{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:48:47Z","timestamp":1747187327891,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,4,9]],"date-time":"2022-04-09T00:00:00Z","timestamp":1649462400000},"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":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to evaluate the stability of treatment with a Herbst appliance associated with Hyrax expander (Stage I), followed by fixed appliances (Stage II) and follow\u2010up for an average of 4\u2009years after Stage II, on dentoskeletal facial structures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study involved 50 adolescents with Angle Class II division 1 malocclusion associated with mandibular retrognathism: Treated Group (TG\u201025) and Control Group (CG\u201025). Lateral cephalometric radiographs were taken: T1, immediately before Stage I (TG) or at the beginning of the follow\u2010up period (CG); T2, at the end of Stage I (TG) or the follow\u2010up period (CG); T3, at the end of Stage II (TG); and T4, on average, 4\u2009years after Stage II (TG). Enlow's counterpart analysis and some cephalometric measurements were evaluated. Parametric and non\u2010parametric tests were used (<jats:italic>P<\/jats:italic>\u00a0\u2264\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The ramus alignment variables (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), SNB (0.040), ANB (&lt;0.001), 1.PP (<jats:italic>P<\/jats:italic>\u00a0=\u20090.015), 1.MP (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), ms\/RLp (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), mi\/RLp (<jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001) and S\u2010LS (<jats:italic>P<\/jats:italic>\u00a0=\u20090.005) showed differences between TG and CG from T1 to T2. Longitudinally, there were differences in ramus alignment, <jats:italic>P<\/jats:italic>\u00a0=\u20090.003, T1\u2009&gt;\u2009T2\u2009&lt;\u2009T3\u00a0=\u00a0T4; SNB, <jats:italic>P<\/jats:italic>\u00a0=\u20090.016, T1\u2009&lt;\u2009T2\u00a0=\u00a0T3\u00a0=\u00a0T4; ANB, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, T1\u2009&gt;\u2009T2\u00a0=\u00a0T3\u00a0=\u00a0T4; 1.MP, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, T1\u2009&lt;\u2009T2\u00a0=\u00a0T3\u00a0=\u00a0T4; ms\/RLp, <jats:italic>P<\/jats:italic>\u00a0=\u20090.002, T1\u00a0=\u00a0T2\u2009&lt;\u2009T3\u00a0=\u00a0T4; mi\/RLp, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, T1\u2009&lt;\u2009T2\u00a0=\u00a0T3\u00a0=\u00a0T4; S\u2010LS, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001, T1\u2009&gt;\u2009T2\u00a0=\u00a0T3\u00a0=\u00a0T4 and S\u2010LI, <jats:italic>P<\/jats:italic>\u00a0=\u20090.003, T1\u00a0=\u00a0T2\u00a0=\u00a0T3\u2009&gt;\u2009T4.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The nasomaxillary complex (MCF\/PM alignment) tended to a retrusive effect to compensate the degree of mandibular retrusion. The protrusive effect of the lower facial third was evident after the Herbst stage and did not remain stable in the follow\u2010up. The dentoalveolar compensation and improvement in facial profile remained stable.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ocr.12574","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T07:41:57Z","timestamp":1648539717000},"page":"27-36","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the stability of treatment with Herbst appliance associated with Hyrax expander and fixed orthodontics through counterpart analysis: A longitudinal follow\u2010up study"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5930-7777","authenticated-orcid":false,"given":"Lu\u00eds Ant\u00f4nio","family":"de Arruda Aidar","sequence":"first","affiliation":[{"name":"Department of Orthodontics, School of Dentistry Santa Cec\u00edlia University  Santos 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