{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T01:44:25Z","timestamp":1778636665000,"version":"3.51.4"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:00:00Z","timestamp":1614038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Research University Individual","award":["1001\/PPSG\/8012277"],"award-info":[{"award-number":["1001\/PPSG\/8012277"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Dent"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Objectives\u2003The purpose of this study was to evaluate the short-term effect of active skeletonized sutural distractor (ASSD) appliance on temporomandibular joint morphology of class III malocclusion subjects.<\/jats:p><jats:p>Materials and Methods\u2003This was a prospective interventional study. Cone-beam computerized tomography (CBCT) images of 22 patients were taken before and after treatment by using Planmeca Promax 3D CBCT machine version 2.9.2 (Planmeca OY Helsinki, Finland). The condylar width, height, length, roof of glenoid fossa thickness, and all joint spaces were measured. The condylar position was determined based on Pullinger and Hollander formula. The condylar shape was determined as per Kinzinger et al. The condylar volume was calculated by using Mimics software (Materialize, Belgium).<\/jats:p><jats:p>Statistical Analysis\u2003Data analysis was performed by using SPSS software version 24. Wilcoxon paired signed-rank test was used to compare the difference in temporomandibular joint morphology and condylar volume between pre- and post-treatment measurements. Chi-square test was used to compare the condylar position and shape.<\/jats:p><jats:p>Results\u2003The superior (p = 0.000 on the right side, p = 0.005 on the left side) and posterior joint spaces (p = 0.000 on both sides) were decreased after the treatment, respectively. The condyles were rotated upward and backward, thereby increasing the anterior joint spaces (p = 0.000 on both sides) after the treatment. The condylar volume increases after treatment, but no significant differences were observed (p = 0.903 on the right side, p = 0.062 on the left side).<\/jats:p><jats:p>Conclusion\u2003The significant changes were observed in joint spaces. The condyles were more anteriorly placed before treatment. Condylar position and shape alter in response to ASSD treatment. The condylar volume did not show any significant change.<\/jats:p>","DOI":"10.1055\/s-0040-1722483","type":"journal-article","created":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T00:18:49Z","timestamp":1614125929000},"page":"523-532","source":"Crossref","is-referenced-by-count":3,"title":["The Short-Term Effect of Active Skeletonized Sutural Distractor Appliance on Temporomandibular Joint Morphology of Class III Malocclusion Subjects"],"prefix":"10.1055","volume":"15","author":[{"given":"Mohamed Zahoor Ul","family":"Huqh","sequence":"additional","affiliation":[{"name":"Orthodontic Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rozita","family":"Hassan","sequence":"additional","affiliation":[{"name":"Orthodontic Unit, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roselinda Abdul","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asilah","family":"Yusof","sequence":"additional","affiliation":[{"name":"Department of Oral Biology, School of Dental Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ida Bagus","family":"Narmada","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan Muhamad Amir W","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Universiti Sains Malaysia, Kubang Kerian, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,23]]},"reference":[{"key":"ref1","first-page":"81","article-title":"Prevalence of malocclusion and occlusal traits of Malay adults (18\u201323 years) in Shah Alam, Malaysia","author":"M Elfseyie","year":"2020","journal-title":"J Dent"},{"issue":"05","key":"ref2","first-page":"814","article-title":"Occlusal status in Asian male adults: prevalence and ethnic variation","volume":"75","author":"J Soh","year":"2005","journal-title":"Angle Orthod"},{"key":"ref3","author":"R H Sami al Jahmi","year":"2019"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1159\/000088111","article-title":"Prevalence and severity of malocclusion in adolescent Kuwaitis","volume":"14","author":"F Behbehani","year":"2005","journal-title":"Med Princ Pract"},{"issue":"03","key":"ref5","first-page":"207","article-title":"Epidemiologic panorama of dental 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