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Nakasone declares that he is a paid consultant for OrthAlign, Inc. and personally receives payment for surgical education related to OrthAlign products or collaboration regarding product improvement. No financial support from OrthAlign, Inc. was given or received regarding this manuscript or the execution of this study. This study was performed as an independent institution without collaboration with or the expressed written or verbal consent from OrthAlign, Inc. All other authors certify that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent\/licensing arrangements, etc.) that might pose a conflict of interest in connection with the submitted article.Funding: This research received no specific grant from any funding agency in the public, commercial or non-for-profit sectors.Ethical Approval: This prospective review study involving human participants was in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Hawai\u2018i Pacific Health Research Institute (local Western Institutional Review Board) approved this study.Informed Consent: This was an institutional review board approved, prospective review evaluation. 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