{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T08:48:57Z","timestamp":1791622137607,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"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:p>To compare the skeletal, dentoalveolar, soft\u2010tissue, and treatment\u2010burden effects of skeletal anterior traction (SAT) versus fixed anterior traction (FAT) in growing patients with skeletal Class III malocclusion. PubMed\/MEDLINE, Embase, Scopus, Web of Science, and CENTRAL were searched from inception through 15 May 2021, with citation tracking through 30 June 2021. Randomised and non\u2010randomised comparative studies directly evaluating SAT versus FAT in growing Class III patients were eligible. Two reviewers independently screened records, extracted data, and assessed risk of bias with RoB 2 or ROBINS\u2010I as appropriate; certainty was interpreted with GRADE. Random\u2010effects meta\u2010analysis was used for compatible continuous outcomes. The quantitative dataset comprised six comparative studies. In that dataset, SAT was associated with greater maxillary advancement (MD +1.23, 95% CI 0.88 to 1.57), greater intermaxillary sagittal correction (MD +1.38, 95% CI 1.04 to 1.73), less forward mandibular positional change (MD \u22120.94, 95% CI \u22121.38 to \u22120.49), less clockwise mandibular rotation (MD \u22121.12, 95% CI \u22121.79 to \u22120.45), less maxillary\u2010incisor proclination (MD \u22123.12, 95% CI \u22124.05 to \u22122.18), and improved facial convexity (MD +1.42, 95% CI 0.96 to 1.89). Publication\u2010level reconciliation identified two additional pre\u20102021 direct comparisons already cited in the manuscript and six direct comparative reports published after the original database\u2010search boundary; these were not retrospectively mixed into the retained pooled estimates without a reproducible re\u2010extraction of the original dataset. The retained pooled dataset suggests that SAT shifts early Class III correction toward a more skeletal and less dentoalveolar pattern, but the exact magnitude of the skeletal advantage is uncertain. RCT\u2010only syntheses published subsequently report only small incremental maxillary effects of skeletal anchorage, while the reduction in maxillary\u2010incisor proclination is more consistent. The pooled estimates in this manuscript should therefore be treated as provisional until a complete multi\u2010database update and re\u2010extraction incorporate all eligible direct comparisons.<\/jats:p>","DOI":"10.1111\/ocr.70189","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T08:07:50Z","timestamp":1791619670000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Effectiveness of Skeletal Versus Fixed Anterior Traction in Growing Patients With Skeletal Class\n                    <scp>III<\/scp>\n                    Malocclusion: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3398-037X","authenticated-orcid":false,"given":"Shi","family":"Lili","sequence":"first","affiliation":[{"name":"Department of Oral Medicine Beijing Sixth Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Bowen","sequence":"additional","affiliation":[{"name":"Department of Orthodontics Beijing Stomatological Hospital, Capital Medical University  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Rui","sequence":"additional","affiliation":[{"name":"Department of Oral Medicine Beijing Sixth Hospital  Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_2_14_2_1","first-page":"248","article-title":"Classification of Malocclusion","volume":"41","author":"Angle E. 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