{"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":1791453448698,"version":"4.3.3"},"reference-count":72,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the effectiveness and accuracy of clear aligners (CA) in maxillary molar distalization and rotation for nonextraction Class II correction in the permanent dentition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This systematic review of the literature (2015\u20132024) followed PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines. Studies included orthodontic patients in the permanent dentition with dental Class II, mild or no skeletal discrepancies, 2\u20136 mm crowding, treated with CA without extractions (except maxillary third molars) or adjunctive therapies beyond Class II elastics. Data focused on maxillary molar distalization, rotation, accuracy, and complications. Risk of bias was assessed using ROBIN-I, with evidence level graded per the SBU protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen studies were categorized into Group A (initial aligner or distalization outcomes) and Group B (including refinements). Group B reported greater accuracy and distalization due to sequential distalization protocols, Class II elastics, and refinements. After refinements, CA achieved 1.84\u20132.98 mm of maxillary molar distalization with 85% maximum accuracy. First-molar rotation reached 8.09\u00b0, with 78.4% maximum accuracy. No significant vertical skeletal changes were observed. Challenges included anterior anchorage loss, buccolingual tipping of upper molars, and patient compliance monitoring. Methodological variability and participant demographics prevented a meta-analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CA effectively achieves maxillary molar distalization and rotation in nonextraction Class II patients. Sequential distalization protocols and refinements improve treatment outcomes, whereas early incorporation of Class II elastics, combined molar movements, and compliance monitoring may enhance treatment efficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/011525-55.1","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:30:51Z","timestamp":1754008251000},"page":"683-696","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness and accuracy of clear aligners in non-extraction Class II correction: a systematic review of maxillary molar distalization and rotation in the permanent dentition"],"prefix":"10.2319","volume":"95","author":[{"given":"Suteeta","family":"Disthaporn","sequence":"first","affiliation":[{"name":"External Fellow, Department of Orthodontics, College of Dentistry, University of Illinois Chicago, Chicago, IL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veerasathpurush","family":"Allareddy","sequence":"additional","affiliation":[{"name":"Professor and Brodie Craniofacial Endowed Chair and Head, Department of Orthodontics, College of Dentistry, University of Illinois Chicago, Chicago, IL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phimon","family":"Atsawasuwan","sequence":"additional","affiliation":[{"name":"Professor, Department of Orthodontics, College of Dentistry, University of Illinois Chicago, Chicago, IL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Kyeong","family":"Lee","sequence":"additional","affiliation":[{"name":"Associate Professor, Department of Orthodontics, College of Dentistry, University of Illinois Chicago, Chicago, IL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i1945-7103-95-6-683-b01","series-title":"Dent Update","first-page":"203","article-title":"Invisible orthodontics part I: Invisalign","volume":"40","author":"Malik","year":"2013","unstructured":"Malik OH,\nMcMullin A,\nWaring DT. Invisible orthodontics part I: Invisalign. Dent Update. 2013;40:203\u2013215."},{"key":"i1945-7103-95-6-683-b02","series-title":"Am J Orthod Dentofacial Orthop","first-page":"698","article-title":"Orthodontic appliance preferences of children and adolescents","volume":"138","author":"Walton","year":"2010","unstructured":"Walton DK,\nFields HW,\nJohnston WM, et al. Orthodontic appliance preferences of children and adolescents. Am J Orthod Dentofacial Orthop. 2010;138:698\u2013699."},{"key":"i1945-7103-95-6-683-b03","series-title":"Semin Orthod","first-page":"3","article-title":"Design of the Invisalign system performance","volume":"23","author":"Morton","year":"2017","unstructured":"Morton J,\nDerakhshan M,\nKaza S,\nLi C. Design of the Invisalign system performance. Semin Orthod. 2017;23:3\u201311."},{"key":"i1945-7103-95-6-683-b04","series-title":"J Digit Orthod","article-title":"Introduction to Invisalign Smart Technology: attachments design, and recall-checks","author":"Chang","year":"2019","unstructured":"Chang MJ,\nChen CH,\nChang CY, et al. Introduction to Invisalign Smart Technology: attachments design, and recall-checks. J Digit Orthod. 2019. https:\/\/iaoi.pro\/asset\/files\/jdo_54_pdf_article\/080_095.pdf"},{"issue":"3","key":"i1945-7103-95-6-683-b05","series-title":"Am J Orthod Dentofacial Orthop","first-page":"420","article-title":"Has Invisalign improved? A prospective follow-up study on the efficacy of tooth movement with Invisalign","volume":"158","author":"Haouili","year":"2020","unstructured":"Haouili N,\nKravitz ND,\nVaid NR,\nFerguson DJ,\nMakki L. Has Invisalign improved? A prospective follow-up study on the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop. 2020;158(3):420\u2013425."},{"issue":"6","key":"i1945-7103-95-6-683-b06","series-title":"Dent Press J Orthod","first-page":"e881","article-title":"Global distribution of malocclusion traits: a systematic review","volume":"23","author":"Alhammadi","year":"2018","unstructured":"Alhammadi MS,\nHalboub E,\nFayed MS, et al. Global distribution of malocclusion traits: a systematic review. Dent Press J Orthod. 2018;23(6):e881\u2013e889."},{"issue":"12","key":"i1945-7103-95-6-683-b07","series-title":"Int J Environ Res Public Health","first-page":"7446","article-title":"Prevalence of orthodontic malocclusions in healthy children and adolescents: a systematic review","volume":"19","author":"Ridder","year":"2022","unstructured":"Ridder LD,\nAleksieva A,\nWillems G, et al. Prevalence of orthodontic malocclusions in healthy children and adolescents: a systematic review. Int J Environ Res Public Health. 2022;19(12):7446."},{"key":"i1945-7103-95-6-683-b08","series-title":"Semin Orthod","first-page":"26","article-title":"A strategy for nonextraction Class II treatment","volume":"4","author":"Gianelly","year":"1998","unstructured":"Gianelly AA. A strategy for nonextraction Class II treatment. Semin Orthod.1998;4:26\u201332."},{"key":"i1945-7103-95-6-683-b09","series-title":"Angle Orthod","first-page":"481","article-title":"Evaluation of maxillary molar distalization with the distal jet: a comparison with other contemporary methods","volume":"72","author":"Bolla","year":"2002","unstructured":"Bolla E,\nMuratore F,\nCarano A,\nBowman SJ. Evaluation of maxillary molar distalization with the distal jet: a comparison with other contemporary methods. Angle Orthod. 2002;72:481\u2013494."},{"issue":"4","key":"i1945-7103-95-6-683-b10","series-title":"Int J Environ Res Public Health","first-page":"2941","article-title":"Predictability of maxillary molar distalization and derotation with clear Aligners: a prospective study","volume":"20","author":"D\u2019Ant\u00f2","year":"2023","unstructured":"D\u2019Ant\u00f2 V,\nValletta R,\nFerretti R, et al. Predictability of maxillary molar distalization and derotation with clear Aligners: a prospective study. Int J Environ Res Public Health. 2023;20(4):2941. doi: 10.3390\/ijerph20042941."},{"key":"i1945-7103-95-6-683-b11","series-title":"Appl Sci","first-page":"2670","article-title":"The efficacy and predictability of maxillary first molar derotation with Invisalign: a prospective clinical study in growing subjects","volume":"12","author":"Lione","year":"2022","unstructured":"Lione R,\nPaoloni V,\nDe Razza FC,\nPavoni C,\nCozza P. The efficacy and predictability of maxillary first molar derotation with Invisalign: a prospective clinical study in growing subjects. Appl Sci. 2022;12:2670."},{"key":"i1945-7103-95-6-683-b12","series-title":"Appl Sci","first-page":"3646","article-title":"Anchorage loss evaluation during maxillary molars distalization performed by clear aligner: a retrospective study on 3D digital casts","volume":"13","author":"Loberto","year":"2023","unstructured":"Loberto S,\nPaoloni V,\nPavoni C,\nCozza P,\nLione R. Anchorage loss evaluation during maxillary molars distalization performed by clear aligner: a retrospective study on 3D digital casts. Appl Sci. 2023;13:3646."},{"key":"i1945-7103-95-6-683-b13","series-title":"Int J Morphol","first-page":"920","article-title":"Morphology changes of maxillary molar distalization by clear aligner therapy","volume":"40","author":"Cui","year":"2022","unstructured":"Cui JY,\nTing L,\nCao YX, et al. Morphology changes of maxillary molar distalization by clear aligner therapy. Int J Morphol. 2022;40:920\u2013926."},{"key":"i1945-7103-95-6-683-b14","series-title":"BMC Oral Health","first-page":"1","article-title":"Treatment outcome and efficacy of an aligner technique-regarding incisor torque, premolar derotation and molar distalization","volume":"14","author":"Simon","year":"2014","unstructured":"Simon M,\nKeilig L,\nSchwarze J,\nJung BA,\nBourauel C. Treatment outcome and efficacy of an aligner technique-regarding incisor torque, premolar derotation and molar distalization. BMC Oral Health. 2014;14:1\u20137."},{"issue":"5","key":"i1945-7103-95-6-683-b15","series-title":"Angle Orthod","first-page":"881","article-title":"Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review","volume":"85","author":"Rossini","year":"2015","unstructured":"Rossini G,\nParrini S,\nCastroflorio T,\nDeregibus A,\nDebernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod. 2015;85(5):881\u2013889."},{"key":"i1945-7103-95-6-683-b16","series-title":"Sci Rep","first-page":"11348","article-title":"Predictability of tooth rotations in patients treated with clear aligners","volume":"14","author":"D\u2019Ant\u00f2","year":"2024","unstructured":"D\u2019Ant\u00f2 V,\nRongo R,\nCasaburo SD, et al. Predictability of tooth rotations in patients treated with clear aligners. Sci Rep. 2024;14:11348."},{"key":"i1945-7103-95-6-683-b17","series-title":"Prog Orthod","first-page":"35","article-title":"Predictability of orthodontic movement with orthodontic aligners: a retrospective study","volume":"18","author":"Lombardo","year":"2017","unstructured":"Lombardo L,\nArreghini A,\nRamina F,\nGhislanzoni LH,\nSiciliani G. Predictability of orthodontic movement with orthodontic aligners: a retrospective study. Prog Orthod. 2017;18:35."},{"issue":"1","key":"i1945-7103-95-6-683-b18","series-title":"BMC Oral Health","first-page":"79","article-title":"Tip, torque and rotation of maxillary molars during distalization using Invisalign: a CBCT study","volume":"15","author":"Elfouly","year":"2024","unstructured":"Elfouly D,\nEl-Harouni NM,\nIsmail HA,\nEl-Bialy T,\nGhoneima A. Tip, torque and rotation of maxillary molars during distalization using Invisalign: a CBCT study. BMC Oral Health. 2024;15(1):79."},{"key":"i1945-7103-95-6-683-b19","series-title":"Angle Orthod","first-page":"809","article-title":"How accurate is Invisalign in nonextraction cases? Are predicted tooth positions achieved","volume":"87","author":"Grunheid","year":"2017","unstructured":"Grunheid T,\nLoh C,\nLarson BE. How accurate is Invisalign in nonextraction cases? Are predicted tooth positions achieved? Angle Orthod. 2017;87:809\u2013815."},{"key":"i1945-7103-95-6-683-b20","series-title":"Prog Orthod","first-page":"12","article-title":"Maxillary molar distalization with aligners in adult patients: a multicenter retrospective study","volume":"17","author":"Ravera","year":"2016","unstructured":"Ravera S,\nCastroflorio T,\nGarino F, et al. Maxillary molar distalization with aligners in adult patients: a multicenter retrospective study. Prog Orthod. 2016;17:12."},{"issue":"6","key":"i1945-7103-95-6-683-b21","series-title":"Minerva Dent Oral Sci","first-page":"291","article-title":"Vertical effects of distalization protocol with clear aligners in Class II patients: a prospective study","volume":"72","author":"Balboni","year":"2023","unstructured":"Balboni A,\nLombardo EC,\nBalboni G,\nGazzani F. Vertical effects of distalization protocol with clear aligners in Class II patients: a prospective study. Minerva Dent Oral Sci. 2023;72(6):291\u2013297."},{"key":"i1945-7103-95-6-683-b22","series-title":"BMC Oral Health","first-page":"182","article-title":"Impact of molar teeth distalization with clear aligners on occlusal vertical dimension: a retrospective study","volume":"19","author":"Caruso","year":"2019","unstructured":"Caruso S,\nNota A,\nEhsani S, et al. Impact of molar teeth distalization with clear aligners on occlusal vertical dimension: a retrospective study. BMC Oral Health. 2019;19:182."},{"key":"i1945-7103-95-6-683-b23","series-title":"Bioengineering","first-page":"1390","article-title":"Predictability of dental distalization with clear aligners: a systemic review","volume":"10","author":"Inchingolo","year":"2023","unstructured":"Inchingolo AM,\nInchingolo AD,\nCarpentiere V, et al. Predictability of dental distalization with clear aligners: a systemic review. Bioengineering. 2023;10:1390."},{"key":"i1945-7103-95-6-683-b24","series-title":"Funct Biomater","first-page":"137","article-title":"Molar distalization by clear aligners with sequential distalization protocol: a systematic review and meta-analysis","volume":"15","author":"Shen","year":"2024","unstructured":"Shen C,\nPark TH,\nChung CH,\nLi C. Molar distalization by clear aligners with sequential distalization protocol: a systematic review and meta-analysis. Funct Biomater. 2024;15:137."},{"key":"i1945-7103-95-6-683-b25","series-title":"Prog Orthod","first-page":"37","article-title":"Clinical effectiveness of Invisalign\u00ae orthodontic treatment: a systematic review","volume":"19","author":"Papadimitriou","year":"2018","unstructured":"Papadimitriou A,\nMousoulea S,\nGkantidis N,\nKloukos D. Clinical effectiveness of Invisalign\u00ae orthodontic treatment: a systematic review. Prog Orthod. 2018;19:37."},{"key":"i1945-7103-95-6-683-b26","series-title":"Am J Orthod Dentofacial Orthop","first-page":"e372","article-title":"Efficiency evaluation of maxillary molar distalization using Invisalign based on palatal rugae registration","volume":"161","author":"Saif","year":"2022","unstructured":"Saif BS,\nPan F,\nMou Q, et al. Efficiency evaluation of maxillary molar distalization using Invisalign based on palatal rugae registration. Am J Orthod Dentofacial Orthop. 2022;161:e372\u2013e379."},{"issue":"1","key":"i1945-7103-95-6-683-b27","series-title":"Am J Orthod Dentofacial Orthop","first-page":"e41","article-title":"Class II malocclusion correction with Invisalign: is it possible","volume":"159","author":"Patterson","year":"2021","unstructured":"Patterson BD,\nFoley PF,\nUeno H, et al. Class II malocclusion correction with Invisalign: is it possible? Am J Orthod Dentofacial Orthop. 2021;159(1):e41\u2013e48."},{"issue":"1","key":"i1945-7103-95-6-683-b28","series-title":"J Dent Sci","first-page":"353","article-title":"Treatment of Class II malocclusion with Invisalign: a pilot study using digital model-integrated maxillofacial cone beam computed tomography","volume":"18","author":"Lin","year":"2023","unstructured":"Lin SY,\nHung MC,\nLu LH,\nSun JS,\nTsai SJ,\nChang JC. Treatment of Class II malocclusion with Invisalign: a pilot study using digital model-integrated maxillofacial cone beam computed tomography. J Dent Sci. 2023;18(1):353\u2013366."},{"issue":"14","key":"i1945-7103-95-6-683-b29","series-title":"J Clin Med","first-page":"4216","article-title":"Effectiveness of clear aligners on sequential maxillary molar distalization","volume":"13","author":"Mamani","year":"2024","unstructured":"Mamani J,\nSessirisombat C,\nHotokezaka H,\nYoshida N,\nSirisoontorn I. Effectiveness of clear aligners on sequential maxillary molar distalization. J Clin Med. 2024;13(14):4216."},{"key":"i1945-7103-95-6-683-b30","series-title":"Am J Orthod Dentofacial Orthop","first-page":"e176","article-title":"Distalization of maxillary molars with Invisalign aligners in nonextraction patients with Class II malocclusion","volume":"162","author":"Taffarel","year":"2022","unstructured":"Taffarel IA,\nGasparello GG,\nMota-Junior SL, et al. Distalization of maxillary molars with Invisalign aligners in nonextraction patients with Class II malocclusion. Am J Orthod Dentofacial Orthop. 2022;162:e176\u2013e182."},{"key":"i1945-7103-95-6-683-b31","series-title":"A systematic review. Angle Orthod","first-page":"181","article-title":"Long-term stability of orthodontic treatment and patient satisfaction","volume":"77","author":"Bondemark","year":"2007","unstructured":"Bondemark L,\nHolm A,\nHansen K, et al. Long-term stability of orthodontic treatment and patient satisfaction. A systematic review. Angle Orthod. 2007;77:181\u2013191."},{"key":"i1945-7103-95-6-683-b32","series-title":"Am J Orthod Dentofacial Orthop","first-page":"624","article-title":"Evaluation of the accuracy of digital model analysis for the American Board of Orthodontics objective grading system for dental casts","volume":"128","author":"Costalos","year":"2005","unstructured":"Costalos PA,\nSarraf K,\nCangialosi TJ,\nEfstratiadis S. Evaluation of the accuracy of digital model analysis for the American Board of Orthodontics objective grading system for dental casts. Am J Orthod Dentofacial Orthop. 2005;128:624\u2013629."},{"issue":"5","key":"i1945-7103-95-6-683-b33","series-title":"Am J Orthod Dentofacial Orthop","first-page":"538","article-title":"The effect of maxillary first molar derotation on arch length","volume":"112","author":"Braun","year":"1997","unstructured":"Braun S,\nKustono B,\nEvans CA. The effect of maxillary first molar derotation on arch length. Am J Orthod Dentofacial Orthop. 1997;112(5):538\u2013544."},{"issue":"6","key":"i1945-7103-95-6-683-b34","series-title":"J Clin Orthod","first-page":"341","article-title":"Effectiveness of composite attachments in controlling upper molar movement with aligners","volume":"50","author":"Garino","year":"2016","unstructured":"Garino F,\nCastroflorio T,\nDaher S, et al. Effectiveness of composite attachments in controlling upper molar movement with aligners. J Clin Orthod. 2016;50(6):341\u2013347."},{"issue":"1","key":"i1945-7103-95-6-683-b35","series-title":"Angle Orthod","first-page":"11","article-title":"Analysis of overcorrection to be included for planning clear aligner therapy: a retrospective study","volume":"93","author":"Palone","year":"2023","unstructured":"Palone M,\nPignotti A,\nMorin E, et al. Analysis of overcorrection to be included for planning clear aligner therapy: a retrospective study. Angle Orthod. 2023;93(1):11\u201318."},{"issue":"10","key":"i1945-7103-95-6-683-b36","series-title":"J Clin Med","first-page":"2845","article-title":"Vertical control in molar distalization by clear aligners: a systematic review and meta-analysis","volume":"13","author":"Park","year":"2024","unstructured":"Park TH,\nShen C,\nChung CH,\nLi C. Vertical control in molar distalization by clear aligners: a systematic review and meta-analysis. J Clin Med. 2024;13(10):2845."},{"key":"i1945-7103-95-6-683-b01","series-title":"Dent Update","first-page":"203","article-title":"Invisible orthodontics part I: Invisalign","volume":"40","author":"Malik","year":"2013","unstructured":"Malik OH,\nMcMullin A,\nWaring DT. Invisible orthodontics part I: Invisalign. Dent Update. 2013;40:203\u2013215."},{"key":"i1945-7103-95-6-683-b02","series-title":"Am J Orthod Dentofacial Orthop","first-page":"698","article-title":"Orthodontic appliance preferences of children and adolescents","volume":"138","author":"Walton","year":"2010","unstructured":"Walton DK,\nFields HW,\nJohnston WM, et al. Orthodontic appliance preferences of children and adolescents. Am J Orthod Dentofacial Orthop. 2010;138:698\u2013699."},{"key":"i1945-7103-95-6-683-b03","series-title":"Semin Orthod","first-page":"3","article-title":"Design of the Invisalign system performance","volume":"23","author":"Morton","year":"2017","unstructured":"Morton J,\nDerakhshan M,\nKaza S,\nLi C. Design of the Invisalign system performance. Semin Orthod. 2017;23:3\u201311."},{"key":"i1945-7103-95-6-683-b04","series-title":"J Digit Orthod","article-title":"Introduction to Invisalign Smart Technology: attachments design, and recall-checks","author":"Chang","year":"2019","unstructured":"Chang MJ,\nChen CH,\nChang CY, et al. Introduction to Invisalign Smart Technology: attachments design, and recall-checks. J Digit Orthod. 2019. https:\/\/iaoi.pro\/asset\/files\/jdo_54_pdf_article\/080_095.pdf"},{"issue":"3","key":"i1945-7103-95-6-683-b05","series-title":"Am J Orthod Dentofacial Orthop","first-page":"420","article-title":"Has Invisalign improved? A prospective follow-up study on the efficacy of tooth movement with Invisalign","volume":"158","author":"Haouili","year":"2020","unstructured":"Haouili N,\nKravitz ND,\nVaid NR,\nFerguson DJ,\nMakki L. Has Invisalign improved? A prospective follow-up study on the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop. 2020;158(3):420\u2013425."},{"issue":"6","key":"i1945-7103-95-6-683-b06","series-title":"Dent Press J Orthod","first-page":"e881","article-title":"Global distribution of malocclusion traits: a systematic review","volume":"23","author":"Alhammadi","year":"2018","unstructured":"Alhammadi MS,\nHalboub E,\nFayed MS, et al. Global distribution of malocclusion traits: a systematic review. Dent Press J Orthod. 2018;23(6):e881\u2013e889."},{"issue":"12","key":"i1945-7103-95-6-683-b07","series-title":"Int J Environ Res Public Health","first-page":"7446","article-title":"Prevalence of orthodontic malocclusions in healthy children and adolescents: a systematic review","volume":"19","author":"Ridder","year":"2022","unstructured":"Ridder LD,\nAleksieva A,\nWillems G, et al. Prevalence of orthodontic malocclusions in healthy children and adolescents: a systematic review. Int J Environ Res Public Health. 2022;19(12):7446."},{"key":"i1945-7103-95-6-683-b08","series-title":"Semin Orthod","first-page":"26","article-title":"A strategy for nonextraction Class II treatment","volume":"4","author":"Gianelly","year":"1998","unstructured":"Gianelly AA. A strategy for nonextraction Class II treatment. Semin Orthod.1998;4:26\u201332."},{"key":"i1945-7103-95-6-683-b09","series-title":"Angle Orthod","first-page":"481","article-title":"Evaluation of maxillary molar distalization with the distal jet: a comparison with other contemporary methods","volume":"72","author":"Bolla","year":"2002","unstructured":"Bolla E,\nMuratore F,\nCarano A,\nBowman SJ. Evaluation of maxillary molar distalization with the distal jet: a comparison with other contemporary methods. Angle Orthod. 2002;72:481\u2013494."},{"issue":"4","key":"i1945-7103-95-6-683-b10","series-title":"Int J Environ Res Public Health","first-page":"2941","article-title":"Predictability of maxillary molar distalization and derotation with clear Aligners: a prospective study","volume":"20","author":"D\u2019Ant\u00f2","year":"2023","unstructured":"D\u2019Ant\u00f2 V,\nValletta R,\nFerretti R, et al. Predictability of maxillary molar distalization and derotation with clear Aligners: a prospective study. Int J Environ Res Public Health. 2023;20(4):2941. doi: 10.3390\/ijerph20042941."},{"key":"i1945-7103-95-6-683-b11","series-title":"Appl Sci","first-page":"2670","article-title":"The efficacy and predictability of maxillary first molar derotation with Invisalign: a prospective clinical study in growing subjects","volume":"12","author":"Lione","year":"2022","unstructured":"Lione R,\nPaoloni V,\nDe Razza FC,\nPavoni C,\nCozza P. The efficacy and predictability of maxillary first molar derotation with Invisalign: a prospective clinical study in growing subjects. Appl Sci. 2022;12:2670."},{"key":"i1945-7103-95-6-683-b12","series-title":"Appl Sci","first-page":"3646","article-title":"Anchorage loss evaluation during maxillary molars distalization performed by clear aligner: a retrospective study on 3D digital casts","volume":"13","author":"Loberto","year":"2023","unstructured":"Loberto S,\nPaoloni V,\nPavoni C,\nCozza P,\nLione R. Anchorage loss evaluation during maxillary molars distalization performed by clear aligner: a retrospective study on 3D digital casts. Appl Sci. 2023;13:3646."},{"key":"i1945-7103-95-6-683-b13","series-title":"Int J Morphol","first-page":"920","article-title":"Morphology changes of maxillary molar distalization by clear aligner therapy","volume":"40","author":"Cui","year":"2022","unstructured":"Cui JY,\nTing L,\nCao YX, et al. Morphology changes of maxillary molar distalization by clear aligner therapy. Int J Morphol. 2022;40:920\u2013926."},{"key":"i1945-7103-95-6-683-b14","series-title":"BMC Oral Health","first-page":"1","article-title":"Treatment outcome and efficacy of an aligner technique-regarding incisor torque, premolar derotation and molar distalization","volume":"14","author":"Simon","year":"2014","unstructured":"Simon M,\nKeilig L,\nSchwarze J,\nJung BA,\nBourauel C. Treatment outcome and efficacy of an aligner technique-regarding incisor torque, premolar derotation and molar distalization. BMC Oral Health. 2014;14:1\u20137."},{"issue":"5","key":"i1945-7103-95-6-683-b15","series-title":"Angle Orthod","first-page":"881","article-title":"Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review","volume":"85","author":"Rossini","year":"2015","unstructured":"Rossini G,\nParrini S,\nCastroflorio T,\nDeregibus A,\nDebernardi CL. 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Am J Orthod Dentofacial Orthop. 1997;112(5):538\u2013544."},{"issue":"6","key":"i1945-7103-95-6-683-b34","series-title":"J Clin Orthod","first-page":"341","article-title":"Effectiveness of composite attachments in controlling upper molar movement with aligners","volume":"50","author":"Garino","year":"2016","unstructured":"Garino F,\nCastroflorio T,\nDaher S, et al. Effectiveness of composite attachments in controlling upper molar movement with aligners. J Clin Orthod. 2016;50(6):341\u2013347."},{"issue":"1","key":"i1945-7103-95-6-683-b35","series-title":"Angle Orthod","first-page":"11","article-title":"Analysis of overcorrection to be included for planning clear aligner therapy: a retrospective study","volume":"93","author":"Palone","year":"2023","unstructured":"Palone M,\nPignotti A,\nMorin E, et al. Analysis of overcorrection to be included for planning clear aligner therapy: a retrospective study. 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