{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T07:26:57Z","timestamp":1786951617283,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This retrospective study evaluated three\u2010dimensional effects of hybrid hyrax\u2010mentoplate (HH\u2010M) orthopaedic treatment in high\u2010angle Class III individuals using Cone Beam Computed Tomography (CBCT) images.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Pre\u2010treatment (T0) and post\u2010treatment (T1) CBCTs of 17 fully compliant high\u2010angle Class III patients (7 males, 10 females, age: 11.7\u2009\u00b1\u20091.32\u2009years, treatment duration: 12.62\u2009\u00b1\u20091.7\u2009months) treated with HH\u2010M were analysed. T0 and T1 CBCTs were superimposed from the cranial base using artificial intelligence\u2010based AMASSS module of the 3D Slicer version 5.8.1 software (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.slicer.org\">www.slicer.org<\/jats:ext-link>\n                      ). Linear and angular changes were analysed in the sagittal, vertical and transverse planes, alongside three\u2010dimensional landmark displacements and volumetric airway measurements. Significance level was set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant increases occurred in SNA, ANB and Occlusal Plane (OP) to Mandibular Plane (MP) angle (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001, respectively), while Sella\u2010Nasion to OP and Palatal Plane (PP) to OP decreased (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008, respectively). Vertical linear measurements remained stable (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). All transverse linear measurements increased (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Upper Molar (UM) to PP, Upper Incisor to PP, Lower Incisor to MP and overjet have significantly increased (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, respectively). Overbite remained unchanged (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Nasopharynx (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008) and Middle Pharynx (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) volumes significantly increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite the significant alterations observed in OP and UM\u2010PP, this technique effectively managed to maintain overall vertical skeletal dimensions without inducing a significant change in other facial height parameters and enhanced the airway volume. Significant expansion occurred across maxillary, nasal and zygomatic levels. HH\u2010M represents an effective orthopaedic treatment approach for high\u2010angle Class III patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ocr.70173","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T05:01:10Z","timestamp":1786942870000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Investigation of Effects of Hybrid Hyrax\u2010Mentoplate Treatment in High\u2010Angle Class III Patients: A Three\u2010Dimensional, Retrospective Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0029-8738","authenticated-orcid":false,"given":"Gamze","family":"Y\u0131ld\u0131r\u0131m","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry Marmara University  Istanbul 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