{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T09:57:28Z","timestamp":1791453448091,"version":"4.3.3"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T00:00:00Z","timestamp":1623801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002648","name":"Catholic University of Korea","doi-asserted-by":"publisher","award":["ZC20EISE0176"],"award-info":[{"award-number":["ZC20EISE0176"]}],"id":[{"id":"10.13039\/501100002648","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study aimed to compare the skeletodental and soft tissue changes with total arch distalization using a modified C\u2010palatal plate (MCPP) and maxillary first premolar extraction treatment in Class II malocclusion patients with severe overjet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and sample population<\/jats:title><jats:p>The sample consisted of 46 adult patients who had Class II Division 1 malocclusion with severe overjet; 25 of them received non\u2010extraction treatment with MCPPs (age, 22.5\u00a0\u00b1\u00a07.2\u00a0years), and 21 received maxillary first premolar extraction treatment (age 23.4\u00a0\u00b1\u00a06.5\u00a0years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A total of 26 variables were measured on pre\u2010 and post\u2010treatment lateral cephalograms. To evaluate the differences between pretreatment and post\u2010treatment in each group, <jats:italic>t<\/jats:italic> tests and Wilcoxon rank\u2010sum tests were used. To compare the amount of change between the two groups, MANOVA test was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The overjet was significantly reduced in the MCPP and extraction groups by 4.8\u00a0mm and 5.4\u00a0mm, respectively. However, the two groups had no significant difference in the sagittal, vertical and angular changes of the maxillary incisors. In addition, regarding soft tissue changes, the MCPP and extraction groups showed an increased nasolabial angle of 7.5\u00b0 and 9.4\u00b0, decreased upper lip to the true vertical line of 1.8\u00a0mm and 2.2\u00a0mm, respectively (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was no significant difference in the skeletal changes between the MCPP and extraction groups, and the reduction in overjet was similar in the groups. These results suggest that MCPP might be a viable treatment option for total arch distalization in Class II malocclusion patients with severe overjet.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ocr.12507","type":"journal-article","created":{"date-parts":[[2021,6,4]],"date-time":"2021-06-04T18:51:03Z","timestamp":1622832663000},"page":"119-127","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Comparison of treatment effects from total arch distalization using modified C\u2010palatal plates versus maxillary premolar extraction in Class II patients with severe overjet"],"prefix":"10.1111","volume":"25","author":[{"given":"Fawaz","family":"Alfawaz","sequence":"first","affiliation":[{"name":"Department of Orthodontics Seoul St. Mary's Hospital College of Medicine The Catholic University of Korea  Seoul Korea"}],"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 US"},{"name":"International Scholar Graduate School of Dentistry Kyung Hee University  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1505-2551","authenticated-orcid":false,"given":"Nam\u2010Ki","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Section of Dentistry Seoul National University Bundang Hospital  Seongnam Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7314-1419","authenticated-orcid":false,"given":"Mohamed","family":"Bayome","sequence":"additional","affiliation":[{"name":"Department of Preventive Dentistry College of Dentistry King Faisal University  Alhufuf Saudi Arabia"},{"name":"Department of Postgraduate Studies Universidad Auton\u00f3ma del Paraguay  Asunci\u00f3n Paraguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoshi","family":"Tai","sequence":"additional","affiliation":[{"name":"Postgraduate Orthodontic Program Arizona School of Dentistry &amp; Oral Health  Mesa AZ US"},{"name":"Private practice of orthodontics  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ja Hyeong","family":"Ku","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Seoul St. Mary's Hospital College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoonji","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Seoul St. Mary's Hospital College of Medicine The Catholic University of Korea  Seoul Korea"}],"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's Hospital College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2015.06.019"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2017.01.019"},{"key":"e_1_2_10_4_1","first-page":"407","article-title":"Forty\u2010years of review of extraction frequencies at a university orthodontics clinic","volume":"64","author":"Proffit WR","year":"1994","journal-title":"Angle Orthod"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjx004"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12470"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2009.05.037"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2319\/032212-123.1"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sodo.2020.06.011"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2319\/061917-406.1"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.2319\/060114-392.1"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2014.03.023"},{"key":"e_1_2_10_13_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_10_14_1","doi-asserted-by":"publisher","DOI":"10.17796\/1053-4628-42.4.13"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2016.09.033"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2319\/091112-726.1"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.4041\/kjod.2018.48.4.224"},{"key":"e_1_2_10_18_1","first-page":"351","article-title":"Comparisons of the dental arch changes in patients with Class II, division 1 malocclusions: extraction vs nonextraction treatments","volume":"64","author":"Bishara SE","year":"1994","journal-title":"Angle Orthod"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2006.04.051"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/20.3.225"},{"key":"e_1_2_10_21_1","first-page":"222","author":"Proffit W","year":"2012","journal-title":"Orthodontics. 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