American Journal of Orthodontics and Dentofacial Orthopedics最新文献

{"title":"Clear aligner therapy combined with orthognathic surgery: A scoping review.","authors":"Alex Simon Chan, Lyn Jiang, Josh Ch'ng, Seth Delpachitra","doi":"10.1016/j.ajodo.2025.04.018","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.04.018","url":null,"abstract":"<p><strong>Introduction: </strong>It is uncertain whether using perioperative clear aligner therapy (CAT) for orthognathic surgery (OGS) is a suitable alternative to conventional fixed appliances, which has traditionally been the mainstay of orthodontic preparation and refinement. This scoping review assesses the nature of current evidence regarding the use of CAT with OGS.</p><p><strong>Methods: </strong>The review follows Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. Two reviewers conducted a systematic search and independent screening process across 5 electronic databases until April 2024. Types of included studies were all peer-reviewed journal papers reported in English, excluding literature reviews, animal studies, and congenital syndromes. Risk of bias was conducted using the Risk Of Bias In Nonrandomized Studies of Interventions tool and the Cochrane risk-of-bias tool.</p><p><strong>Results: </strong>A total of 31 studies comprising 298 participants were included. A heterogeneous array of orthodontic-first and surgery-first protocols were reported. Patients frequently had Class III malocclusions with minimal crowding, used Invisalign aligners, and underwent virtually planned bimaxillary surgery. The main outcomes measured included quality of posttreatment finishing, treatment duration, accuracy of virtual planning, postoperative swelling, stability, periodontal health, and quality of life.</p><p><strong>Conclusions: </strong>Existing evidence on CAT in OGS reported satisfactory outcomes. However, the available evidence should be cautiously interpreted on account of retrospective study designs, unclear patient selection, and underuse of objective measures. Prospective studies with fixed appliance control groups are indicated before CAT is routinely used with OGS for complex dentofacial deformity.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in occlusal function after surgical and nonsurgical treatment of anterior crossbite: A 2-year follow-up.","authors":"Joongoo Lee, Yoon Jeong Choi, Hyung-Seog Yu, Sanghee Lee, Ji-Hyun Lee, Sun-Hyung Park, Chooryung J Chung, Kyung-Ho Kim","doi":"10.1016/j.ajodo.2025.04.025","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.04.025","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior crossbite (ACB) leads to functional impairments, such as reduced masticatory efficiency because of improper occlusion of the anterior teeth. This study evaluated how treatment of ACB affected the occlusal force (OF) and occlusal contact area (OCA), focusing on anterior, posterior, and total teeth.</p><p><strong>Methods: </strong>This retrospective study included 122 female patients aged 18-40 years, divided into 3 groups: camouflage (n = 32), surgery (n = 34), and control (n = 56). The OF and OCA were measured using the Dental Prescale System before treatment, immediately after treatment, and 2 years after treatment. Lateral cephalograms were obtained simultaneously to evaluate skeletal and dental changes.</p><p><strong>Results: </strong>The patients with ACB, including camouflage and surgery groups, showed lower anterior OF and OCA than the control group at T0 (P <0.01). However, after treatment, the 3 groups showed no significant differences. The surgery group showed lower total OCA than the control group before treatment and 2 years after treatment (P <0.05). Before treatment, the camouflage and surgery groups showed lower anterior/total ratios of the OF and OCA than the control group (P <0.001), but the ratios improved after treatment.</p><p><strong>Conclusions: </strong>Patients with ACB had lower anterior OF and OCA, but these increased after nonsurgical orthodontic camouflage treatment. In contrast, patients with severe skeletal Class III malocclusion and ACB had lower posterior OCA and total OCA, which increased as much as those in the nonsurgical patients after orthognathic surgery. Through these treatments, patients can obtain a more balanced occlusion between the anterior and posterior teeth.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fibroblast growth factor 2 stimulates differentiation of mechanically-stressed human periodontal ligament fibroblasts into cementoblasts.","authors":"Sakiko Rikimaru, Kayoko Nakao-Kuroishi, Kaori Kometani-Gunjigake, Masahiro Mizuhara, Chihiro Nakatomi, Takashi Toyono, Kentaro Ono, Tatsuo Kawamoto","doi":"10.1016/j.ajodo.2025.04.023","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.04.023","url":null,"abstract":"<p><strong>Introduction: </strong>Orthodontic treatment enables tooth movement through bone remodeling. The effects of fibroblast growth factor 2 (FGF2) on human periodontal ligament fibroblasts (HPdLFs) in response to mechanical stimulation that occurs during orthodontic treatment remain unexplained. We investigated the effects of FGF2 and mechanical stress on HPdLF differentiation, focusing on cementoblast differentiation.</p><p><strong>Methods: </strong>The effects of FGF2 and mechanical stress (applied for 24 hours using a centrifuge) on HPdLFs were evaluated. Changes in marker levels were assessed using real-time reverse transcriptase-polymerase chain reaction and western blotting. Furthermore, the effect of FGF2 treatment on HPdLF mineralization was assessed after 3 and 5 weeks using Alizarin red S staining (BMK-R009: Bio Future Technologies, Tokyo, Japan).</p><p><strong>Results: </strong>Treatment of HPdLFs with 20 ng/mL FGF2 increased the expression of CEMP1 and RUNX2 but did not significantly alter the expression of FGF2, FGFR1, and FGFR2. In HPdLFs exposed to mechanical stress, expression of FGFR1 and OCN was increased, whereas that of FGF2, CEMP1, CAP, GLUT1, ALP, and OPN was reduced considerably. Treatment of mechanically-stressed HPdLFs with FGF2 did not change FGF2 expression, but expression of FGFR1, CEMP1, CAP, and GLUT1 increased significantly. In addition, FGFR1 was significantly upregulated at the protein level, whereas cementoblast differentiation markers showed an upward trend. Mineralization showed no changes at 3 weeks. However, at 5 weeks, considerable mineralization was observed in mechanically-stressed cells continuously exposed to FGF2.</p><p><strong>Conclusions: </strong>Mechanical stress increases FGFR1 expression in HPdLFs. FGF2 promotes the differentiation of mechanical-stressed HPdLFs into cementoblasts and their mineralization.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative evaluation of the accuracy of customized lingual orthodontic brackets fabricated by metal 3-dimensional printing and casting: An in vitro study.","authors":"Viet Anh Nguyen, Khanh Linh Trinh, Thi Lan Anh Le, Huy Cong Nguyen, Thu Tra Nguyen","doi":"10.1016/j.ajodo.2025.05.002","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.05.002","url":null,"abstract":"<p><strong>Introduction: </strong>Customized lingual orthodontic brackets require high accuracy for optimal clinical performance. Metal 3-dimensional (3D) printing and casting techniques using 3D-printed wax patterns have emerged as fabrication methods. However, comparative evaluations of their dimensional accuracy and frictional behavior remain limited. This study aimed to evaluate and compare the accuracy and frictional characteristics of customized lingual brackets fabricated using selective laser melting and conventional casting.</p><p><strong>Methods: </strong>Thirty-six customized lingual brackets (n = 18 per group) were fabricated. The trueness and actual gaps of the bracket base were assessed using triple-scan superimposition. Positional accuracy was evaluated by linear and angular deviations, and dimensional accuracy was assessed through slot height error and convergence angle. Frictional force was measured by pulling an archwire through the bracket slot. After polishing and thermocycling, dimensional and frictional evaluations were repeated. Data were analyzed using independent samples t tests (P <0.05).</p><p><strong>Results: </strong>Three-dimensional-printed brackets showed significantly higher trueness errors (34.5 μm) and slot height errors (29.69 μm) than cast brackets (25.2 and 21.28 μm). Frictional force was also significantly higher in the as-fabricated 3D-printed group (3.61 and 2.46 N; P <0.001). Postpolishing significantly reduced friction but did not eliminate the differences, whereas dimensional differences were no longer statistically significant between groups. Positional accuracy and convergence angle showed no significant differences between groups.</p><p><strong>Conclusions: </strong>Three-dimensional printing and casting techniques both achieved clinically acceptable positional accuracy. However, dimensional discrepancies and higher friction in 3D-printed brackets highlight the need for optimized postprocessing to enhance clinical performance.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Malocclusion and peer relationships in school children aged 10-14 years in the United Kingdom: A cross-sectional study.","authors":"Andrew DiBiase, Zaffie Cox, Michaela Rea, Lazaros Gonidis, Lindsey Cameron, Adam Rutland","doi":"10.1016/j.ajodo.2025.04.017","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.04.017","url":null,"abstract":"<p><strong>Introduction: </strong>This was a cross-sectional observational study carried out in 16 schools in the Southeast of the United Kingdom using a convenience sample based on geographic location and agreement to participate, aiming to investigate the relationship between malocclusion and peer relationships in school children aged 10-14 years.</p><p><strong>Methods: </strong>Peer relationships, self-esteem, and oral health-related quality of life (OHRQoL) were measured using 3 questionnaires: the Loneliness and School Dissatisfaction Questionnaire, the Rosenberg Self-Esteem Scale, and the Malocclusion Impact Questionnaire (MIQ). The esthetic impact of malocclusion and orthodontic treatment needs were assessed using the Index of Orthodontic Treatment Need-Aesthetic Component (IOTN-AC).</p><p><strong>Results: </strong>Complete data were collected for 698 participants. School children with a definite need for orthodontic treatment (IOTN-AC, 8-10) reported higher levels of loneliness (P = 0.036) and lower OHRQoL (P <0.001), but there was no difference in self-esteem compared to those with IOTN-AC score 1-7. The relationship between malocclusion and loneliness was fully mediated through OHRQoL (P <0.001) and moderated by self-esteem in girls so that mediation was evident in people with low and average self-esteem but not high self-esteem. In boys, as there was no direct relationship between malocclusion and loneliness, mediation did not occur.</p><p><strong>Conclusions: </strong>A significant relationship was found between malocclusion and peer relationships in girls, and this was moderated by self-esteem.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professor J.M.H. Dibbets: The career of an orthodontic intellectual.","authors":"James A McNamara, R B Kuitert, Anne Marie Kuijpers-Jagtman","doi":"10.1016/j.ajodo.2025.04.014","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.04.014","url":null,"abstract":"","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary alveolar bone grafting of clefts using bioactive glass 45S5: Long-term dental and periodontal status.","authors":"Emmanuelle Verdier, Olivier Azzis, Mathilde Marchand, Sylvie Jeanne, Ronan Lebullenger, Marie Eve Gatibelza, Tiphaine Davit-Béal, Damien Brézulier","doi":"10.1016/j.ajodo.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.04.007","url":null,"abstract":"<p><strong>Introduction: </strong>Secondary alveolar bone grafting (SABG) restores the continuity of alveolar bone in orofacial clefts to establish a functional dental occlusion. Given the complications of autografts, the use of biomaterials has been proposed. In a previous study, we demonstrated 3-dimensional radiographic success at 1 year of >80% when bioactive glass 45S5 was used. The aim was now to establish the clinical success rate of SABG made with bioactive glass based on a combination of dental and periodontal criteria after 5 years.</p><p><strong>Methods: </strong>This retrospective cohort study included patients who underwent SABG between 2015 and 2021 and were born before 2012. A total of 45 SABG on 35 patients was included. The mean surgical follow-up period was 5.75 years. Clinical success was defined according to a composite outcome that took into account the periodontal volume (normal or depression) at the graft level and the recession on the adjacent teeth (no recession or Miller Class I). It was studied using descriptive statistics. Subgroup analysis according to lateral incisor status and space management was performed by Fisher exact test.</p><p><strong>Results: </strong>The clinical success rate was 71.1%. Neither the absence of a tooth close to the cleft (P = 0.845) nor the opening or closing of the space (P = 0.325) in the case of a missing tooth influenced the outcome of the procedure. Furthermore, an association was only found between radiographic and clinical success in the subgroup without missing teeth (P = 0.035). It was not found for the full cohort (P = 0.061) nor the group with missing teeth (P = 0.299).</p><p><strong>Conclusions: </strong>The use of bioactive glass 45S5 instead of autograft is relevant for SABG, with a 5-year clinical success rate of >71%. A complete dental formula allows for a more predictable result.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Absorption and desorption dynamics of thermoformed and 3-dimensional-printed orthodontic aligners.","authors":"Luka Šimunović, Ana Marija Miličević, Luka Brenko, Tatjana Haramina, Senka Meštrović","doi":"10.1016/j.ajodo.2025.04.022","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.04.022","url":null,"abstract":"<p><strong>Introduction: </strong>The mechanical performance and fit of orthodontic aligners are influenced by their interaction with moisture in the oral environment. This study aimed to evaluate and compare the water absorption, desorption kinetics, and diffusion behavior of thermoformed (Invisalign [Align Technology, Santa Clara, Calif] and ClearCorrect [Institut Straumann AG, Basel, Switzerland]) and 3-dimensional (3D)-printed (Tera Harz TC-85, Clear A; Graphy Inc, Seoul, South Korea) orthodontic aligners.</p><p><strong>Methods: </strong>Thirty-two aligners were divided by brand and fabrication method. The samples were immersed in distilled water at 37°C for 14 days and weighed daily. Desorption was measured at hourly intervals for 8 hours and once at 24 hours after removal from immersion. Diffusion kinetics were modeled using log-log transformed data and linear regression based on the Fickian diffusion theory.</p><p><strong>Results: </strong>All materials followed Fickian diffusion profiles. Thermoformed aligners showed significantly higher water absorption than 3D-printed aligners by day 14 (4.91% for Invisalign vs 2.76% for Clear A; P <0.001). Invisalign also exhibited the highest diffusion slope (k = 0.74) and the fastest desorption (93.7% in the first hour). Three-dimensional-printed aligners displayed slower early desorption but reached comparable release at 24 hours. A strong correlation was observed between water absorption and early desorption (r = 0.903; P <0.001).</p><p><strong>Conclusions: </strong>The aligner fabrication method and material composition significantly affected the moisture kinetics. Thermoformed aligners, especially those with outer thermoplastic polyurethane layers, demonstrate greater and faster water interactions, whereas 3D-printed aligners offer lower overall uptake but delayed release. These differences may influence the aligner fit and performance in clinical settings.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of palatal anchorage device on molar distalization with clear aligner: Three-dimensional finite element analysis.","authors":"Xuan Tang, Mengjie Wang, Xueqin Hu, Leilei Zheng, Chongshi Yang","doi":"10.1016/j.ajodo.2025.04.012","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.04.012","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to analyze the biomechanical effects of the combined use of clear aligner and palatal anchorage devices (transpalatal arch [TPA], combination of TPA and microimplant [MI]) during maxillary molar distalization.</p><p><strong>Methods: </strong>Three-dimensional finite element models were established to simulate molar distalization, incorporating 7 configurations: Without-TPA, TPA-no-MI, TPA-with-MI1, TPA-with-MI2, TPA-with-MI3, TPA-with-MI4, and TPA-with-MI5. The 3-dimensional displacements of upper teeth and von Mises stress distribution in the periodontal ligament were evaluated.</p><p><strong>Results: </strong>The use of palatal anchorage devices enhanced the anchorage of anterior teeth and improved molar distalization. The efficacy of anchorage enhancement is related to the relative position of MI and the center of resistance of the maxillary dentition.</p><p><strong>Conclusions: </strong>TPA placed on the first premolars effectively reinforces anterior anchorage during molar distalization with clear aligner. The combination of TPA and palatal MI can strengthen anterior tooth anchorage further.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of planned root torque changes of instanding maxillary lateral incisors with the Invisalign appliance.","authors":"Zahraa Albarki, Tony Weir, Maurice J Meade","doi":"10.1016/j.ajodo.2025.04.016","DOIUrl":"https://doi.org/10.1016/j.ajodo.2025.04.016","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to examine the efficacy of planned root torque changes of instanding maxillary lateral incisors (IMLIs) in patients treated with an initial series of Invisalign aligners (Align Technology, Santa Clara, Calif).</p><p><strong>Methods: </strong>Pretreatment digital models and digital models representing the planned and achieved treatment outcomes of adult patients prescribed an initial series of Invisalign aligners were measured using Geomagic Control X (version 2017.0.3; 3D systems, Rock Hill, NC). The type of orthodontic tooth movement (OTM) that was planned and achieved was assessed using the center of rotation as a reference point.</p><p><strong>Results: </strong>A sample of 65 patients with 95 IMLIs satisfied the inclusion criteria. The mean accuracy of the planned root torque change of the IMLIs was 78.9%. Palatal root torque was planned for most (82.1%) IMLIs. The accuracy of root torque expression differed according to whether planned changes were in a palatal or labial direction. Planned palatal torque changes showed a higher level of accuracy. Linear regression analysis indicated that age, sex, presence of an attachment, and type of attachment did not influence the accuracy of root torque expression (P >0.05), whereas planned anteroposterior movement of the IMLI crown did (P <0.01). The most frequently achieved OTM was uncontrolled tipping (54.7%).</p><p><strong>Conclusions: </strong>The achieved root torque in IMLIs with an initial series of Invisalign differed significantly from that planned. The amount of anteroposterior movement was significantly related to the efficacy in achieving the planned root torque.</p>","PeriodicalId":50806,"journal":{"name":"American Journal of Orthodontics and Dentofacial Orthopedics","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}