{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T15:05:56Z","timestamp":1780067156865,"version":"3.54.0"},"reference-count":32,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec id=\"st1\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate anchorage control using miniscrews vs an Essix appliance in treatment of Class II malocclusion by distalization using the Carri\u00e8re Motion Appliance (CMA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Twenty-four postpubertal female patients with Class II, division 1 malocclusion were randomly distributed into two equal groups. CMA was bonded in both groups, and one group was treated with miniscrews as anchorage (12 patients, mean age = 18.0 years) while the other group was treated with an Essix appliance as anchorage (12 patients, mean age = 17.8 years). For each patient, two cone-beam computed tomographic scans were obtained: one preoperatively and another after completion of distalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the Essix appliance group, there was a statistically significant anterior movement (2.2 \u00b1 1.43 mm) as well as proclination of the lower incisor (5.3\u00b0 \u00b1 4.0\u00b0), compared to a nonsignificant anterior movement (0.06 \u00b1 1.45 mm) and proclination (0.86\u00b0 \u00b1 2.22\u00b0) in the miniscrew group. The amount of maxillary molar distalization was higher in the miniscrew group (2.57 \u00b1 1.52 mm) than in the Essix appliance group (1.53 \u00b1 1.11 mm); however, the difference was not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Miniscrews led to a decrease in the amount of anchorage loss in the mandibular incisors, both in terms of anterior movement and proclination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/021421-126.1","type":"journal-article","created":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T14:19:12Z","timestamp":1627913952000},"page":"45-54","source":"Crossref","is-referenced-by-count":18,"title":["Anchorage control using miniscrews in comparison to Essix appliance in treatment of postpubertal patients with Class II malocclusion using Carri\u00e8re Motion Appliance:"],"prefix":"10.2319","volume":"92","author":[{"given":"Ahmed S.","family":"Fouda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled H.","family":"Attia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr M.","family":"Abouelezz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Abd","family":"El-Ghafour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai H.","family":"Aboulfotouh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i1945-7103-92-1-45-b01","series-title":"Am J Orthod","first-page":"477","article-title":"Differential diagnosis of class II malocclusions. Part 1. Facial types associated with class II malocclusions","volume":"78","author":"Moyers","year":"1980","unstructured":"Moyers\n              RE,\n            \n            \n              Riolo\n              ML,\n            \n            \n              Guire\n              KE,\n            \n            \n              Wainright\n              RL,\n            \n            \n              Bookstein\n              FL.\n            \n          \n          Differential diagnosis of class II malocclusions. Part 1. Facial types associated with class II malocclusions.\n\t\t\t\t\tAm J Orthod.\n\t\t\t\t\t1980;\n\t\t\t\t\t78:\n\t\t\t\t\t477\u2013\n\t\t\t\t\t494."},{"key":"i1945-7103-92-1-45-b02","series-title":"J Clin Orthod","first-page":"224","article-title":"A new Class II distalizer","volume":"38","author":"Carri\u00e8re","year":"2004","unstructured":"Carri\u00e8re\n              L.\n            \n          \n          A new Class II distalizer.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2004;\n\t\t\t\t\t38:\n\t\t\t\t\t224\u2013\n\t\t\t\t\t231."},{"key":"i1945-7103-92-1-45-b03","series-title":"J Clin Orthod","first-page":"561","article-title":"Distalizer treatment of an adult Class II, division 2 malocclusion","volume":"40","author":"Pardo","year":"2006","unstructured":"Pardo\n              LB,\n            \n            \n              de Carlos\n              VF,\n            \n            \n              Cobo\n              PJ.\n            \n          \n          Distalizer treatment of an adult Class II, division 2 malocclusion.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2006;\n\t\t\t\t\t40:\n\t\t\t\t\t561\u2013\n\t\t\t\t\t565."},{"key":"i1945-7103-92-1-45-b04","series-title":"J Clin Orthod","first-page":"28","article-title":"Class II correction with the Invisalign system","volume":"44","author":"Schupp","year":"2010","unstructured":"Schupp\n              W,\n            \n            \n              Haubrich\n              J,\n            \n            \n              Neumann\n              I.\n            \n          \n          Class II correction with the Invisalign system.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2010;\n\t\t\t\t\t44:\n\t\t\t\t\t28\u2013\n\t\t\t\t\t35."},{"key":"i1945-7103-92-1-45-b05","series-title":"J Clin Orthod","first-page":"177","article-title":"Unilateral application of the Carriere Distalizer","volume":"45","author":"Rodr\u00edguez","year":"2011","unstructured":"Rodr\u00edguez\n              H.\n            \n          \n          Unilateral application of the Carriere Distalizer.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2011;\n\t\t\t\t\t45:\n\t\t\t\t\t177\u2013\n\t\t\t\t\t180."},{"key":"i1945-7103-92-1-45-b06","series-title":"J Clin Orthod","first-page":"367","article-title":"Nonextraction treatment of a Class II open bite in an adult patient","volume":"46","author":"Rodr\u00edguez","year":"2012","unstructured":"Rodr\u00edguez\n              H.\n            \n          \n          Nonextraction treatment of a Class II open bite in an adult patient.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2012;\n\t\t\t\t\t46:\n\t\t\t\t\t367\u2013\n\t\t\t\t\t371."},{"key":"i1945-7103-92-1-45-b07","series-title":"J Clin Orthod","first-page":"633","article-title":"Carriere Motion Appliance with miniscrew anchorage for treatment of Class II, division 1 malocclusion","volume":"54","author":"Fouda","year":"2020","unstructured":"Fouda\n              AS,\n            \n            \n              Aboulfotouh\n              MH,\n            \n            \n              Attia\n              KH,\n            \n            \n              Abouelezz\n              AM.\n            \n          \n          Carriere Motion Appliance with miniscrew anchorage for treatment of Class II, division 1 malocclusion.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2020;\n\t\t\t\t\t54:\n\t\t\t\t\t633\u2013\n\t\t\t\t\t641."},{"key":"i1945-7103-92-1-45-b08","series-title":"J World Fed Orthod","first-page":"e49","article-title":"Treatment effects of the Carri\u00e8re Distalizer using lingual arch and full fixed appliances","volume":"3","author":"Sandifer","year":"2014","unstructured":"Sandifer\n              CL,\n            \n            \n              English\n              JD,\n            \n            \n              Colville\n              CD,\n            \n            \n              Gallerano\n              RL,\n            \n            \n              Akyalcin\n              S.\n            \n          \n          Treatment effects of the Carri\u00e8re Distalizer using lingual arch and full fixed appliances.\n\t\t\t\t\tJ World Fed Orthod.\n\t\t\t\t\t2014;\n\t\t\t\t\t3:\n\t\t\t\t\te49\u2013\n\t\t\t\t\te54."},{"key":"i1945-7103-92-1-45-b09","series-title":"Angle Orthod","first-page":"491","article-title":"The Class II Carriere Motion Appliance: a 3D CBCT evaluation of the effects on the dentition","volume":"90","author":"Areepong","year":"2020","unstructured":"Areepong\n              D,\n            \n            \n              Kim\n              KB,\n            \n            \n              Oliver\n              DR,\n            \n            \n              Ueno\n              HJTAO.\n            \n          \n          The Class II Carriere Motion Appliance: a 3D CBCT evaluation of the effects on the dentition.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2020;\n\t\t\t\t\t90:\n\t\t\t\t\t491\u2013\n\t\t\t\t\t499."},{"key":"i1945-7103-92-1-45-b10","series-title":"Angle Orthod","first-page":"839","article-title":"Treatment effects of the Carriere(\u00ae) Motion 3D\u2122 appliance for the correction of Class II malocclusion in adolescents","volume":"89","author":"Kim-Berman","year":"2019","unstructured":"Kim-Berman\n              H,\n            \n            \n              McNamara\n              JA\n              Jr,\n            \n            \n              Lints\n              JP,\n            \n            \n              McMullen\n              C,\n            \n            \n              Franchi\n              L.\n            \n          \n          Treatment effects of the Carriere(\u00ae) Motion 3D\u2122 appliance for the correction of Class II malocclusion in adolescents.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2019;\n\t\t\t\t\t89:\n\t\t\t\t\t839\u2013\n\t\t\t\t\t846."},{"key":"i1945-7103-92-1-45-b11","series-title":"Angle Orthod","first-page":"423","article-title":"Three-dimensional cone-beam computed tomography comparison of shorty and standard Class II Carriere Motion Appliance","volume":"91","author":"Wilson","year":"2021","unstructured":"Wilson\n              B,\n            \n            \n              Konstantoni\n              N,\n            \n            \n              Kim\n              KB,\n            \n            \n              Foley\n              P,\n            \n            \n              Ueno\n              H.\n            \n          \n          Three-dimensional cone-beam computed tomography comparison of shorty and standard Class II Carriere Motion Appliance.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2021;\n\t\t\t\t\t91:\n\t\t\t\t\t423\u2013\n\t\t\t\t\t432."},{"key":"i1945-7103-92-1-45-b12","series-title":"Eur J Orthod","first-page":"73","article-title":"Three-dimensional bimetric maxillary distalization arches compared with a modified Begg intraoral distalization system","volume":"30","author":"Altug-Atac","year":"2008","unstructured":"Altug-Atac\n              AT,\n            \n            \n              Erdem\n              D,\n            \n            \n              Arat\n              ZM.\n            \n          \n          Three-dimensional bimetric maxillary distalization arches compared with a modified Begg intraoral distalization system.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2008;\n\t\t\t\t\t30:\n\t\t\t\t\t73\u2013\n\t\t\t\t\t79."},{"key":"i1945-7103-92-1-45-b13","series-title":"Am J Orthod Dentofacial Orthop","first-page":"274","article-title":"Quantitative and qualitative assessment of anchorage loss during en-masse retraction with indirectly loaded miniscrews in patients with bimaxillary protrusion","volume":"150","author":"Monga","year":"2016","unstructured":"Monga\n              N,\n            \n            \n              Kharbanda\n              OP,\n            \n            \n              Samrit\n              V.\n            \n          \n          Quantitative and qualitative assessment of anchorage loss during en-masse retraction with indirectly loaded miniscrews in patients with bimaxillary protrusion.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2016;\n\t\t\t\t\t150:\n\t\t\t\t\t274\u2013\n\t\t\t\t\t282."},{"key":"i1945-7103-92-1-45-b14","series-title":"Am J Orthod Dentofacial Orthop","first-page":"347","article-title":"Anchorage loss assessment of the indirect anchor tooth during adjunctive orthodontic treatment","volume":"155","author":"Jang","year":"2019","unstructured":"Jang\n              W,\n            \n            \n              Choi\n              YJ,\n            \n            \n              Hwang\n              S,\n            \n            \n              Chung\n              CJ,\n            \n            \n              Kim\n              K-H.\n            \n          \n          Anchorage loss assessment of the indirect anchor tooth during adjunctive orthodontic treatment.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2019;\n\t\t\t\t\t155:\n\t\t\t\t\t347\u2013\n\t\t\t\t\t354."},{"key":"i1945-7103-92-1-45-b15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"700","article-title":"Loss of anchorage of miniscrews: a 3-dimensional assessment","volume":"136","author":"El-Beialy","year":"2009","unstructured":"El-Beialy\n              AR,\n            \n            \n              Abou-El-Ezz\n              AM,\n            \n            \n              Attia\n              KH,\n            \n            \n              El-Bialy\n              AM,\n            \n            \n              Mostafa\n              YA.\n            \n          \n          Loss of anchorage of miniscrews: a 3-dimensional assessment.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2009;\n\t\t\t\t\t136:\n\t\t\t\t\t700\u2013\n\t\t\t\t\t707."},{"key":"i1945-7103-92-1-45-b16","series-title":"Int Orthod","first-page":"415","article-title":"Maxillary molar distalization using conventional versus skeletal anchorage devices: a systematic review and meta-analysis","volume":"17","author":"Soheilifar","year":"2019","unstructured":"Soheilifar\n              S,\n            \n            \n              Mohebi\n              S,\n            \n            \n              Ameli\n              N.\n            \n          \n          Maxillary molar distalization using conventional versus skeletal anchorage devices: a systematic review and meta-analysis.\n\t\t\t\t\tInt Orthod.\n\t\t\t\t\t2019;\n\t\t\t\t\t17:\n\t\t\t\t\t415\u2013\n\t\t\t\t\t424."},{"key":"i1945-7103-92-1-45-b01","series-title":"Am J Orthod","first-page":"477","article-title":"Differential diagnosis of class II malocclusions. Part 1. Facial types associated with class II malocclusions","volume":"78","author":"Moyers","year":"1980","unstructured":"Moyers\n              RE,\n            \n            \n              Riolo\n              ML,\n            \n            \n              Guire\n              KE,\n            \n            \n              Wainright\n              RL,\n            \n            \n              Bookstein\n              FL.\n            \n          \n          Differential diagnosis of class II malocclusions. Part 1. Facial types associated with class II malocclusions.\n\t\t\t\t\tAm J Orthod.\n\t\t\t\t\t1980;\n\t\t\t\t\t78:\n\t\t\t\t\t477\u2013\n\t\t\t\t\t494."},{"key":"i1945-7103-92-1-45-b02","series-title":"J Clin Orthod","first-page":"224","article-title":"A new Class II distalizer","volume":"38","author":"Carri\u00e8re","year":"2004","unstructured":"Carri\u00e8re\n              L.\n            \n          \n          A new Class II distalizer.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2004;\n\t\t\t\t\t38:\n\t\t\t\t\t224\u2013\n\t\t\t\t\t231."},{"key":"i1945-7103-92-1-45-b03","series-title":"J Clin Orthod","first-page":"561","article-title":"Distalizer treatment of an adult Class II, division 2 malocclusion","volume":"40","author":"Pardo","year":"2006","unstructured":"Pardo\n              LB,\n            \n            \n              de Carlos\n              VF,\n            \n            \n              Cobo\n              PJ.\n            \n          \n          Distalizer treatment of an adult Class II, division 2 malocclusion.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2006;\n\t\t\t\t\t40:\n\t\t\t\t\t561\u2013\n\t\t\t\t\t565."},{"key":"i1945-7103-92-1-45-b04","series-title":"J Clin Orthod","first-page":"28","article-title":"Class II correction with the Invisalign system","volume":"44","author":"Schupp","year":"2010","unstructured":"Schupp\n              W,\n            \n            \n              Haubrich\n              J,\n            \n            \n              Neumann\n              I.\n            \n          \n          Class II correction with the Invisalign system.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2010;\n\t\t\t\t\t44:\n\t\t\t\t\t28\u2013\n\t\t\t\t\t35."},{"key":"i1945-7103-92-1-45-b05","series-title":"J Clin Orthod","first-page":"177","article-title":"Unilateral application of the Carriere Distalizer","volume":"45","author":"Rodr\u00edguez","year":"2011","unstructured":"Rodr\u00edguez\n              H.\n            \n          \n          Unilateral application of the Carriere Distalizer.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2011;\n\t\t\t\t\t45:\n\t\t\t\t\t177\u2013\n\t\t\t\t\t180."},{"key":"i1945-7103-92-1-45-b06","series-title":"J Clin Orthod","first-page":"367","article-title":"Nonextraction treatment of a Class II open bite in an adult patient","volume":"46","author":"Rodr\u00edguez","year":"2012","unstructured":"Rodr\u00edguez\n              H.\n            \n          \n          Nonextraction treatment of a Class II open bite in an adult patient.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2012;\n\t\t\t\t\t46:\n\t\t\t\t\t367\u2013\n\t\t\t\t\t371."},{"key":"i1945-7103-92-1-45-b07","series-title":"J Clin Orthod","first-page":"633","article-title":"Carriere Motion Appliance with miniscrew anchorage for treatment of Class II, division 1 malocclusion","volume":"54","author":"Fouda","year":"2020","unstructured":"Fouda\n              AS,\n            \n            \n              Aboulfotouh\n              MH,\n            \n            \n              Attia\n              KH,\n            \n            \n              Abouelezz\n              AM.\n            \n          \n          Carriere Motion Appliance with miniscrew anchorage for treatment of Class II, division 1 malocclusion.\n\t\t\t\t\tJ Clin Orthod.\n\t\t\t\t\t2020;\n\t\t\t\t\t54:\n\t\t\t\t\t633\u2013\n\t\t\t\t\t641."},{"key":"i1945-7103-92-1-45-b08","series-title":"J World Fed Orthod","first-page":"e49","article-title":"Treatment effects of the Carri\u00e8re Distalizer using lingual arch and full fixed appliances","volume":"3","author":"Sandifer","year":"2014","unstructured":"Sandifer\n              CL,\n            \n            \n              English\n              JD,\n            \n            \n              Colville\n              CD,\n            \n            \n              Gallerano\n              RL,\n            \n            \n              Akyalcin\n              S.\n            \n          \n          Treatment effects of the Carri\u00e8re Distalizer using lingual arch and full fixed appliances.\n\t\t\t\t\tJ World Fed Orthod.\n\t\t\t\t\t2014;\n\t\t\t\t\t3:\n\t\t\t\t\te49\u2013\n\t\t\t\t\te54."},{"key":"i1945-7103-92-1-45-b09","series-title":"Angle Orthod","first-page":"491","article-title":"The Class II Carriere Motion Appliance: a 3D CBCT evaluation of the effects on the dentition","volume":"90","author":"Areepong","year":"2020","unstructured":"Areepong\n              D,\n            \n            \n              Kim\n              KB,\n            \n            \n              Oliver\n              DR,\n            \n            \n              Ueno\n              HJTAO.\n            \n          \n          The Class II Carriere Motion Appliance: a 3D CBCT evaluation of the effects on the dentition.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2020;\n\t\t\t\t\t90:\n\t\t\t\t\t491\u2013\n\t\t\t\t\t499."},{"key":"i1945-7103-92-1-45-b10","series-title":"Angle Orthod","first-page":"839","article-title":"Treatment effects of the Carriere(\u00ae) Motion 3D\u2122 appliance for the correction of Class II malocclusion in adolescents","volume":"89","author":"Kim-Berman","year":"2019","unstructured":"Kim-Berman\n              H,\n            \n            \n              McNamara\n              JA\n              Jr,\n            \n            \n              Lints\n              JP,\n            \n            \n              McMullen\n              C,\n            \n            \n              Franchi\n              L.\n            \n          \n          Treatment effects of the Carriere(\u00ae) Motion 3D\u2122 appliance for the correction of Class II malocclusion in adolescents.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2019;\n\t\t\t\t\t89:\n\t\t\t\t\t839\u2013\n\t\t\t\t\t846."},{"key":"i1945-7103-92-1-45-b11","series-title":"Angle Orthod","first-page":"423","article-title":"Three-dimensional cone-beam computed tomography comparison of shorty and standard Class II Carriere Motion Appliance","volume":"91","author":"Wilson","year":"2021","unstructured":"Wilson\n              B,\n            \n            \n              Konstantoni\n              N,\n            \n            \n              Kim\n              KB,\n            \n            \n              Foley\n              P,\n            \n            \n              Ueno\n              H.\n            \n          \n          Three-dimensional cone-beam computed tomography comparison of shorty and standard Class II Carriere Motion Appliance.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2021;\n\t\t\t\t\t91:\n\t\t\t\t\t423\u2013\n\t\t\t\t\t432."},{"key":"i1945-7103-92-1-45-b12","series-title":"Eur J Orthod","first-page":"73","article-title":"Three-dimensional bimetric maxillary distalization arches compared with a modified Begg intraoral distalization system","volume":"30","author":"Altug-Atac","year":"2008","unstructured":"Altug-Atac\n              AT,\n            \n            \n              Erdem\n              D,\n            \n            \n              Arat\n              ZM.\n            \n          \n          Three-dimensional bimetric maxillary distalization arches compared with a modified Begg intraoral distalization system.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2008;\n\t\t\t\t\t30:\n\t\t\t\t\t73\u2013\n\t\t\t\t\t79."},{"key":"i1945-7103-92-1-45-b13","series-title":"Am J Orthod Dentofacial Orthop","first-page":"274","article-title":"Quantitative and qualitative assessment of anchorage loss during en-masse retraction with indirectly loaded miniscrews in patients with bimaxillary protrusion","volume":"150","author":"Monga","year":"2016","unstructured":"Monga\n              N,\n            \n            \n              Kharbanda\n              OP,\n            \n            \n              Samrit\n              V.\n            \n          \n          Quantitative and qualitative assessment of anchorage loss during en-masse retraction with indirectly loaded miniscrews in patients with bimaxillary protrusion.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2016;\n\t\t\t\t\t150:\n\t\t\t\t\t274\u2013\n\t\t\t\t\t282."},{"key":"i1945-7103-92-1-45-b14","series-title":"Am J Orthod Dentofacial Orthop","first-page":"347","article-title":"Anchorage loss assessment of the indirect anchor tooth during adjunctive orthodontic treatment","volume":"155","author":"Jang","year":"2019","unstructured":"Jang\n              W,\n            \n            \n              Choi\n              YJ,\n            \n            \n              Hwang\n              S,\n            \n            \n              Chung\n              CJ,\n            \n            \n              Kim\n              K-H.\n            \n          \n          Anchorage loss assessment of the indirect anchor tooth during adjunctive orthodontic treatment.\n\t\t\t\t\tAm J Orthod Dentofacial 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