{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T14:06:45Z","timestamp":1780063605892,"version":"3.54.0"},"reference-count":40,"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 evaluate the use of the Forsus Fatigue Resistant Device (FFRD), supported with bimaxillary splints, in treatment of skeletal Class II malocclusion.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n Data from 46 skeletal Class II females who received either conventional Forsus alone (FFRD group) (15 patients, 12.54 \u00b1 0.90 years), FFRD and bimaxillary splints (splint-FFRD group) (15 patients, 12.29 \u00b1 0.82 years), or were untreated controls (16 subjects, 12.1 \u00b1 0.9 years) were retrieved from previous clinical trials. FFRD was inserted onto the mandibular archwire in the FFRD group after leveling and alignment with multibracket appliances. In the splint-FFRD group, Forsus was inserted between fixed maxillary and mandibular splints. Treatment continued until reaching an edge-to-edge incisor relationship.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Both treatment groups failed to induce significant mandibular skeletal effects compared to the normal growth exhibited by untreated controls. The splint-FFRD group showed significant reduction of SNA (\u22120.88\u00b0 \u00b1 0.51\u00b0) and ANB (\u22121.36\u00b0 \u00b1 0.87\u00b0). The mandibular incisors showed significant proclination in the FFRD (9.17\u00b0 \u00b1 2.42\u00b0) and splint-FFRD groups (7.06\u00b0 \u00b1 3.34\u00b0).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The newly proposed splint-supported FFRD was equally effective as the conventional FFRD in treatment of Class II malocclusion with dento-alveolar changes and additional maxillary restricting effect. It has an additional advantage of immediate initiation of the Class II correction.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/040320-250.1","type":"journal-article","created":{"date-parts":[[2020,10,12]],"date-time":"2020-10-12T14:37:19Z","timestamp":1602513439000},"page":"9-21","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of the splint-supported Forsus Fatigue Resistant Device in skeletal Class II growing subjects"],"prefix":"10.2319","volume":"91","author":[{"given":"Sherif A.","family":"Elkordy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramy","family":"Abdeldayem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mona M. S.","family":"Fayed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Negm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"El Ghoul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr M.","family":"Abouelezz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-91-1-9-b01","series-title":"Angle Orthod","first-page":"177","article-title":"Components of Class II malocclusion in children 8\u201310 years of age","volume":"51","author":"McNamara","year":"1981","unstructured":"McNamara\n J.\n \n \n Components of Class II malocclusion in children 8\u201310 years of age.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t1981;\n\t\t\t\t\t51:\n\t\t\t\t\t177\u2013\n\t\t\t\t\t202."},{"key":"i0003-3219-91-1-9-b02","series-title":"Eur J Orthod","first-page":"113","article-title":"Treatment effects of fixed functional appliances in patients with Class II malocclusion: a systematic review and meta-analysis","volume":"38","author":"Zymperdikas","year":"2016","unstructured":"Zymperdikas\n VF,\n \n \n Koretsi\n V,\n \n \n Papageorgiou\n SN,\n \n \n Papadopoulos\n MA.\n \n \n Treatment effects of fixed functional appliances in patients with Class II malocclusion: a systematic review and meta-analysis.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t38:\n\t\t\t\t\t113\u2013\n\t\t\t\t\t126."},{"key":"i0003-3219-91-1-9-b03","series-title":"Am J Orthod Dentofacial Orthop","first-page":"612","article-title":"Fixed functional appliances with multibracket appliances have no skeletal effect on the mandible: a systematic review and meta-analysis","volume":"149","author":"Ishaq","year":"2016","unstructured":"Ishaq\n RAR,\n \n \n AlHammadi\n MS,\n \n \n Fayed\n MMS,\n \n \n AbouEl-Ezz\n A,\n \n \n Mostafa\n Y.\n \n \n Fixed functional appliances with multibracket appliances have no skeletal effect on the mandible: a systematic review and meta-analysis.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2016;\n\t\t\t\t\t149:\n\t\t\t\t\t612\u2013\n\t\t\t\t\t624."},{"key":"i0003-3219-91-1-9-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"616","article-title":"Comparison of treatments with the Forsus fatigue resistant device in relation to skeletal maturity: a cephalometric and magnetic resonance imaging study","volume":"140","author":"Aras","year":"2011","unstructured":"Aras\n A,\n \n \n Ada\n E,\n \n \n Saraco\u011flu\n H,\n \n \n Gezer\n NS,\n \n \n Aras\n I.\n \n \n Comparison of treatments with the Forsus fatigue resistant device in relation to skeletal maturity: a cephalometric and magnetic resonance imaging study.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2011;\n\t\t\t\t\t140:\n\t\t\t\t\t616\u2013\n\t\t\t\t\t625."},{"key":"i0003-3219-91-1-9-b05","series-title":"Funct Orthod","first-page":"12","article-title":"Fixed functional appliances\u2014a classification","volume":"17","author":"Ritto","year":"2000","unstructured":"Ritto\n AK,\n \n \n Ferreira\n AP.\n \n \n Fixed functional appliances\u2014a classification.\n\t\t\t\t\tFunct Orthod.\n\t\t\t\t\t2000;\n\t\t\t\t\t17:\n\t\t\t\t\t12\u2013\n\t\t\t\t\t30,\n\t\t\t\t\t32."},{"key":"i0003-3219-91-1-9-b06","series-title":"Am J Orthod Dentofacial Orthop","first-page":"755","article-title":"Comparison of patient acceptance of the Forsus Fatigue Resistant Device with and without mini-implant anchorage: a randomized controlled trial","volume":"148","author":"Elkordy","year":"2015","unstructured":"Elkordy\n SA,\n \n \n Fayed\n MMS,\n \n \n Abouelezz\n AM,\n \n \n Attia\n KH.\n \n \n Comparison of patient acceptance of the Forsus Fatigue Resistant Device with and without mini-implant anchorage: a randomized controlled trial.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2015;\n\t\t\t\t\t148:\n\t\t\t\t\t755\u2013\n\t\t\t\t\t764."},{"key":"i0003-3219-91-1-9-b07","series-title":"Am J Orthod Dentofacial Orthop","first-page":"10","article-title":"Fabrication of the acrylic splint Herbst appliance","volume":"94","author":"McNamara","year":"1988","unstructured":"McNamara\n JA.\n \n \n Fabrication of the acrylic splint Herbst appliance.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t1988;\n\t\t\t\t\t94:\n\t\t\t\t\t10\u2013\n\t\t\t\t\t18."},{"key":"i0003-3219-91-1-9-b08","series-title":"Angle Orthod","first-page":"376","article-title":"Skeletal and dental changes in Class II division 1 malocclusions treated with splint-type Herbst appliances. A systematic review","volume":"77","author":"Flores-Mir","year":"2007","unstructured":"Flores-Mir\n C,\n \n \n Ayeh\n A,\n \n \n Goswani\n A,\n \n \n Charkhandeh\n S.\n \n \n Skeletal and dental changes in Class II division 1 malocclusions treated with splint-type Herbst appliances. A systematic review.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2007;\n\t\t\t\t\t77:\n\t\t\t\t\t376\u2013\n\t\t\t\t\t381."},{"key":"i0003-3219-91-1-9-b09","series-title":"Am J Orthod Dentofacial Orthop","first-page":"822","article-title":"Short-term skeletal and dental effects of the Xbow appliance as measured on lateral cephalograms","volume":"136","author":"Flores-Mir","year":"2009","unstructured":"Flores-Mir\n C,\n \n \n Barnett\n G,\n \n \n Higgins\n DW,\n \n \n Heo\n G,\n \n \n Major\n PW.\n \n \n Short-term skeletal and dental effects of the Xbow appliance as measured on lateral cephalograms.\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\t822\u2013\n\t\t\t\t\t832."},{"key":"i0003-3219-91-1-9-b10","series-title":"Angle Orthod","first-page":"431","article-title":"Incisor inclination changes produced by two compliance-free Class II correction protocols for the treatment of mild to moderate Class II malocclusions","volume":"83","author":"Miller","year":"2013","unstructured":"Miller\n RA,\n \n \n Tieu\n L,\n \n \n Flores-Mir\n C.\n \n \n Incisor inclination changes produced by two compliance-free Class II correction protocols for the treatment of mild to moderate Class II malocclusions.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2013;\n\t\t\t\t\t83:\n\t\t\t\t\t431\u2013\n\t\t\t\t\t436."},{"key":"i0003-3219-91-1-9-b11","series-title":"Angle Orthod","first-page":"391","article-title":"Evaluation of the miniplate-anchored Forsus Fatigue Resistant Device in skeletal Class II growing subjects: a randomized controlled trial","volume":"89","author":"Elkordy","year":"2019","unstructured":"Elkordy\n SA,\n \n \n Abouelezz\n A,\n \n \n Fayed\n M,\n \n \n Aboulfotouh\n M,\n \n \n Mostafa\n YA.\n \n \n Evaluation of the miniplate-anchored Forsus Fatigue Resistant Device in skeletal Class II growing subjects: a randomized controlled trial.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2019;\n\t\t\t\t\t89:\n\t\t\t\t\t391\u2013\n\t\t\t\t\t403."},{"key":"i0003-3219-91-1-9-b12","series-title":"Three-Dimensional Evaluation of the Splint-Supported Forsus Fatigue Resistance Device With and Without Miniscrew Anchorage: A Comparative Clinical Trial [PhD thesis]","author":"Abdeldayem","year":"2019","unstructured":"Abdeldayem\n R.\n \n \n \n Three-Dimensional Evaluation of the Splint-Supported Forsus Fatigue Resistance Device With and Without Miniscrew Anchorage: A Comparative Clinical Trial [PhD thesis].\n\t\t\t\t\tCairo, Egypt:\n\t\t\t\t\tAin Shams University;2019."},{"key":"i0003-3219-91-1-9-b13","series-title":"Int J Dent","first-page":"1","article-title":"Comparison between an acrylic splint Herbst and an acrylic splint miniscrew-Herbst for mandibular incisors proclination control","volume":"173187","author":"Manni","year":"2014","unstructured":"Manni\n A,\n \n \n Pasini\n M,\n \n \n Mazzotta\n L,\n \n et al.\n\t\t\t\t\t\n Comparison between an acrylic splint Herbst and an acrylic splint miniscrew-Herbst for mandibular incisors proclination control.\n\t\t\t\t\tInt J Dent.\n\t\t\t\t\t2014;\n\t\t\t\t\t173187:\n\t\t\t\t\t1\u2013\n\t\t\t\t\t7."},{"key":"i0003-3219-91-1-9-b14","series-title":"Angle Orthod","first-page":"1070","article-title":"Rapid maxillary expansion effects in Class II malocclusion: a systematic review","volume":"85","author":"Feres","year":"2015","unstructured":"Feres\n MFN,\n \n \n Raza\n H,\n \n \n Alhadlaq\n A,\n \n \n El-Bialy\n T.\n \n \n Rapid maxillary expansion effects in Class II malocclusion: a systematic review.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2015;\n\t\t\t\t\t85:\n\t\t\t\t\t1070\u2013\n\t\t\t\t\t1079."},{"key":"i0003-3219-91-1-9-b15","series-title":"Am J Orthod","first-page":"115","article-title":"Longitudinal changes in standing height and mandibular parameters between the ages of 8 and 17 years","volume":"80","author":"Bishara","year":"1981","unstructured":"Bishara\n SE,\n \n \n Jamison\n JE,\n \n \n Peterson\n LC,\n \n \n DeKock\n WH.\n \n \n Longitudinal changes in standing height and mandibular parameters between the ages of 8 and 17 years.\n\t\t\t\t\tAm J Orthod.\n\t\t\t\t\t1981;\n\t\t\t\t\t80:\n\t\t\t\t\t115\u2013\n\t\t\t\t\t135."},{"key":"i0003-3219-91-1-9-b16","series-title":"Am J Orthod Dentofacial Orthop","first-page":"125","article-title":"Longitudinal growth changes in untreated subjects with Class II division 1 malocclusion","volume":"134","author":"Stahl","year":"2008","unstructured":"Stahl\n F,\n \n \n Baccetti\n T,\n \n \n Franchi\n L,\n \n \n McNamara\n J.\n \n \n Longitudinal growth changes in untreated subjects with Class II division 1 malocclusion.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2008;\n\t\t\t\t\t134:\n\t\t\t\t\t125\u2013\n\t\t\t\t\t137."},{"key":"i0003-3219-91-1-9-b17","series-title":"Semin Orthod","first-page":"119","article-title":"The Cervical Vertebral Maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics","volume":"11","author":"Baccetti","year":"2005","unstructured":"Baccetti\n T,\n \n \n Franchi\n L,\n \n \n McNamara\n JA.\n \n \n The Cervical Vertebral Maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics.\n\t\t\t\t\tSemin Orthod.\n\t\t\t\t\t2005;\n\t\t\t\t\t11:\n\t\t\t\t\t119\u2013\n\t\t\t\t\t129."},{"key":"i0003-3219-91-1-9-b18","series-title":"Korean J Orthod","first-page":"136","article-title":"Active-treatment effects of the Forsus Fatigue Resistant Device during comprehensive Class II correction in growing patients","volume":"44","year":"2014","unstructured":"Giorgio Cacciatore G, Alvetro L, Defraia E, Ghislanzoni L, Franchi L.\n\t\t\t\t\tActive-treatment effects of the Forsus Fatigue Resistant Device during comprehensive Class II correction in growing patients.\n\t\t\t\t\tKorean J Orthod.\n\t\t\t\t\t2014;\n\t\t\t\t\t44:\n\t\t\t\t\t136\u2013\n\t\t\t\t\t142."},{"key":"i0003-3219-91-1-9-b19","series-title":"Angle Orthod","first-page":"997","article-title":"Dental and skeletal changes in mild to moderate Class II malocclusions treated by either a Twin-block or Xbow appliance followed by full fixed orthodontic treatment","volume":"85","author":"Ehsani","year":"2015","unstructured":"Ehsani\n S,\n \n \n Nebbe\n B,\n \n \n Normando\n D,\n \n \n Lagravere\n MO,\n \n \n Flores-Mir\n C.\n \n \n Dental and skeletal changes in mild to moderate Class II malocclusions treated by either a Twin-block or Xbow appliance followed by full fixed orthodontic treatment.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2015;\n\t\t\t\t\t85:\n\t\t\t\t\t997\u2013\n\t\t\t\t\t1002."},{"key":"i0003-3219-91-1-9-b20","series-title":"Am J Orthod Dentofacial Orthop","first-page":"580","article-title":"Early treatment for Class II malocclusion and perceived improvements in facial profile","volume":"135","author":"O'Brien","year":"2009","unstructured":"O'Brien\n K,\n \n \n MacFarlane\n T,\n \n \n Wright\n J,\n \n et al.\n\t\t\t\t\t\n Early treatment for Class II malocclusion and perceived improvements in facial profile.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2009;\n\t\t\t\t\t135:\n\t\t\t\t\t580\u2013\n\t\t\t\t\t585."},{"key":"i0003-3219-91-1-9-b01","series-title":"Angle Orthod","first-page":"177","article-title":"Components of Class II malocclusion in children 8\u201310 years of age","volume":"51","author":"McNamara","year":"1981","unstructured":"McNamara\n J.\n \n \n Components of Class II malocclusion in children 8\u201310 years of age.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t1981;\n\t\t\t\t\t51:\n\t\t\t\t\t177\u2013\n\t\t\t\t\t202."},{"key":"i0003-3219-91-1-9-b02","series-title":"Eur J Orthod","first-page":"113","article-title":"Treatment effects of fixed functional appliances in patients with Class II malocclusion: a systematic review and meta-analysis","volume":"38","author":"Zymperdikas","year":"2016","unstructured":"Zymperdikas\n VF,\n \n \n Koretsi\n V,\n \n \n Papageorgiou\n SN,\n \n \n Papadopoulos\n MA.\n \n \n Treatment effects of fixed functional appliances in patients with Class II malocclusion: a systematic review and meta-analysis.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t38:\n\t\t\t\t\t113\u2013\n\t\t\t\t\t126."},{"key":"i0003-3219-91-1-9-b03","series-title":"Am J Orthod Dentofacial Orthop","first-page":"612","article-title":"Fixed functional appliances with multibracket appliances have no skeletal effect on the mandible: a systematic review and meta-analysis","volume":"149","author":"Ishaq","year":"2016","unstructured":"Ishaq\n RAR,\n \n \n AlHammadi\n MS,\n \n \n Fayed\n MMS,\n \n \n AbouEl-Ezz\n A,\n \n \n Mostafa\n Y.\n \n \n Fixed functional appliances with multibracket appliances have no skeletal effect on the mandible: a systematic review and meta-analysis.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2016;\n\t\t\t\t\t149:\n\t\t\t\t\t612\u2013\n\t\t\t\t\t624."},{"key":"i0003-3219-91-1-9-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"616","article-title":"Comparison of treatments with the Forsus fatigue resistant device in relation to skeletal maturity: a cephalometric and magnetic resonance imaging study","volume":"140","author":"Aras","year":"2011","unstructured":"Aras\n A,\n \n \n Ada\n E,\n \n \n Saraco\u011flu\n H,\n \n \n Gezer\n NS,\n \n \n Aras\n I.\n \n \n Comparison of treatments with the Forsus fatigue resistant device in relation to skeletal maturity: a cephalometric and magnetic resonance imaging study.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2011;\n\t\t\t\t\t140:\n\t\t\t\t\t616\u2013\n\t\t\t\t\t625."},{"key":"i0003-3219-91-1-9-b05","series-title":"Funct Orthod","first-page":"12","article-title":"Fixed functional appliances\u2014a classification","volume":"17","author":"Ritto","year":"2000","unstructured":"Ritto\n AK,\n \n \n Ferreira\n AP.\n \n \n Fixed functional appliances\u2014a classification.\n\t\t\t\t\tFunct Orthod.\n\t\t\t\t\t2000;\n\t\t\t\t\t17:\n\t\t\t\t\t12\u2013\n\t\t\t\t\t30,\n\t\t\t\t\t32."},{"key":"i0003-3219-91-1-9-b06","series-title":"Am J Orthod Dentofacial Orthop","first-page":"755","article-title":"Comparison of patient acceptance of the Forsus Fatigue Resistant Device with and without mini-implant anchorage: a randomized controlled trial","volume":"148","author":"Elkordy","year":"2015","unstructured":"Elkordy\n SA,\n \n \n Fayed\n MMS,\n \n \n Abouelezz\n AM,\n \n \n Attia\n KH.\n \n \n Comparison of patient acceptance of the Forsus Fatigue Resistant Device with and without mini-implant anchorage: a randomized controlled trial.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2015;\n\t\t\t\t\t148:\n\t\t\t\t\t755\u2013\n\t\t\t\t\t764."},{"key":"i0003-3219-91-1-9-b07","series-title":"Am J Orthod Dentofacial Orthop","first-page":"10","article-title":"Fabrication of the acrylic splint Herbst appliance","volume":"94","author":"McNamara","year":"1988","unstructured":"McNamara\n JA.\n \n \n Fabrication of the acrylic splint Herbst appliance.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t1988;\n\t\t\t\t\t94:\n\t\t\t\t\t10\u2013\n\t\t\t\t\t18."},{"key":"i0003-3219-91-1-9-b08","series-title":"Angle Orthod","first-page":"376","article-title":"Skeletal and dental changes in Class II division 1 malocclusions treated with splint-type Herbst appliances. A systematic review","volume":"77","author":"Flores-Mir","year":"2007","unstructured":"Flores-Mir\n C,\n \n \n Ayeh\n A,\n \n \n Goswani\n A,\n \n \n Charkhandeh\n S.\n \n \n Skeletal and dental changes in Class II division 1 malocclusions treated with splint-type Herbst appliances. A systematic review.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2007;\n\t\t\t\t\t77:\n\t\t\t\t\t376\u2013\n\t\t\t\t\t381."},{"key":"i0003-3219-91-1-9-b09","series-title":"Am J Orthod Dentofacial Orthop","first-page":"822","article-title":"Short-term skeletal and dental effects of the Xbow appliance as measured on lateral cephalograms","volume":"136","author":"Flores-Mir","year":"2009","unstructured":"Flores-Mir\n C,\n \n \n Barnett\n G,\n \n \n Higgins\n DW,\n \n \n Heo\n G,\n \n \n Major\n PW.\n \n \n Short-term skeletal and dental effects of the Xbow appliance as measured on lateral cephalograms.\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\t822\u2013\n\t\t\t\t\t832."},{"key":"i0003-3219-91-1-9-b10","series-title":"Angle Orthod","first-page":"431","article-title":"Incisor inclination changes produced by two compliance-free Class II correction protocols for the treatment of mild to moderate Class II malocclusions","volume":"83","author":"Miller","year":"2013","unstructured":"Miller\n RA,\n \n \n Tieu\n L,\n \n \n Flores-Mir\n C.\n \n \n Incisor inclination changes produced by two compliance-free Class II correction protocols for the treatment of mild to moderate Class II malocclusions.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2013;\n\t\t\t\t\t83:\n\t\t\t\t\t431\u2013\n\t\t\t\t\t436."},{"key":"i0003-3219-91-1-9-b11","series-title":"Angle Orthod","first-page":"391","article-title":"Evaluation of the miniplate-anchored Forsus Fatigue Resistant Device in skeletal Class II growing subjects: a randomized controlled trial","volume":"89","author":"Elkordy","year":"2019","unstructured":"Elkordy\n SA,\n \n \n Abouelezz\n A,\n \n \n Fayed\n M,\n \n \n Aboulfotouh\n M,\n \n \n Mostafa\n YA.\n \n \n Evaluation of the miniplate-anchored Forsus Fatigue Resistant Device in skeletal Class II growing subjects: a randomized controlled trial.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2019;\n\t\t\t\t\t89:\n\t\t\t\t\t391\u2013\n\t\t\t\t\t403."},{"key":"i0003-3219-91-1-9-b12","series-title":"Three-Dimensional Evaluation of the Splint-Supported Forsus Fatigue Resistance Device With and Without Miniscrew Anchorage: A Comparative Clinical Trial [PhD thesis]","author":"Abdeldayem","year":"2019","unstructured":"Abdeldayem\n R.\n \n \n \n Three-Dimensional Evaluation of the Splint-Supported Forsus Fatigue Resistance Device With and Without Miniscrew Anchorage: A Comparative Clinical Trial [PhD thesis].\n\t\t\t\t\tCairo, Egypt:\n\t\t\t\t\tAin Shams University;2019."},{"key":"i0003-3219-91-1-9-b13","series-title":"Int J Dent","first-page":"1","article-title":"Comparison between an acrylic splint Herbst and an acrylic splint miniscrew-Herbst for mandibular incisors proclination control","volume":"173187","author":"Manni","year":"2014","unstructured":"Manni\n A,\n \n \n Pasini\n M,\n \n \n Mazzotta\n L,\n \n et al.\n\t\t\t\t\t\n Comparison between an acrylic splint Herbst and an acrylic splint miniscrew-Herbst for mandibular incisors proclination control.\n\t\t\t\t\tInt J Dent.\n\t\t\t\t\t2014;\n\t\t\t\t\t173187:\n\t\t\t\t\t1\u2013\n\t\t\t\t\t7."},{"key":"i0003-3219-91-1-9-b14","series-title":"Angle Orthod","first-page":"1070","article-title":"Rapid maxillary expansion effects in Class II malocclusion: a systematic review","volume":"85","author":"Feres","year":"2015","unstructured":"Feres\n MFN,\n \n \n Raza\n H,\n \n \n Alhadlaq\n A,\n \n \n El-Bialy\n T.\n \n \n Rapid maxillary expansion effects in Class II malocclusion: a systematic review.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2015;\n\t\t\t\t\t85:\n\t\t\t\t\t1070\u2013\n\t\t\t\t\t1079."},{"key":"i0003-3219-91-1-9-b15","series-title":"Am J Orthod","first-page":"115","article-title":"Longitudinal changes in standing height and mandibular parameters between the ages of 8 and 17 years","volume":"80","author":"Bishara","year":"1981","unstructured":"Bishara\n SE,\n \n \n Jamison\n JE,\n \n \n Peterson\n LC,\n \n \n DeKock\n WH.\n \n \n Longitudinal changes in standing height and mandibular parameters between the ages of 8 and 17 years.\n\t\t\t\t\tAm J Orthod.\n\t\t\t\t\t1981;\n\t\t\t\t\t80:\n\t\t\t\t\t115\u2013\n\t\t\t\t\t135."},{"key":"i0003-3219-91-1-9-b16","series-title":"Am J Orthod Dentofacial Orthop","first-page":"125","article-title":"Longitudinal growth changes in untreated subjects with Class II division 1 malocclusion","volume":"134","author":"Stahl","year":"2008","unstructured":"Stahl\n F,\n \n \n Baccetti\n T,\n \n \n Franchi\n L,\n \n \n McNamara\n J.\n \n \n Longitudinal growth changes in untreated subjects with Class II division 1 malocclusion.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2008;\n\t\t\t\t\t134:\n\t\t\t\t\t125\u2013\n\t\t\t\t\t137."},{"key":"i0003-3219-91-1-9-b17","series-title":"Semin Orthod","first-page":"119","article-title":"The Cervical Vertebral Maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics","volume":"11","author":"Baccetti","year":"2005","unstructured":"Baccetti\n T,\n \n \n Franchi\n L,\n \n \n McNamara\n JA.\n \n \n The Cervical Vertebral Maturation (CVM) method for the assessment of optimal treatment timing in dentofacial orthopedics.\n\t\t\t\t\tSemin Orthod.\n\t\t\t\t\t2005;\n\t\t\t\t\t11:\n\t\t\t\t\t119\u2013\n\t\t\t\t\t129."},{"key":"i0003-3219-91-1-9-b18","series-title":"Korean J Orthod","first-page":"136","article-title":"Active-treatment effects of the Forsus Fatigue Resistant Device during comprehensive Class II correction in growing patients","volume":"44","year":"2014","unstructured":"Giorgio Cacciatore G, Alvetro L, Defraia E, Ghislanzoni L, Franchi L.\n\t\t\t\t\tActive-treatment effects of the Forsus Fatigue Resistant Device during comprehensive Class II correction in growing patients.\n\t\t\t\t\tKorean J Orthod.\n\t\t\t\t\t2014;\n\t\t\t\t\t44:\n\t\t\t\t\t136\u2013\n\t\t\t\t\t142."},{"key":"i0003-3219-91-1-9-b19","series-title":"Angle Orthod","first-page":"997","article-title":"Dental and skeletal changes in mild to moderate Class II malocclusions treated by either a Twin-block or Xbow appliance followed by full fixed orthodontic treatment","volume":"85","author":"Ehsani","year":"2015","unstructured":"Ehsani\n S,\n \n \n Nebbe\n B,\n \n \n Normando\n D,\n \n \n Lagravere\n MO,\n \n \n Flores-Mir\n C.\n \n \n Dental and skeletal changes in mild to moderate Class II malocclusions treated by either a Twin-block or Xbow appliance followed by full fixed orthodontic treatment.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2015;\n\t\t\t\t\t85:\n\t\t\t\t\t997\u2013\n\t\t\t\t\t1002."},{"key":"i0003-3219-91-1-9-b20","series-title":"Am J Orthod Dentofacial Orthop","first-page":"580","article-title":"Early treatment for Class II malocclusion and perceived improvements in facial profile","volume":"135","author":"O'Brien","year":"2009","unstructured":"O'Brien\n K,\n \n \n MacFarlane\n T,\n \n \n Wright\n J,\n \n et al.\n\t\t\t\t\t\n Early treatment for Class II malocclusion and perceived improvements in facial profile.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2009;\n\t\t\t\t\t135:\n\t\t\t\t\t580\u2013\n\t\t\t\t\t585."}],"container-title":["The Angle 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