{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:04:16Z","timestamp":1791349456873,"version":"4.3.1"},"reference-count":84,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec id=\"st1\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate canine retraction (CR) and anchorage loss (AL) among average facial height (AFH) and high facial height subjects (HFH) with or without piezocision surgery (PS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This was a split-mouth, randomized clinical trial. Twenty-three females (aged 19.05 \u00b1 2.95 years) who presented with Class II division I malocclusion requiring bilateral maxillary extraction and who fulfilled eligibility criteria were included and categorized into two groups: AFH (12 participants) and HFH (11 participants). Atraumatic extractions were performed 10 weeks following bonding. Before space closure, impressions were taken to fabricate models, which were scanned to generate digital models. Each participant had PS on the randomly assigned side. Space closure was undertaken using 100-g nickel-titanium coil closing springs on 0.019 \u00d7 0.025-inch stainless steel archwire. Digital models were collected 6 and 12 weeks post-PS. They were superimposed using reliable reference points and a region of interest on the palate, and crown movements were analyzed in three dimensions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three months post-PS, intergroup comparisons showed that rates of CR for control sides (mean = 1.88 \u00b1 0.83 mm for AFH, mean = 1.76 \u00b1 0.62 mm for HFH) and intervention sides (mean = 1.48 \u00b1 0.74 mm for AFH, mean = 1.40 \u00b1 0.85 mm for HFH) were not significantly different. AL was not significantly different (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05) between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Regardless of whether the patient underwent PS, CR and AL rates for AFH and HFH patients were not significantly different.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/111921-853.1","type":"journal-article","created":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T10:05:17Z","timestamp":1658225117000},"page":"746-754","source":"Crossref","is-referenced-by-count":4,"title":["Analysis of canine retraction and anchorage loss in different facial types with and without piezocision: a split-mouth\u2013design, randomized clinical trial"],"prefix":"10.2319","volume":"92","author":[{"given":"Hadeel S.","family":"Al-a'athal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazem","family":"Al-Nimri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maged S.","family":"Alhammadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i1945-7103-92-6-746-b01","series-title":"Eur J Orthod","first-page":"404","article-title":"Slow and fast orthodontic tooth movement: an experimental study on humans","volume":"38","author":"Giannopoulou","year":"2015","unstructured":"Giannopoulou\n              C\n            ,\n\t\t\t\t\t\tDudicA,\n\t\t\t\t\t\tPandisN,\n\t\t\t\t\t\tKiliaridisS.\n          Slow and fast orthodontic tooth movement: an experimental study on humans.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2015;38:404\u2013408."},{"key":"i1945-7103-92-6-746-b02","series-title":"Orthod Craniofac Res","first-page":"74","article-title":"Effect of gender and Frankfort mandibular plane angle on orthodontic space closure: a randomized controlled trial","volume":"19","author":"Ireland","year":"2016","unstructured":"Ireland\n              AJ\n            ,\n\t\t\t\t\t\tSongraG,\n\t\t\t\t\t\tCloverM,\n\t\t\t\t\t\tAtackNE,\n\t\t\t\t\t\tSherriffM,\n\t\t\t\t\t\tSandyJR.\n          Effect of gender and Frankfort mandibular plane angle on orthodontic space closure: a randomized controlled trial.\n\t\t\t\t\tOrthod Craniofac Res.\n\t\t\t\t\t2016;19:74\u201382."},{"key":"i1945-7103-92-6-746-b03","series-title":"Am J Orthod Dentofacial Orthop","first-page":"190","article-title":"Cortical bone thickness of the alveolar process measured with cone-beam computed tomography in patients with different facial types","volume":"143","author":"Ozdemir","year":"2013","unstructured":"Ozdemir\n              F\n            ,\n\t\t\t\t\t\tTozluM,\n\t\t\t\t\t\tGermec-CakanD.\n          Cortical bone thickness of the alveolar process measured with cone-beam computed tomography in patients with different facial types.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2013;143:190\u2013196."},{"key":"i1945-7103-92-6-746-b04","series-title":"J Oral Biol Craniofac Res","first-page":"92","article-title":"Bone density and its importance in orthodontics","volume":"3","author":"Chugh","year":"2013","unstructured":"Chugh\n              T\n            ,\n\t\t\t\t\t\tJainAK,\n\t\t\t\t\t\tJaiswalRK,\n\t\t\t\t\t\tMehrotraP,\n\t\t\t\t\t\tMehrotraR.\n          Bone density and its importance in orthodontics.\n\t\t\t\t\tJ Oral Biol Craniofac Res.\n\t\t\t\t\t2013;3:92\u201397."},{"key":"i1945-7103-92-6-746-b05","series-title":"Prog Orthod","first-page":"32","article-title":"Three-dimensional mapping of cortical bone thickness in subjects with different vertical facial dimensions","volume":"17","author":"Sadek","year":"2016","unstructured":"Sadek\n              MM\n            ,\n\t\t\t\t\t\tSabetNE,\n\t\t\t\t\t\tHassanIT.\n          Three-dimensional mapping of cortical bone thickness in subjects with different vertical facial dimensions.\n\t\t\t\t\tProg Orthod.\n\t\t\t\t\t2016;17:32."},{"key":"i1945-7103-92-6-746-b06","series-title":"Handbook of Orthodontics. 2nd ed. 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methods","volume":"47","author":"D\u00edez","year":"2015","unstructured":"D\u00edez\n              Y\n            ,\n\t\t\t\t\t\tRoureF,\n\t\t\t\t\t\tLlad\u00f3X,\n\t\t\t\t\t\tSalviJ.\n          A qualitative review on 3D coarse registration methods.\n\t\t\t\t\tACM Comput Surv.\n\t\t\t\t\t2015;47:1\u201336."},{"key":"i1945-7103-92-6-746-b39","series-title":"Eur J Orthod","first-page":"45","article-title":"A novel method for superimposition and measurements on maxillary digital 3D models\u2014studies on validity and reliability","volume":"40","author":"Ganzer","year":"2017","unstructured":"Ganzer\n              N\n            ,\n\t\t\t\t\t\tFeldmannI,\n\t\t\t\t\t\tLivP,\n\t\t\t\t\t\tBondemarkL.\n          A novel method for superimposition and measurements on maxillary digital 3D models\u2014studies on validity and reliability.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2017;40:45\u201351."},{"key":"i1945-7103-92-6-746-b40","series-title":"Am J Orthod Dentofacial Orthop","first-page":"771","article-title":"Three-dimensional assessment of the effect of micro-osteoperforations on the rate of tooth movement during canine retraction in adults with Class II malocclusion: a randomized controlled clinical trial","volume":"153","author":"Alkebsi","year":"2018","unstructured":"Alkebsi\n              A\n            ,\n\t\t\t\t\t\tAl-MaaitahE,\n\t\t\t\t\t\tAl-ShormanH,\n\t\t\t\t\t\tAbu AlhaijaE.\n          Three-dimensional assessment of the effect of micro-osteoperforations on the rate of tooth movement during canine retraction in adults with Class II malocclusion: a randomized controlled clinical trial.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2018;153:771\u2013785."},{"key":"i1945-7103-92-6-746-b41","series-title":"Dental Press J Orthod","first-page":"81","article-title":"Superimposition of 3D maxillary digital models using open-source software","volume":"24","author":"Anacleto","year":"2019","unstructured":"Anacleto\n              MA\n    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Res.\n\t\t\t\t\t2020;24:335\u2013343."},{"key":"i1945-7103-92-6-746-b01","series-title":"Eur J Orthod","first-page":"404","article-title":"Slow and fast orthodontic tooth movement: an experimental study on humans","volume":"38","author":"Giannopoulou","year":"2015","unstructured":"Giannopoulou\n              C\n            ,\n\t\t\t\t\t\tDudicA,\n\t\t\t\t\t\tPandisN,\n\t\t\t\t\t\tKiliaridisS.\n          Slow and fast orthodontic tooth movement: an experimental study on humans.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2015;38:404\u2013408."},{"key":"i1945-7103-92-6-746-b02","series-title":"Orthod Craniofac Res","first-page":"74","article-title":"Effect of gender and Frankfort mandibular plane angle on orthodontic space closure: a randomized controlled trial","volume":"19","author":"Ireland","year":"2016","unstructured":"Ireland\n              AJ\n            ,\n\t\t\t\t\t\tSongraG,\n\t\t\t\t\t\tCloverM,\n\t\t\t\t\t\tAtackNE,\n\t\t\t\t\t\tSherriffM,\n\t\t\t\t\t\tSandyJR.\n          Effect of gender and Frankfort mandibular plane angle on orthodontic space closure: a randomized controlled trial.\n\t\t\t\t\tOrthod Craniofac Res.\n\t\t\t\t\t2016;19:74\u201382."},{"key":"i1945-7103-92-6-746-b03","series-title":"Am J Orthod Dentofacial Orthop","first-page":"190","article-title":"Cortical bone thickness of the alveolar process measured with cone-beam computed tomography in patients with different facial types","volume":"143","author":"Ozdemir","year":"2013","unstructured":"Ozdemir\n              F\n            ,\n\t\t\t\t\t\tTozluM,\n\t\t\t\t\t\tGermec-CakanD.\n          Cortical bone thickness of the alveolar process measured with cone-beam computed tomography in patients with different facial types.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2013;143:190\u2013196."},{"key":"i1945-7103-92-6-746-b04","series-title":"J Oral Biol Craniofac Res","first-page":"92","article-title":"Bone density and its importance in orthodontics","volume":"3","author":"Chugh","year":"2013","unstructured":"Chugh\n              T\n            ,\n\t\t\t\t\t\tJainAK,\n\t\t\t\t\t\tJaiswalRK,\n\t\t\t\t\t\tMehrotraP,\n\t\t\t\t\t\tMehrotraR.\n          Bone density and its importance in orthodontics.\n\t\t\t\t\tJ Oral Biol Craniofac Res.\n\t\t\t\t\t2013;3:92\u201397."},{"key":"i1945-7103-92-6-746-b05","series-title":"Prog Orthod","first-page":"32","article-title":"Three-dimensional mapping of cortical bone thickness in subjects with different vertical facial dimensions","volume":"17","author":"Sadek","year":"2016","unstructured":"Sadek\n              MM\n            ,\n\t\t\t\t\t\tSabetNE,\n\t\t\t\t\t\tHassanIT.\n          Three-dimensional mapping of cortical bone thickness in subjects with different vertical facial dimensions.\n\t\t\t\t\tProg Orthod.\n\t\t\t\t\t2016;17:32."},{"key":"i1945-7103-92-6-746-b06","series-title":"Handbook of Orthodontics. 2nd ed. Amsterdam, Netherlands. Elsevier;","author":"Cobourne","year":"2015","unstructured":"Cobourne\n              MT DA.\n            \n          \n          \n            Handbook of Orthodontics. 2nd ed. Amsterdam, Netherlands. Elsevier;\n          2015: 160."},{"key":"i1945-7103-92-6-746-b07","series-title":"Saudi Dent J","first-page":"55","article-title":"Adverse effects of orthodontic treatment: a clinical perspective","volume":"23","author":"Talic","year":"2011","unstructured":"Talic\n              NF.\n            \n          \n          Adverse effects of orthodontic treatment: a clinical perspective.\n\t\t\t\t\tSaudi Dent J.\n\t\t\t\t\t2011;23:55\u201359."},{"key":"i1945-7103-92-6-746-b08","series-title":"Non-surgical adjunctive interventions for accelerating tooth movement in patients undergoing fixed orthodontic treatment. Cochrane Database Syst Rev.","author":"El-Angbawi","year":"2015","unstructured":"El-Angbawi\n              A\n            ,\n\t\t\t\t\t\tMcIntyreGT,\n\t\t\t\t\t\tFlemingPS,\n\t\t\t\t\t\tBearnDR.\n          Non-surgical adjunctive interventions for accelerating tooth movement in patients undergoing fixed orthodontic treatment. Cochrane Database Syst Rev.\n          2015;\n\t\t\t\t\t11:CD010887."},{"key":"i1945-7103-92-6-746-b09","series-title":"Surgical adjunctive procedures for accelerating orthodontic treatment. Cochrane Database Syst Rev.","author":"Fleming","year":"2015","unstructured":"Fleming\n              PS\n            ,\n\t\t\t\t\t\tFedorowiczZ,\n\t\t\t\t\t\tJohalA,\n\t\t\t\t\t\tEl-AngbawiA,\n\t\t\t\t\t\tPandisN.\n          Surgical adjunctive procedures for accelerating orthodontic treatment. Cochrane Database Syst Rev.\n          2015;\n\t\t\t\t\tCD010572."},{"key":"i1945-7103-92-6-746-b10","series-title":"Clin Dent Rev","first-page":"10","article-title":"Different methods of accelerating tooth movement","volume":"1","author":"Alansari","year":"2017","unstructured":"Alansari\n              S\n            ,\n\t\t\t\t\t\tNervinaJ,\n\t\t\t\t\t\tAlikhaniM,\n\t\t\t\t\t\tSangsuwonC,\n\t\t\t\t\t\tTeixeiraCC.\n          Different methods of accelerating tooth movement.\n\t\t\t\t\tClin Dent Rev.\n\t\t\t\t\t2017;1:10."},{"key":"i1945-7103-92-6-746-b11","series-title":"Clin Orthop Relat Res","first-page":"294","article-title":"The biology of fracture healing. An overview for clinicians. Part II","volume":"248","author":"Frost","year":"1989","unstructured":"Frost\n              HM.\n            \n          \n          The biology of fracture healing. An overview for clinicians. Part II.\n\t\t\t\t\tClin Orthop Relat Res.\n\t\t\t\t\t1989;248:294\u2013309."},{"key":"i1945-7103-92-6-746-b12","series-title":"Eur J Orthod","first-page":"457","article-title":"Tissue response during Piezocision-assisted tooth movement: a histological study in rats","volume":"36","author":"Dibart","year":"2014","unstructured":"Dibart\n              S\n            ,\n\t\t\t\t\t\tYeeC,\n\t\t\t\t\t\tSurmenianJ,\n\t\t\t\t\t\tet al.\n          Tissue response during Piezocision-assisted tooth movement: a histological study in rats.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2014;36:457\u2013464."},{"key":"i1945-7103-92-6-746-b13","series-title":"Angle Orthod","first-page":"730","article-title":"Anchorage loss\u2014a multifactorial response","volume":"73","author":"Geron","year":"2003","unstructured":"Geron\n              S\n            ,\n\t\t\t\t\t\tShpackN,\n\t\t\t\t\t\tKandosS,\n\t\t\t\t\t\tDavidovitchM,\n\t\t\t\t\t\tVardimonAD.\n          Anchorage loss\u2014a multifactorial response.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2003;73:730\u2013737."},{"key":"i1945-7103-92-6-746-b14","series-title":"West China J Stomatol","first-page":"374","article-title":"Study on the posterior teeth mesiodistal tipping degree of normal occlusion subjects among different facial growth patterns","volume":"28","author":"Liao","year":"2010","unstructured":"Liao\n              CH\n            ,\n\t\t\t\t\t\tYangP,\n\t\t\t\t\t\tZhaoZH,\n\t\t\t\t\t\tZhaoMY.\n          Study on the posterior teeth mesiodistal tipping degree of normal occlusion subjects among different facial growth patterns.\n\t\t\t\t\tWest China J Stomatol.\n\t\t\t\t\t2010;28:374\u2013377."},{"key":"i1945-7103-92-6-746-b15","series-title":"Int J Oral Sci","first-page":"175","article-title":"Compensation trends of the angulation of first molars: retrospective study of 1403 malocclusion cases","volume":"6","author":"Su","year":"2014","unstructured":"Su\n              H\n            ,\n\t\t\t\t\t\tHanB,\n\t\t\t\t\t\tLiS,\n\t\t\t\t\t\tNaB,\n\t\t\t\t\t\tMaW,\n\t\t\t\t\t\tXuTM.\n          Compensation trends of the angulation of first molars: retrospective study of 1403 malocclusion cases.\n\t\t\t\t\tInt J Oral Sci.\n\t\t\t\t\t2014;6:175\u2013181."},{"key":"i1945-7103-92-6-746-b16","series-title":"Factors predisposing to maxillary anchorage loss: a retrospective study of 1403 cases. PLoS One.","author":"Su","year":"2014","unstructured":"Su\n              H\n            ,\n\t\t\t\t\t\tHanB,\n\t\t\t\t\t\tLiS,\n\t\t\t\t\t\tNaB,\n\t\t\t\t\t\tMaW,\n\t\t\t\t\t\tXuTM.\n          Factors predisposing to maxillary anchorage loss: a retrospective study of 1403 cases. 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CV Mosby;","author":"Jarabak","year":"1972","unstructured":"Jarabak\n              JR\n            ,\n\t\t\t\t\t\tFizzellJA.\n          \n            Technique and Treatment with Light-Wire Edgewise Applications. 2nd ed. CV Mosby;\n          1972."},{"key":"i1945-7103-92-6-746-b23","series-title":"Angle Orthod","first-page":"59","article-title":"Accelerated tooth movement with piezocision and its periodontal-transversal effects in patients with Class II malocclusion","volume":"86","author":"Aksakalli","year":"2016","unstructured":"Aksakalli\n              S\n            ,\n\t\t\t\t\t\tCalikB,\n\t\t\t\t\t\tKaraB,\n\t\t\t\t\t\tEzirganliSJTAO.\n          Accelerated tooth movement with piezocision and its periodontal-transversal effects in patients with Class II malocclusion.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2016;86:59\u201365."},{"key":"i1945-7103-92-6-746-b24","series-title":"Sci Rep","first-page":"5838","article-title":"Assessment of different techniques for 3D superimposition of serial digital maxillary dental casts on palatal structures","volume":"7","author":"Vasilakos","year":"2017","unstructured":"Vasilakos\n              G\n            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Orthod","first-page":"44","article-title":"Vertical skeletal changes after extraction and non-extraction treatment in matched Class I patients identified by a discriminant analysis: cephalometric appraisal and Procrustes superimposition","volume":"18","author":"Beit","year":"2017","unstructured":"Beit\n              P\n            ,\n\t\t\t\t\t\tKonstantonisD,\n\t\t\t\t\t\tPapagiannisA,\n\t\t\t\t\t\tEliadesT.\n          Vertical skeletal changes after extraction and non-extraction treatment in matched Class I patients identified by a discriminant analysis: cephalometric appraisal and Procrustes superimposition.\n\t\t\t\t\tProg Orthod.\n\t\t\t\t\t2017;18:44."},{"key":"i1945-7103-92-6-746-b27","series-title":"Am J Orthod Dentofacial Orthop","first-page":"9","article-title":"Accelerating tooth movement: the case against corticotomy-induced orthodontics","volume":"144","author":"Mathews","year":"2013","unstructured":"Mathews\n              DP\n            ,\n\t\t\t\t\t\tKokichVG.\n         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