{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:18:10Z","timestamp":1790961490926,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this systematic review is to assess the treatment effects (amount of distalization, distal tipping and vertical movement) of buccally versus palatally placed temporary skeletal anchorage devices (TSADs) on maxillary first molars during distalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>Medline and Scopus databases were searched up to September 2020 for randomized controlled trials (RCTs) and non\u2010randomized prospective cohort studies on maxillary molar distalization using TSADs in patients with Class II malocclusion. After study selection, data extraction and risk of bias assessment, meta\u2010analyses were performed for the amount of distalization, distal tipping and intrusion of first molars.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine studies (2 RCTs and 7 prospective studies) were included. The risk of bias of the RCTs was low to unclear. The non\u2010randomized studies were of moderate quality. In five studies, the TSADs were placed in the infrazygomatic process while in two studies, they were placed in the buccal inter\u2010radicular spaces, and in two studies, they were placed in the midpalatal region. The first molar distalization was 2.75\u00a0mm when buccal inter\u2010radicular TSADs were used, but 4.07 and 4.17\u00a0mm with palatal and infrazgomatic TSADs. The palatal appliances were associated with 11.17\u00b0 of distal tipping of the first molar while infrazygomatic and buccal inter\u2010radicular TSADs resulted in 3.99\u00b0 and 1.70\u00b0 of tipping, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Inter\u2010radicular TSADs resulted in less distal tipping but also in less distalization. Palatal TSAD\u2010supported appliances showed the greatest amount of distal tipping. Further RCTs or prospective studies on the effect of various designs of TSAD\u2010supported distalization are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ocr.12470","type":"journal-article","created":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T12:14:40Z","timestamp":1611404080000},"page":"103-112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Distalization of maxillary molars using temporary skeletal anchorage devices: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7314-1419","authenticated-orcid":false,"given":"Mohamed","family":"Bayome","sequence":"first","affiliation":[{"name":"Department of Preventive Dental Sciences, College of Dentistry King Faisal University  Al Hofuf Saudi Arabia"},{"name":"Department of Postgraduate Studies Universidad Aut\u00f3noma del Paraguay  Asunci\u00f3n Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3134-6878","authenticated-orcid":false,"given":"Jae Hyun","family":"Park","sequence":"additional","affiliation":[{"name":"Postgraduate Orthodontic Program Arizona School of Dentistry &amp; Oral Health, A.T. Still University  Mesa AZ USA"},{"name":"Graduate School of Dentistry Kyung Hee University  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curt","family":"Bay","sequence":"additional","affiliation":[{"name":"Department of Interdisciplinary Health Sciences Arizona School of Health Sciences, A.T. Still University  Mesa AZ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9969-8645","authenticated-orcid":false,"given":"Yoon\u2010Ah","family":"Kook","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Seoul St. Mary\u2019s Hospital The Catholic University of Korea  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2209\/tdcpublication.55.225"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2004.04.031"},{"key":"e_1_2_9_4_1","first-page":"686","article-title":"A comparative analysis of maxillary tooth movement produced by cervical headgear and pend\u2010x appliance","volume":"73","author":"Taner TU","year":"2003","journal-title":"Angle Orthod"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pio.2011.07.002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjn047"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00056-005-0512-6"},{"key":"e_1_2_9_8_1","first-page":"650","article-title":"Maxillary molar distalization with a bone\u2010anchored pendulum appliance","volume":"76","author":"Kircelli BH","year":"2006","journal-title":"Angle Orthod"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.2319\/080512-630.1"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/jos.JOS_66_17"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2319\/032212-123.1"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2007.04.031"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2009.05.037"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2005.08.036"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2009.02.035"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.2319\/071311-445.1"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.17796\/jcpd.36.4.58tm38928v522283"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2012.03.027"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.4041\/kjod.2012.42.6.291"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2014.03.023"},{"key":"e_1_2_9_21_1","first-page":"719","article-title":"A modified palatal anchorage plate for simple and efficient distalization","volume":"44","author":"Kook YA","year":"2010","journal-title":"J Clin Orthod"},{"key":"e_1_2_9_22_1","first-page":"241","article-title":"Design improvements in the modified C\u2010palatal plate for molar distalization","volume":"47","author":"Kook YA","year":"2013","journal-title":"J Clin Orthod"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.4041\/kjod.2016.46.5.290"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjr130"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1590\/2176-9451.20.4.076-081.oar"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.2319\/091717-624.1"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj8010026"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ortho.2019.06.002"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2016.05.010"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.2319\/091611-595.1"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjp016"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00056-014-0214-z"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ortho.2019.11.003"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2015.12.024"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjz030"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.2319\/061917-406.1"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.17796\/1053-4625-44.3.12"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2019.01.021"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016357.2017.1324636"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.15.2008"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2007.03.040"},{"key":"e_1_2_9_42_1","first-page":"271","article-title":"Exploring a new method for superimposition of pre\u2010treatment and post\u2010treatment mandibular digital dental casts in adults","volume":"50","author":"Dai FF","year":"2018","journal-title":"Beijing Da Xue Xue Bao Yi Xue Ban"}],"container-title":["Orthodontics &amp; 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