{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:08:05Z","timestamp":1790197685053,"version":"4.1.0"},"reference-count":54,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To test the hypothesis that twin-block and Mandibular Protraction Appliance-IV (MPA-IV) are not effective in improving the pharyngeal airway passage (PAP) dimensions among Class II malocclusion subjects with a retrognathic mandible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      Eighty-three subjects ranging in age from 8 to 14\u00a0years were divided into four groups. Group I included 30 Class I malocclusion subjects (healthy controls); group II consisted of 16 Class II malocclusion subjects (Class II controls); group III had 16 subjects in whom Class II malocclusion was treated by MPA-IV; and the remaining 21 subjects formed group IV, whose Class II malocclusions were corrected by twin-block appliance. Lateral cephalograms recorded at the beginning of orthodontic treatment in group I subjects and at the beginning and end of follow-up\/treatment with functional appliance in group II, III, and IV subjects were analyzed to determine the PAP dimensions. Paired\n                      <jats:italic>t<\/jats:italic>\n                      -test, one-way analysis of variance, and Tukey tests were applied for statistical analysis, and a\n                      <jats:italic>P<\/jats:italic>\n                      -value .05 was considered statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Soft palate length was decreased significantly in group III (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05) and group IV (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) subjects. Soft palate thickness in group IV subjects was increased significantly as compared to group II (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05) and group III (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01) subjects. The improvement in soft palate inclination in group III and group IV subjects was significant (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). The oropharynx depth was increased significantly in group III (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05) and group IV (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) subjects. The depth of the hypopharynx was increased significantly (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01) in group IV subjects.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The twin-block appliance was more efficient than the MPA-IV in the improvement of PAP dimensions among Class II malocclusion subjects with retrognathic mandible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/083112-702.1","type":"journal-article","created":{"date-parts":[[2012,12,14]],"date-time":"2012-12-14T09:21:30Z","timestamp":1355476890000},"page":"728-734","source":"Crossref","is-referenced-by-count":67,"title":["Effectiveness of twin-block and Mandibular Protraction Appliance-IV in the improvement of pharyngeal airway passage dimensions in Class II malocclusion subjects with a retrognathic mandible"],"prefix":"10.2319","volume":"83","author":[{"given":"Ashok Kumar","family":"Jena","sequence":"first","affiliation":[{"name":"Assistant Professor, Unit of Orthodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satinder Pal","family":"Singh","sequence":"additional","affiliation":[{"name":"Additional Professor, Unit of Orthodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok Kumar","family":"Utreja","sequence":"additional","affiliation":[{"name":"Professor and Head, Unit of Orthodontics, Oral Health Sciences Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-83-4-728-b01","series-title":"Swiss Med Wkly","first-page":"689","article-title":"Sleep and respiration in children: time to wake up!","volume":"137","author":"Wildhaber\n              JH,","year":"2007","unstructured":"Wildhaber\n              JH, \n            \n              Moeller\n              A. \n          \n          Sleep and respiration in children: time to wake up!. Swiss Med Wkly. 2007;137:689\u2013694."},{"key":"i0003-3219-83-4-728-b02","series-title":"Am J Orthod Dentofacial Orthop","first-page":"69","article-title":"A study on the pharyngeal size in different skeletal patterns","volume":"108","author":"Ceylan\n              I,","year":"1995","unstructured":"Ceylan\n              I, \n            \n              Oktay\n              H. \n          \n          A study on the pharyngeal size in different skeletal patterns. Am J Orthod Dentofacial Orthop. 1995;108:69\u201375."},{"key":"i0003-3219-83-4-728-b03","series-title":"Sleep","first-page":"997","article-title":"Pathophysiology of upper airway obstruction: a developmental perspective","volume":"27","author":"Arens\n              R,","year":"2004","unstructured":"Arens\n              R, \n            \n              Marcus\n              CL. \n          \n          Pathophysiology of upper airway obstruction: a developmental perspective. Sleep. 2004;27:997\u20131019."},{"key":"i0003-3219-83-4-728-b04","series-title":"Clin Plast Surg","first-page":"555","article-title":"Upper airway obstruction and sleep disorders in children with craniofacial anomalies","volume":"9","author":"Schafer\n              ME.","year":"1982","unstructured":"Schafer\n              ME. \n          \n          Upper airway obstruction and sleep disorders in children with craniofacial anomalies. Clin Plast Surg. 1982;9:555\u2013567."},{"key":"i0003-3219-83-4-728-b05","series-title":"Eur J Orthod","first-page":"133","article-title":"Natural head posture, upper airway anatomy and obstructive sleep apnea severity in adults","volume":"20","author":"Ozbek\n              MM,","year":"1998","unstructured":"Ozbek\n              MM, \n            \n              Miyamoto\n              K, \n            \n              Lowe\n              AA, \n            \n              Fleetham\n              JA. \n          \n          Natural head posture, upper airway anatomy and obstructive sleep apnea severity in adults. Eur J Orthod. 1998;20:133\u2013143."},{"key":"i0003-3219-83-4-728-b06","series-title":"Angle Orthod","first-page":"1046","article-title":"Upper airway dimensions in Class II malocclusion. Effects of headgear treatment","volume":"77","author":"Kirjavainen\n              M,","year":"2007","unstructured":"Kirjavainen\n              M, \n            \n              Kirjavainen\n              T. \n          \n          Upper airway dimensions in Class II malocclusion. Effects of headgear treatment. Angle Orthod. 2007;77:1046\u20131053."},{"key":"i0003-3219-83-4-728-b07","series-title":"Angle Orthod","first-page":"1061","article-title":"Sagittal mandibular development effects on the dimensions of the awake pharyngeal airway passage","volume":"80","author":"Jena\n              AK,","year":"2010","unstructured":"Jena\n              AK, \n            \n              Singh\n              SP, \n            \n              Utreja\n              AK. \n          \n          Sagittal mandibular development effects on the dimensions of the awake pharyngeal airway passage. Angle Orthod. 2010;80:1061\u20131067."},{"key":"i0003-3219-83-4-728-b08","series-title":"Am J Dis Child","first-page":"541","article-title":"Glossoptosis due to atresia and hypotrophy of the mandible","volume":"48","author":"Robin\n              P.","year":"1934","unstructured":"Robin\n              P. \n          \n          Glossoptosis due to atresia and hypotrophy of the mandible. Am J Dis Child. 1934;48:541\u2013547."},{"key":"i0003-3219-83-4-728-b09","series-title":"Sleep","first-page":"240","article-title":"Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: an update for 2005","volume":"29","author":"Kushida\n              CA,","year":"2006","unstructured":"Kushida\n              CA, \n            \n              Morgenthaler\n              TI, \n            \n              Littner\n              MR. \n            \n          . Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: an update for 2005. Sleep. 2006;29:240\u2013243."},{"key":"i0003-3219-83-4-728-b10","series-title":"Chest","first-page":"1511","article-title":"Efficacy of an adjustable oral appliance and comparison with continuous positive airway pressure for the treatment of obstructive sleep apnea syndrome","volume":"140","author":"Holley\n              AB,","year":"2011","unstructured":"Holley\n              AB, \n            \n              Lettieri\n              CJ, \n            \n              Shah\n              AA. \n          \n          Efficacy of an adjustable oral appliance and comparison with continuous positive airway pressure for the treatment of obstructive sleep apnea syndrome. Chest. 2011;140:1511\u20131516."},{"key":"i0003-3219-83-4-728-b11","series-title":"Angle Orthod","first-page":"327","article-title":"Oropharyngeal airway dimensions and functional-orthopedic treatment in skeletal Class II cases","volume":"68","author":"Ozbek\n              MM,","year":"1998","unstructured":"Ozbek\n              MM, \n            \n              Memikoglu\n              UT, \n            \n              Gogen\n              H, \n            \n              Lowe\n              AA, \n            \n              Baspinar\n              E. \n          \n          Oropharyngeal airway dimensions and functional-orthopedic treatment in skeletal Class II cases. Angle Orthod. 1998;68:327\u2013336."},{"key":"i0003-3219-83-4-728-b12","series-title":"Eur J Orthod","first-page":"598","article-title":"Long-term changes in pharyngeal airway dimensions following activator-headgear and fixed appliance treatment","volume":"30","author":"H\u00e4nggi\n              MP,","year":"2008","unstructured":"H\u00e4nggi\n              MP, \n            \n              Teuscher\n              UM, \n            \n              Roos\n              M, \n            \n              Peltom\u00e4ki\n              TA. \n          \n          Long-term changes in pharyngeal airway dimensions following activator-headgear and fixed appliance treatment. Eur J Orthod. 2008;30:598\u2013605."},{"key":"i0003-3219-83-4-728-b13","series-title":"J Clin Pediatr Dent","first-page":"287","article-title":"Changes of tongue position and oropharynx following treatment with functional appliance","volume":"31","author":"Yassaei\n              S,","year":"2007","unstructured":"Yassaei\n              S, \n            \n              Bahrololoomi\n              Z, \n            \n              Sorush\n              M. \n          \n          Changes of tongue position and oropharynx following treatment with functional appliance. J Clin Pediatr Dent. 2007;31:287\u2013290."},{"key":"i0003-3219-83-4-728-b14","series-title":"J Exp Clin Med","first-page":"93","article-title":"Changes in the pharyngeal airway and position of the hyoid bone after treatment with a modified bionator in growing patients with retrognathia","volume":"3","author":"Lin\n              Y,","year":"2011","unstructured":"Lin\n              Y, \n            \n              Lin\n              HC, \n            \n              Tsai\n              HH. \n          \n          Changes in the pharyngeal airway and position of the hyoid bone after treatment with a modified bionator in growing patients with retrognathia. J Exp Clin Med. 2011;3:93\u201398."},{"key":"i0003-3219-83-4-728-b15","series-title":"J Oral Rehabil","first-page":"588","article-title":"Oropharyngeal airway dimensions after treatment with functional appliances in Class II retrognathic children","volume":"38","author":"Restrepo\n              C,","year":"2011","unstructured":"Restrepo\n              C, \n            \n              Santamar\u00eda\n              A, \n            \n              Pel\u00e1ez\n              S, \n            \n              Tapias\n              A. \n          \n          Oropharyngeal airway dimensions after treatment with functional appliances in Class II retrognathic children. J Oral Rehabil. 2011;38:588\u2013594."},{"key":"i0003-3219-83-4-728-b16","series-title":"J Orofac Orthop","first-page":"301","article-title":"Effects of fixed appliances in correcting Angle Class-II on the depth of the posterior airway space","volume":"72","author":"Kinzinger\n              G,","year":"2011","unstructured":"Kinzinger\n              G, \n            \n              Czapka\n              K, \n            \n              Ludwig\n              B, \n            \n              Glasl\n              B, \n            \n              Gross\n              U, \n            \n              Lisson\n              J. \n          \n          Effects of fixed appliances in correcting Angle Class-II on the depth of the posterior airway space. J Orofac Orthop. 2011;72:301\u2013320."},{"key":"i0003-3219-83-4-728-b17","series-title":"Angle Orthod","first-page":"222","article-title":"Class-II correction improves nocturnal breathing in adolescents","volume":"81","author":"Schutz\n              TCB,","year":"2011","unstructured":"Schutz\n              TCB, \n            \n              Dominguez\n              GC, \n            \n              Hallinan\n              MP, \n            \n              Cunha\n              TCA, \n            \n              Tufik\n              S. \n          \n          Class-II correction improves nocturnal breathing in adolescents. Angle Orthod. 2011;81:222\u2013228."},{"key":"i0003-3219-83-4-728-b18","series-title":"J Clin Orthod","first-page":"18","article-title":"Mandibular Protraction Appliance-IV","volume":"35","author":"Coelho Filho\n              CM.","year":"2001","unstructured":"Coelho Filho\n              CM. \n          \n          Mandibular Protraction Appliance-IV. J Clin Orthod. 2001;35:18\u201324."},{"key":"i0003-3219-83-4-728-b19","series-title":"Eur Resp J","first-page":"2087","article-title":"The effect of age, sex, obesity and posture on upper airway size","volume":"10","author":"Martin\n              SE,","year":"1997","unstructured":"Martin\n              SE, \n            \n              Mathur\n              R, \n            \n              Marshall\n              I, \n            \n              Douglas\n              NJ. \n          \n          The effect of age, sex, obesity and posture on upper airway size. Eur Resp J. 1997;10:2087\u20132090."},{"key":"i0003-3219-83-4-728-b20","series-title":"Eur J Orthod","first-page":"367","article-title":"Surgical mandibular advancement and changes in uvuloglossopharyngeal morphology and head posture: a short- and long-term cephalometric study in males","volume":"22","author":"Achilleos\n              S,","year":"2000","unstructured":"Achilleos\n              S, \n            \n              Krogstad\n              O, \n            \n              Lyberg\n              T. \n          \n          Surgical mandibular advancement and changes in uvuloglossopharyngeal morphology and head posture: a short- and long-term cephalometric study in males. Eur J Orthod. 2000;22:367\u2013381."},{"key":"i0003-3219-83-4-728-b21","series-title":"Laryngoscope","first-page":"634","article-title":"Frontal and lateral cephalometry in patients with sleep-disordered breathing","volume":"111","author":"Finkelstein\n              Y,","year":"2001","unstructured":"Finkelstein\n              Y, \n            \n              Wexler\n              D, \n            \n              Horowitz\n              E. \n            \n          . Frontal and lateral cephalometry in patients with sleep-disordered breathing. Laryngoscope. 2001;111:634\u2013641."},{"key":"i0003-3219-83-4-728-b22","series-title":"Eur J Orthod","first-page":"353","article-title":"A cephalometric comparison of subjects with snoring and obstructive sleep apnea","volume":"22","author":"Battagel\n              JM,","year":"2000","unstructured":"Battagel\n              JM, \n            \n              Johal\n              A, \n            \n              Kotecha\n              B. \n          \n          A cephalometric comparison of subjects with snoring and obstructive sleep apnea. 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Am J Orthod Dentofacial Orthop. 2005;128:513\u2013516."},{"key":"i0003-3219-83-4-728-b24","series-title":"Angle Orthod","first-page":"485","article-title":"Treatment effects of twin-block and Mandibular Protraction Appliance-IV (MPA-IV) in the correction of Class II malocclusion","volume":"80","author":"Jena\n              AK,","year":"2010","unstructured":"Jena\n              AK, \n            \n              Duggal\n              R. \n          \n          Treatment effects of twin-block and Mandibular Protraction Appliance-IV (MPA-IV) in the correction of Class II malocclusion. Angle Orthod. 2010;80:485\u2013491."},{"key":"i0003-3219-83-4-728-b25","series-title":"J Dent Med","first-page":"51","article-title":"Changes of hyoid bone position following treatment of Class II div 1 malocclusion with Farmand functional appliance","volume":"19","author":"Yassaei\n              S,","year":"2007","unstructured":"Yassaei\n              S, \n            \n              Soroush\n              MM. \n          \n          Changes of hyoid bone position following treatment of Class II div 1 malocclusion with Farmand functional appliance. J Dent Med. 2007;19:51\u201356."},{"key":"i0003-3219-83-4-728-b26","series-title":"Hua Xi Kou Qiang Yi Xue Za Zhi","first-page":"123","article-title":"The analysis of the changes of tongue shape and position, hyoid position in Class II, division 1 malocclusion treated with functional appliances (FR-I)","volume":"18","author":"Zhou\n              L,","year":"2000","unstructured":"Zhou\n              L, \n            \n              Zhao\n              Z, \n            \n              Lu\n              D. \n          \n          The analysis of the changes of tongue shape and position, hyoid position in Class II, division 1 malocclusion treated with functional appliances (FR-I). Hua Xi Kou Qiang Yi Xue Za Zhi. 2000;18:123\u2013125."},{"key":"i0003-3219-83-4-728-b27","series-title":"Int J Orthod Milwaukee","first-page":"9","article-title":"Stability of pharyngeal airway dimensions: tongue and hyoid changes after treatment with a functional appliance","volume":"23","author":"Yassaei\n              S,","year":"2012","unstructured":"Yassaei\n              S, \n            \n              Tabatabaei\n              Z, \n            \n              Ghafurifard\n              R. \n          \n          Stability of pharyngeal airway dimensions: tongue and hyoid changes after treatment with a functional appliance. Int J Orthod Milwaukee. 2012;23:9\u201315."},{"key":"i0003-3219-83-4-728-b01","series-title":"Swiss Med Wkly","first-page":"689","article-title":"Sleep and respiration in children: time to wake up!","volume":"137","author":"Wildhaber\n              JH,","year":"2007","unstructured":"Wildhaber\n              JH, \n            \n              Moeller\n              A. \n          \n          Sleep and respiration in children: time to wake up!. Swiss Med Wkly. 2007;137:689\u2013694."},{"key":"i0003-3219-83-4-728-b02","series-title":"Am J Orthod Dentofacial Orthop","first-page":"69","article-title":"A study on the pharyngeal size in different skeletal patterns","volume":"108","author":"Ceylan\n              I,","year":"1995","unstructured":"Ceylan\n              I, \n            \n              Oktay\n              H. \n          \n          A study on the pharyngeal size in different skeletal patterns. Am J Orthod Dentofacial Orthop. 1995;108:69\u201375."},{"key":"i0003-3219-83-4-728-b03","series-title":"Sleep","first-page":"997","article-title":"Pathophysiology of upper airway obstruction: a developmental perspective","volume":"27","author":"Arens\n              R,","year":"2004","unstructured":"Arens\n              R, \n            \n              Marcus\n              CL. \n          \n          Pathophysiology of upper airway obstruction: a developmental perspective. Sleep. 2004;27:997\u20131019."},{"key":"i0003-3219-83-4-728-b04","series-title":"Clin Plast Surg","first-page":"555","article-title":"Upper airway obstruction and sleep disorders in children with craniofacial anomalies","volume":"9","author":"Schafer\n              ME.","year":"1982","unstructured":"Schafer\n              ME. \n          \n          Upper airway obstruction and sleep disorders in children with craniofacial anomalies. Clin Plast Surg. 1982;9:555\u2013567."},{"key":"i0003-3219-83-4-728-b05","series-title":"Eur J Orthod","first-page":"133","article-title":"Natural head posture, upper airway anatomy and obstructive sleep apnea severity in adults","volume":"20","author":"Ozbek\n              MM,","year":"1998","unstructured":"Ozbek\n              MM, \n            \n              Miyamoto\n              K, \n            \n              Lowe\n              AA, \n            \n              Fleetham\n              JA. \n          \n          Natural head posture, upper airway anatomy and obstructive sleep apnea severity in adults. Eur J Orthod. 1998;20:133\u2013143."},{"key":"i0003-3219-83-4-728-b06","series-title":"Angle Orthod","first-page":"1046","article-title":"Upper airway dimensions in Class II malocclusion. Effects of headgear treatment","volume":"77","author":"Kirjavainen\n              M,","year":"2007","unstructured":"Kirjavainen\n              M, \n            \n              Kirjavainen\n              T. \n          \n          Upper airway dimensions in Class II malocclusion. Effects of headgear treatment. Angle Orthod. 2007;77:1046\u20131053."},{"key":"i0003-3219-83-4-728-b07","series-title":"Angle Orthod","first-page":"1061","article-title":"Sagittal mandibular development effects on the dimensions of the awake pharyngeal airway passage","volume":"80","author":"Jena\n              AK,","year":"2010","unstructured":"Jena\n              AK, \n            \n              Singh\n              SP, \n            \n              Utreja\n              AK. \n          \n          Sagittal mandibular development effects on the dimensions of the awake pharyngeal airway passage. Angle Orthod. 2010;80:1061\u20131067."},{"key":"i0003-3219-83-4-728-b08","series-title":"Am J Dis Child","first-page":"541","article-title":"Glossoptosis due to atresia and hypotrophy of the mandible","volume":"48","author":"Robin\n              P.","year":"1934","unstructured":"Robin\n              P. \n          \n          Glossoptosis due to atresia and hypotrophy of the mandible. Am J Dis Child. 1934;48:541\u2013547."},{"key":"i0003-3219-83-4-728-b09","series-title":"Sleep","first-page":"240","article-title":"Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: an update for 2005","volume":"29","author":"Kushida\n              CA,","year":"2006","unstructured":"Kushida\n              CA, \n            \n              Morgenthaler\n              TI, \n            \n              Littner\n              MR. \n            \n          . Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances: an update for 2005. Sleep. 2006;29:240\u2013243."},{"key":"i0003-3219-83-4-728-b10","series-title":"Chest","first-page":"1511","article-title":"Efficacy of an adjustable oral appliance and comparison with continuous positive airway pressure for the treatment of obstructive sleep apnea syndrome","volume":"140","author":"Holley\n              AB,","year":"2011","unstructured":"Holley\n              AB, \n            \n              Lettieri\n              CJ, \n            \n              Shah\n              AA. \n          \n          Efficacy of an adjustable oral appliance and comparison with continuous positive airway pressure for the treatment of obstructive sleep apnea syndrome. Chest. 2011;140:1511\u20131516."},{"key":"i0003-3219-83-4-728-b11","series-title":"Angle Orthod","first-page":"327","article-title":"Oropharyngeal airway dimensions and functional-orthopedic treatment in skeletal Class II cases","volume":"68","author":"Ozbek\n              MM,","year":"1998","unstructured":"Ozbek\n              MM, \n            \n              Memikoglu\n              UT, \n            \n              Gogen\n              H, \n            \n              Lowe\n              AA, \n            \n              Baspinar\n              E. \n          \n          Oropharyngeal airway dimensions and functional-orthopedic treatment in skeletal Class II cases. Angle Orthod. 1998;68:327\u2013336."},{"key":"i0003-3219-83-4-728-b12","series-title":"Eur J Orthod","first-page":"598","article-title":"Long-term changes in pharyngeal airway dimensions following activator-headgear and fixed appliance treatment","volume":"30","author":"H\u00e4nggi\n              MP,","year":"2008","unstructured":"H\u00e4nggi\n              MP, \n            \n              Teuscher\n              UM, \n            \n              Roos\n              M, \n            \n              Peltom\u00e4ki\n              TA. \n          \n          Long-term changes in pharyngeal airway dimensions following activator-headgear and fixed appliance treatment. Eur J Orthod. 2008;30:598\u2013605."},{"key":"i0003-3219-83-4-728-b13","series-title":"J Clin Pediatr Dent","first-page":"287","article-title":"Changes of tongue position and oropharynx following treatment with functional appliance","volume":"31","author":"Yassaei\n              S,","year":"2007","unstructured":"Yassaei\n              S, \n            \n              Bahrololoomi\n              Z, \n            \n              Sorush\n              M. \n          \n          Changes of tongue position and oropharynx following treatment with functional appliance. J Clin Pediatr Dent. 2007;31:287\u2013290."},{"key":"i0003-3219-83-4-728-b14","series-title":"J Exp Clin Med","first-page":"93","article-title":"Changes in the pharyngeal airway and position of the hyoid bone after treatment with a modified bionator in growing patients with retrognathia","volume":"3","author":"Lin\n              Y,","year":"2011","unstructured":"Lin\n              Y, \n            \n              Lin\n              HC, \n            \n              Tsai\n              HH. \n          \n          Changes in the pharyngeal airway and position of the hyoid bone after treatment with a modified bionator in growing patients with retrognathia. J Exp Clin Med. 2011;3:93\u201398."},{"key":"i0003-3219-83-4-728-b15","series-title":"J Oral Rehabil","first-page":"588","article-title":"Oropharyngeal airway dimensions after treatment with functional appliances in Class II retrognathic children","volume":"38","author":"Restrepo\n              C,","year":"2011","unstructured":"Restrepo\n              C, \n            \n              Santamar\u00eda\n              A, \n            \n              Pel\u00e1ez\n              S, \n            \n              Tapias\n              A. \n          \n          Oropharyngeal airway dimensions after treatment with functional appliances in Class II retrognathic children. J Oral Rehabil. 2011;38:588\u2013594."},{"key":"i0003-3219-83-4-728-b16","series-title":"J Orofac Orthop","first-page":"301","article-title":"Effects of fixed appliances in correcting Angle Class-II on the depth of the posterior airway space","volume":"72","author":"Kinzinger\n              G,","year":"2011","unstructured":"Kinzinger\n              G, \n            \n              Czapka\n              K, \n            \n              Ludwig\n              B, \n            \n              Glasl\n              B, \n            \n              Gross\n              U, \n            \n              Lisson\n              J. \n          \n          Effects of fixed appliances in correcting Angle Class-II on the depth of the posterior airway space. J Orofac Orthop. 2011;72:301\u2013320."},{"key":"i0003-3219-83-4-728-b17","series-title":"Angle Orthod","first-page":"222","article-title":"Class-II correction improves nocturnal breathing in adolescents","volume":"81","author":"Schutz\n              TCB,","year":"2011","unstructured":"Schutz\n              TCB, \n            \n              Dominguez\n              GC, \n            \n              Hallinan\n              MP, \n            \n              Cunha\n              TCA, \n            \n              Tufik\n              S. \n          \n          Class-II correction improves nocturnal breathing in adolescents. Angle Orthod. 2011;81:222\u2013228."},{"key":"i0003-3219-83-4-728-b18","series-title":"J Clin Orthod","first-page":"18","article-title":"Mandibular Protraction Appliance-IV","volume":"35","author":"Coelho Filho\n              CM.","year":"2001","unstructured":"Coelho Filho\n              CM. \n          \n          Mandibular Protraction Appliance-IV. J Clin Orthod. 2001;35:18\u201324."},{"key":"i0003-3219-83-4-728-b19","series-title":"Eur Resp J","first-page":"2087","article-title":"The effect of age, sex, obesity and posture on upper airway size","volume":"10","author":"Martin\n              SE,","year":"1997","unstructured":"Martin\n              SE, \n            \n              Mathur\n              R, \n            \n              Marshall\n              I, \n            \n              Douglas\n              NJ. \n          \n          The effect of age, sex, obesity and posture on upper airway size. Eur Resp J. 1997;10:2087\u20132090."},{"key":"i0003-3219-83-4-728-b20","series-title":"Eur J Orthod","first-page":"367","article-title":"Surgical mandibular advancement and changes in uvuloglossopharyngeal morphology and head posture: a short- and long-term cephalometric study in males","volume":"22","author":"Achilleos\n              S,","year":"2000","unstructured":"Achilleos\n              S, \n            \n              Krogstad\n              O, \n            \n              Lyberg\n              T. \n          \n          Surgical mandibular advancement and changes in uvuloglossopharyngeal morphology and head posture: a short- and long-term cephalometric study in males. Eur J Orthod. 2000;22:367\u2013381."},{"key":"i0003-3219-83-4-728-b21","series-title":"Laryngoscope","first-page":"634","article-title":"Frontal and lateral cephalometry in patients with sleep-disordered breathing","volume":"111","author":"Finkelstein\n              Y,","year":"2001","unstructured":"Finkelstein\n              Y, \n            \n              Wexler\n              D, \n            \n              Horowitz\n              E. \n            \n          . Frontal and lateral cephalometry in patients with sleep-disordered breathing. Laryngoscope. 2001;111:634\u2013641."},{"key":"i0003-3219-83-4-728-b22","series-title":"Eur J Orthod","first-page":"353","article-title":"A cephalometric comparison of subjects with snoring and obstructive sleep apnea","volume":"22","author":"Battagel\n              JM,","year":"2000","unstructured":"Battagel\n              JM, \n            \n              Johal\n              A, \n            \n              Kotecha\n              B. \n          \n          A cephalometric comparison of subjects with snoring and obstructive sleep apnea. Eur J Orthod. 2000;22:353\u2013365."},{"key":"i0003-3219-83-4-728-b23","series-title":"Am J Orthod Dentofacial Orthop","first-page":"513","article-title":"Reproducibility of airway dimensions and tongue and hyoid positions on lateral cephalograms","volume":"128","author":"Malkoc\n              S,","year":"2005","unstructured":"Malkoc\n              S, \n            \n              Usumez\n              S, \n            \n              Nur\n              M, \n            \n              Donaghy\n              CE. \n          \n          Reproducibility of airway dimensions and tongue and hyoid positions on lateral cephalograms. Am J Orthod Dentofacial Orthop. 2005;128:513\u2013516."},{"key":"i0003-3219-83-4-728-b24","series-title":"Angle Orthod","first-page":"485","article-title":"Treatment effects of twin-block and Mandibular Protraction Appliance-IV (MPA-IV) in the correction of Class II malocclusion","volume":"80","author":"Jena\n              AK,","year":"2010","unstructured":"Jena\n              AK, \n            \n              Duggal\n              R. \n          \n          Treatment effects of twin-block and Mandibular Protraction Appliance-IV (MPA-IV) in the correction of Class II malocclusion. Angle Orthod. 2010;80:485\u2013491."},{"key":"i0003-3219-83-4-728-b25","series-title":"J Dent Med","first-page":"51","article-title":"Changes of hyoid bone position following treatment of Class II div 1 malocclusion with Farmand functional appliance","volume":"19","author":"Yassaei\n              S,","year":"2007","unstructured":"Yassaei\n              S, \n            \n              Soroush\n              MM. \n          \n          Changes of hyoid bone position following treatment of Class II div 1 malocclusion with Farmand functional appliance. J Dent Med. 2007;19:51\u201356."},{"key":"i0003-3219-83-4-728-b26","series-title":"Hua Xi Kou Qiang Yi Xue Za Zhi","first-page":"123","article-title":"The analysis of the changes of tongue shape and position, hyoid position in Class II, division 1 malocclusion treated with functional appliances (FR-I)","volume":"18","author":"Zhou\n              L,","year":"2000","unstructured":"Zhou\n              L, \n            \n              Zhao\n              Z, \n            \n              Lu\n              D. \n          \n          The analysis of the changes of tongue shape and position, hyoid position in Class II, division 1 malocclusion treated with functional appliances (FR-I). Hua Xi Kou Qiang Yi Xue Za Zhi. 2000;18:123\u2013125."},{"key":"i0003-3219-83-4-728-b27","series-title":"Int J Orthod Milwaukee","first-page":"9","article-title":"Stability of pharyngeal airway dimensions: tongue and hyoid changes after treatment with a functional appliance","volume":"23","author":"Yassaei\n              S,","year":"2012","unstructured":"Yassaei\n              S, \n            \n              Tabatabaei\n              Z, \n            \n              Ghafurifard\n              R. \n          \n          Stability of pharyngeal airway dimensions: tongue and hyoid changes after treatment with a functional appliance. 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