{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:43:20Z","timestamp":1780479800706,"version":"3.54.1"},"reference-count":62,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To compare the dental and skeletal treatment effects after total arch distalization using modified C-palatal plates (MCPPs) on adolescent patients with hypo- and hyperdivergent Class II malocclusion.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n \n The study group included 40 patients with Class II malocclusion (18 boys and 22 girls, mean age = 12.2 \u00b1 1.4 years) treated with MCPPs. Fixed orthodontic treatment started with the distalizing process in both groups. Participants were divided into hypo- or hyperdivergent groups based on their pretreatment Frankfort mandibular plane angle (FMA) \u226422\u00b0 or \u226528\u00b0, respectively. Pre- and posttreatment lateral cephalograms were digitized, and 23 variables were measured and compared for both groups using paired and independent\n t<\/jats:italic>\n -tests.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The hyper- and hypodivergent groups showed 2.7 mm and 4.3 mm of first molar crown distalizing movement, respectively (\n P<\/jats:italic>\n < .001). The hypodivergent group had a slight 2.2\u00b0 crown distal tipping of first molars compared with 0.3\u00b0 in the hyperdivergent group. After distalization, the FMA increased 3.1\u00b0 and 0.3\u00b0, in the hypodivergent and hyperdivergent groups, respectively (\n P<\/jats:italic>\n < .001). SNA decreased in the hypodivergent group, while other skeletal variables presented no statistically significant differences in the changes between the groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The hypodivergent group showed more distal and tipping movement of the maxillary first molar and increased FMA than the hyperdivergent group. Therefore, clinicians must consider vertical facial types when distalizing molars using MCPPs in Class II nonextraction treatment.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/031720-188.1","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T01:12:19Z","timestamp":1608340339000},"page":"22-29","source":"Crossref","is-referenced-by-count":11,"title":["Dental and skeletal effects after total arch distalization using modified C-palatal plate on hypo- and hyperdivergent Class II malocclusions in adolescents"],"prefix":"10.2319","volume":"91","author":[{"given":"Chang Yoon","family":"Jung","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Hyun","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ja Hyeong","family":"Ku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nam-Ki","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoonji","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoon-Ah","family":"Kook","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-91-1-22-b01","series-title":"Am J Orthod Dentofacial Orthop","first-page":"238","article-title":"Midpalatal miniscrews and high-pull headgear for anteroposterior and vertical anchorage control: cephalometric comparisons of treatment changes","volume":"144","author":"Lee","year":"2013","unstructured":"Lee\n J,\n \n \n Miyazawa\n K,\n \n \n Tabuchi\n M,\n \n \n Kawaguchi\n M,\n \n \n Shibata\n M,\n \n \n Goto\n S.\n \n \n Midpalatal miniscrews and 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inserted on mandibular symphysis: a new approach for the treatment of Class II malocclusion","volume":"85","author":"Unal","year":"2015","unstructured":"Unal\n T,\n \n \n Celikoglu\n M,\n \n \n Candirli\n C.\n \n \n Evaluation of the effects of skeletal anchoraged Forsus FRD using miniplates inserted on mandibular symphysis: a new approach for the treatment of Class II malocclusion.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2015;\n\t\t\t\t\t85:\n\t\t\t\t\t413\u2013\n\t\t\t\t\t419."},{"key":"i0003-3219-91-1-22-b11","series-title":"J Clin Orthod","first-page":"719","article-title":"A modified palatal anchorage plate for simple and efficient distalization","volume":"44","author":"Kook","year":"2010","unstructured":"Kook\n YA,\n \n \n Kim\n SH,\n \n \n Chung\n KR.\n \n \n A modified palatal anchorage plate for simple and efficient distalization.\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\t719\u2013\n\t\t\t\t\t730."},{"key":"i0003-3219-91-1-22-b12","series-title":"Am J Orthod Dentofacial Orthop","first-page":"47","article-title":"Treatment effects of a modified palatal anchorage plate for distalization evaluated with cone-beam computed tomography","volume":"146","author":"Kook","year":"2014","unstructured":"Kook\n YA,\n \n \n Bayome\n M,\n \n \n Trang\n VT,\n \n et al.\n\t\t\t\t\t\n Treatment effects of a modified palatal anchorage plate for distalization evaluated with cone-beam computed tomography.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2014;\n\t\t\t\t\t146:\n\t\t\t\t\t47\u2013\n\t\t\t\t\t54."},{"key":"i0003-3219-91-1-22-b13","series-title":"Angle Orthod","first-page":"45","article-title":"A comparison of treatment effects of total arch distalization using modified C-palatal plate vs buccal miniscrews","volume":"88","author":"Lee","year":"2018","unstructured":"Lee\n SK,\n \n \n Abbas\n NH,\n \n \n Bayome\n M,\n \n et al.\n\t\t\t\t\t\n A comparison of treatment effects of total arch distalization using modified C-palatal plate vs 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Part 1: Clinical and radiological evaluation","volume":"67","author":"Byloff","year":"1997","unstructured":"Byloff\n FK,\n \n \n Darendeliler\n MA.\n \n \n Distal molar movement using the pendulum appliance. 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A long-term roentgenographic cephalometric study","volume":"126","author":"Pancherz","year":"2004","unstructured":"Pancherz\n H,\n \n \n Michailidou\n C.\n \n \n Temporomandibular joint growth changes in hyperdivergent and hypodivergent Herbst participants. 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