{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T04:49:45Z","timestamp":1791607785941,"version":"4.3.4"},"reference-count":48,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To compare the effects of Forsus appliances with and without temporary anchorage devices (TADs) for patients with skeletal Class II malocclusion.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n Through a predefined search strategy, electronic searching was conducted in PubMed, Embase, Web of Science, CENTRAL, ProQuest Dissertations & Theses, and SIGLE with no language restrictions. Eligible study selection, data extraction, and evaluation of risk of bias (Cochrane Collaboration tool) were conducted by two authors independently and in duplicate. Any disagreement was solved by discussion or judged by a third reviewer. Statistical pooling, sensitivity analysis, subgroup analysis, and assessment of small-study effects were conducted by using Comprehensive Meta-Analysis and Stata 12.0. Heterogeneity was analyzed for different types of study designs, TADs, and radiographic examinations.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Electronic search yielded a total of 256 studies after removing duplicates. Among them, six studies were finally included. All articles were of high quality. The pooled mean differences were \u20130.27 (95% confidence interval [CI]: \u20130.59, 0.05) for SNA, 0.58 (95% CI: \u20130.07, 1.23) for SNB, \u20130.86 (95% CI: \u20131.74, \u20130.03) for ANB, 1.63 (95% CI: 0.46, 2.80) for Co-Po, 0.75 (95% CI: 0.28, 1.23) for SN-MP, \u20137.56 (95% CI: \u201311.37, \u20133.76) for L1-MP, 0.47 (95% CI: \u20130.98, 1.91) for overjet, 0.39 (95% CI: \u20130.57, 1.35) for overbite, \u20131.84 (95% CI: \u22125.15, 1.47) for SN-OP, and 4.97 (95% CI: \u20131.22, 11.17) for nasolabial angle.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n TADs (especially miniplates) were able to eliminate dental adverse effects of Forsus appliances for correction of skeletal Class II malocclusion.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/051120-421.1","type":"journal-article","created":{"date-parts":[[2020,12,30]],"date-time":"2020-12-30T14:41:26Z","timestamp":1609339286000},"page":"255-266","source":"Crossref","is-referenced-by-count":11,"title":["A comparison of the effects of Forsus appliances with and without temporary anchorage devices for skeletal Class II malocclusion:"],"prefix":"10.2319","volume":"91","author":[{"given":"Lu","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Zhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianyun","family":"Kuang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyu","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Shan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenli","family":"Lai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hu","family":"Long","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-91-2-255-b01","series-title":"Am J Orthod Dentofacial Orthop","first-page":"809","article-title":"Effects of fixed functional appliance treatment on the temporomandibular joint","volume":"133","author":"Arici","year":"2008","unstructured":"Arici\n S,\n \n \n Akan\n H,\n \n \n Yakubov\n K,\n \n \n Arici\n N.\n \n \n Effects of fixed functional appliance treatment on the temporomandibular joint.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2008;\n\t\t\t\t\t133:\n\t\t\t\t\t809\u2013\n\t\t\t\t\t814."},{"key":"i0003-3219-91-2-255-b02","series-title":"Angle Orthod","first-page":"177","article-title":"Components of class II malocclusion in children 8-10 years of age","volume":"51","author":"McNamara","year":"1981","unstructured":"McNamara\n JA\n Jr.\n \n \n Components of class II malocclusion in children 8-10 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":"i0003-3219-91-2-255-b03","series-title":"Eur J Paediatr 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interventions","volume":"355","author":"Sterne","year":"2016","unstructured":"Sterne\n JA,\n \n \n Hern\u00e1n\n MA,\n \n \n Reeves\n BC,\n \n et al.\n \n ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions.\n\t\t\t\t\tBMJ.\n\t\t\t\t\t2016;\n\t\t\t\t\t355:\n\t\t\t\t\ti4919."},{"key":"i0003-3219-91-2-255-b16","series-title":"J Clin Epidemiol","first-page":"383","article-title":"GRADE guidelines: 1. 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Orthod.\n\t\t\t\t\t2009;\n\t\t\t\t\t79:\n\t\t\t\t\t462\u2013\n\t\t\t\t\t467."},{"key":"i0003-3219-91-2-255-b24","series-title":"J Orthod Sci","first-page":"5","article-title":"Dentoskeletal effects of the Forsus Fatigue Resistance Device in the treatment of class II malocclusion: a systematic review and meta-analysis","volume":"7","author":"Linjawi","year":"2018","unstructured":"Linjawi\n AI,\n \n \n Abbassy\n MA.\n \n \n Dentoskeletal effects of the Forsus Fatigue Resistance Device in the treatment of class II malocclusion: a systematic review and meta-analysis.\n\t\t\t\t\tJ Orthod Sci.\n\t\t\t\t\t2018;\n\t\t\t\t\t7:\n\t\t\t\t\t5."},{"key":"i0003-3219-91-2-255-b01","series-title":"Am J Orthod Dentofacial Orthop","first-page":"809","article-title":"Effects of fixed functional appliance treatment on the temporomandibular joint","volume":"133","author":"Arici","year":"2008","unstructured":"Arici\n S,\n \n \n Akan\n H,\n \n \n Yakubov\n K,\n \n \n Arici\n N.\n \n \n Effects of fixed functional appliance treatment on the temporomandibular joint.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2008;\n\t\t\t\t\t133:\n\t\t\t\t\t809\u2013\n\t\t\t\t\t814."},{"key":"i0003-3219-91-2-255-b02","series-title":"Angle Orthod","first-page":"177","article-title":"Components of class II malocclusion in children 8-10 years of age","volume":"51","author":"McNamara","year":"1981","unstructured":"McNamara\n JA\n Jr.\n \n \n Components of class II malocclusion in children 8-10 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":"i0003-3219-91-2-255-b03","series-title":"Eur J Paediatr Dent","first-page":"192","article-title":"Class II malocclusion division 1: a new classification method by cephalometric analysis","volume":"13","author":"Perillo","year":"2012","unstructured":"Perillo\n L,\n \n \n Padricelli\n G,\n \n \n Isola\n G,\n \n et al.\n \n Class II malocclusion division 1: a new classification method by cephalometric analysis.\n\t\t\t\t\tEur J Paediatr Dent.\n\t\t\t\t\t2012;\n\t\t\t\t\t13:\n\t\t\t\t\t192\u2013\n\t\t\t\t\t196."},{"key":"i0003-3219-91-2-255-b04","series-title":"Semin Orthod","first-page":"324","article-title":"Class II treatment with functional appliances: a meta-analysis of short-term treatment effects","volume":"20","author":"Vaid","year":"2014","unstructured":"Vaid\n NR,\n \n \n Doshi\n VM,\n \n \n Vandekar\n M.\n \n \n Class II treatment with functional appliances: a meta-analysis of short-term treatment effects.\n\t\t\t\t\tSemin Orthod.\n\t\t\t\t\t2014;\n\t\t\t\t\t20:\n\t\t\t\t\t324\u2013\n\t\t\t\t\t338."},{"key":"i0003-3219-91-2-255-b05","series-title":"Am J Orthod Dentofacial Orthop","first-page":"599.e1","article-title":"Mandibular changes produced by functional appliances in Class II malocclusion: a systematic review","volume":"129","author":"Cozza","year":"2006","unstructured":"Cozza\n P,\n \n \n Baccetti\n T,\n \n \n Franchi\n L,\n \n \n De Toffol\n L,\n \n \n McNamara\n JA\n Jr.\n \n \n Mandibular changes produced by functional appliances in Class II malocclusion: a systematic review.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2006;\n\t\t\t\t\t129:\n\t\t\t\t\t599.e1\u2013\n\t\t\t\t\te12;\n\t\t\t\t\tdiscussion e1\u2013e6."},{"key":"i0003-3219-91-2-255-b06","series-title":"J Clinical Orthod","first-page":"368","article-title":"The Forsus Fatigue Resistant Device","volume":"40","author":"Vogt","year":"2006","unstructured":"Vogt\n W.\n \n \n The Forsus Fatigue Resistant Device.\n\t\t\t\t\tJ Clinical Orthod.\n\t\t\t\t\t2006;\n\t\t\t\t\t40:\n\t\t\t\t\t368\u2013\n\t\t\t\t\t377."},{"key":"i0003-3219-91-2-255-b07","series-title":"J Orthod Sc.i","first-page":"5","article-title":"Dentoskeletal effects of the Forsus\u2122 fatigue resistance device in the treatment of class II malocclusion: a systematic review and meta-analysis","volume":"7","author":"Linjawi","year":"2018","unstructured":"Linjawi\n AI,\n \n \n Abbassy\n MA.\n \n \n Dentoskeletal effects of the Forsus\u2122 fatigue resistance device in the treatment of class II malocclusion: a systematic review and meta-analysis.\n\t\t\t\t\tJ Orthod Sc.i2018;\n\t\t\t\t\t7:\n\t\t\t\t\t5."},{"key":"i0003-3219-91-2-255-b08","series-title":"Angle Orthod","first-page":"76","article-title":"Treatment effects of the Forsus Fatigue Resistant Device used with miniscrew anchorage","volume":"84","author":"Aslan","year":"2014","unstructured":"Aslan\n BI,\n \n \n Kucukkaraca\n E,\n \n \n Turkoz\n C,\n \n \n Dincer\n M.\n \n \n Treatment effects of the Forsus Fatigue Resistant Device used with miniscrew anchorage.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2014;\n\t\t\t\t\t84:\n\t\t\t\t\t76\u2013\n\t\t\t\t\t87."},{"key":"i0003-3219-91-2-255-b09","series-title":"Angle Orthod","first-page":"292","article-title":"Three-dimensional effects of the mini-implant-anchored Forsus Fatigue Resistant Device: a randomized controlled 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