{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:14:53Z","timestamp":1784895293621,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","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":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This prospective study aimed to evaluate the impact on oral health\u2010related quality of life (OHRQoL) in skeletal Class III patients treated with the surgery\u2010first approach using either orthodontic aligners or fixed appliances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Patients were treated using the Surgery\u2010First Approach (SFA) combined with either clear aligner (CA) or conventional fixed appliances (FA). A total of 20 patients (male and female) were allocated to the CA group, while 14 were included in the FA group. OHRQoL was assessed using the Orthognathic Quality of Life Questionnaire (OQLQ), the Oral Health Impact Profile\u201014 (OHIP\u201014) and the SF\u201036 at different time periods: (T0) pre\u2010treatment, (T1) 1\u2009week after orthodontic appliance installation, (T2) 4\u2009weeks post\u2010surgery and (T3) 6\u2009months post\u2010surgery. Data analysis was conducted using the Friedman and Mann\u2013Whitney tests, with a significance level of 5%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No statistically significant differences were found in OHRQoL scores between the CA and FA groups at baseline and after 6\u2009months of treatment. However, significant intra\u2010group improvements were observed over time, particularly between the first and sixth months of treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both ortho\u2010surgical approaches, using either clear aligners or fixed appliances, resulted in significant improvements in patient quality of life. These findings highlight the positive impact of orthognathic treatment on dentofacial correction and overall well\u2010being, regardless of the appliance type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trail Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov NCT05822271.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ocr.70054","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T10:00:15Z","timestamp":1762509615000},"page":"112-121","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact on Oral Health\u2010Related Quality of Life in Skeletal Class\n                    <scp>III<\/scp>\n                    Patients Treated With Orthognathic Surgery\u2010First Approach Using Orthodontic Aligners or Fixed Appliances: A Controlled Clinical Study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7592-1507","authenticated-orcid":false,"given":"Arthur","family":"Cunha","sequence":"first","affiliation":[{"name":"Clinic of Orthodontics State University of Rio de Janeiro\u2014UERJ  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7327-6786","authenticated-orcid":false,"given":"Luana Karine Amaro","family":"Silva","sequence":"additional","affiliation":[{"name":"Clinic of Orthodontics State University of Rio de Janeiro\u2014UERJ  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0882-9909","authenticated-orcid":false,"given":"Henrique Martins","family":"da Silveira","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgery Division Pedro Ernesto University Hospital, State University of Rio de Janeiro  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5315-663X","authenticated-orcid":false,"given":"Jos\u00e9 Augusto Mendes","family":"Miguel","sequence":"additional","affiliation":[{"name":"Clinic of Orthodontics State University of Rio de Janeiro\u2014UERJ  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,7]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"44","article-title":"Orthognathic Surgery Combined With Clear Aligner Therapy","volume":"55","author":"Lou T.","year":"2021","journal-title":"Journal of Clinical Orthodontics"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jobcr.2021.02.011"},{"key":"e_1_2_11_4_1","first-page":"203","article-title":"The Invisalign System in Adult Orthodontics: Mild Crowding and Space Closure Cases","volume":"34","author":"Boyd R. 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