time and introduce operator-dependent errors.</p><p><strong>Objective: </strong>This study aimed to develop and validate an automated digital tool based on Moyers analysis, to improve efficiency and support orthodontic education.</p><p><strong>Material and methods: </strong>This cross-sectional study included 20 participants (10 undergraduate and 10 graduate dental students) who performed mixed dentition analysis on a standardized plaster model using the manual method and a software-based method at separate time points. Agreement between methods was evaluated using intraclass correlation coefficients (ICC), Bland-Altman analysis, and linear regression to assess proportional bias. Execution time was recorded and compared using paired t tests. Participant preference was also assessed.</p><p><strong>Results: </strong>Excellent reliability was observed (ICC > 0.95). No statistically significant differences were found between the manual and software-based methods (p > 0.05), and Bland-Altman analysis demonstrated substantial agreement without proportional bias. The software-based method reduced execution time by 38.2% (p < 0.001). All participants preferred the software-based method.</p><p><strong>Conclusion: </strong>The software-based method demonstrated agreement comparable to the manual Moyers analysis, while significantly reducing execution time. Its usability and efficiency support its application in orthodontic education and clinical workflow optimization.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 3","pages":"e262634"},"PeriodicalIF":0.0,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888934","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":"Selected clinical approaches for the treatment of classic Class II, division 1 malocclusion.","authors":"Orlando Motohiro Tanaka, Gil Guilherme Gasparello, Matheus Melo Pithon, Oscar Mario Antelo, Renato Parsekian Martins","doi":"10.1590/2177-6709.31.3.e262655.oar","DOIUrl":"10.1590/2177-6709.31.3.e262655.oar","url":null,"abstract":"<p><strong>Introduction: </strong>Class II, division 1 malocclusion is the most common sagittal discrepancy, marked by distal positioning of the lower teeth, upper incisor protrusion, maxillary constriction, and facial profile imbalance. Its multifactorial etiology-skeletal, dental, and functional - results in diverse clinical presentations and treatment approaches.</p><p><strong>Objective: </strong>This article aims to present a series of clinical approaches for the management of classic Class II, division 1 malocclusion, underlining how different treatment modalities -selected according to individual patient characteristics- can lead to effective outcomes.</p><p><strong>Considerations: </strong>Treatment strategies for Class II, division 1 malocclusion include growth modification, headgear therapy, maxillary molar distalization with temporary anchorage devices (TADs), premolar extractions, clear aligner therapy, and orthodontic-surgical approaches for severe skeletal cases. Advances in biomechanics and skeletal anchorage have expanded non-extraction and less invasive options. However, careful case selection remains essential. Diagnosis must assess skeletal, dental, functional, and psychosocial factors, with treatment choices balancing esthetics, biomechanics, stability, and patient cooperation, customized to individual needs.</p>","PeriodicalId":38720,"journal":{"name":"Dental Press Journal of Orthodontics","volume":"31 3","pages":"e262655"},"PeriodicalIF":0.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13450904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723031","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}