{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T14:01:26Z","timestamp":1785852086310,"version":"3.56.0"},"reference-count":66,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the short- and long-term treatment results of rapid maxillary expansion (RME) and surgical assistance during maxillary protraction with a facemask (FM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      This study was carried out in 28 patients (12 male, 16 female) with maxillary retrognathism, anterior crossbite, and Class III skeletal and dental malocclusion characteristics. Seventeen patients (9 male, 8 female) with mild maxillary retrognathism were treated by RME and FM. The other 11 patients (8 female, 3 male), who had moderate to severe maxillary retrognathism, were treated with surgically assisted FM treatment. Patients treated with RME and FM were recalled after 5.64\u00a0years, and the surgically assisted FM group was recalled after 6.08\u00a0years. Cephalometric films taken before treatment (T\n                      <jats:sub>0<\/jats:sub>\n                      ), right after maxillary protraction (T\n                      <jats:sub>1<\/jats:sub>\n                      ), and at recall (T\n                      <jats:sub>2<\/jats:sub>\n                      ) were used to evaluate and compare the results.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In the short term, good maxillary advancement and a shorter treatment period were achieved with surgically assisted FM therapy. However, in the long term, maxillary advancement and some soft tissue improvements were lost. On the other hand, in the RME and FM protraction group, maxillary advancement and soft tissue improvement were well maintained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In the short term, statistically significant maxillary advancement was achieved with surgically assisted maxillary protraction. However, in the long term, these sagittal changes were not stable, whereas RME and FM provided stability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/120913-905.1","type":"journal-article","created":{"date-parts":[[2014,3,21]],"date-time":"2014-03-21T09:04:54Z","timestamp":1395392694000},"page":"1002-1009","source":"Crossref","is-referenced-by-count":15,"title":["Long-term results of surgically assisted maxillary protraction vs regular facemask"],"prefix":"10.2319","volume":"84","author":[{"given":"\u015eirin","family":"Nevzato\u011flu","sequence":"first","affiliation":[{"name":"Assistant Professor, Department of Orthodontics, School of Dentistry, University of Marmara, \u0130stanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazan","family":"K\u00fc\u00e7\u00fckkele\u015f","sequence":"additional","affiliation":[{"name":"Professor, Department of Orthodontics, School of Dentistry, University of Marmara, \u0130stanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"angl-86-03-09-b01","series-title":"Am J Orthod","first-page":"140","article-title":"Mandibular prognathism","volume":"66","author":"Jacobson\n              A,","year":"1974","unstructured":"Jacobson\n              A, \n            \n              Evans\n              WG, \n            \n              Preston\n              LB, \n            \n              Sadowsky\n              PW. \n          \n          Mandibular prognathism.  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Harefuah.  2003; 142: 359\u2013 363."},{"key":"angl-86-03-09-b20","series-title":"Br J Oral Maxillofac Surg","first-page":"473","article-title":"Long-term results of distraction osteogenesis of the maxilla and midface","volume":"40","author":"Wiltfang\n              J,","year":"2002","unstructured":"Wiltfang\n              J, \n            \n              Hirschfelder\n              U, \n            \n              Neukam\n              FW, \n            \n              Kessler\n              P. \n          \n          Long-term results of distraction osteogenesis of the maxilla and midface.  Br J Oral Maxillofac Surg.  2002; 40: 473\u2013 479."},{"key":"angl-86-03-09-b21","series-title":"Int J Oral Maxillofac Surg","first-page":"473","article-title":"Long-term results in maxillary deficiency using intraoral devices","volume":"34","author":"Rachmiel\n              A,","year":"2005","unstructured":"Rachmiel\n              A, \n            \n              Aizenbud\n              D, \n            \n              Peled\n              M. \n          \n          Long-term results in maxillary deficiency using intraoral devices.  Int J Oral Maxillofac Surg.  2005; 34: 473\u2013 479."},{"key":"angl-86-03-09-b22","series-title":"Am J Orthod Dentofacial Orthop","first-page":"493","article-title":"Stability of rapid maxillary expansion and facemask therapy: a long-term controlled study","volume":"140","author":"Masucci\n              C,","year":"2011","unstructured":"Masucci\n              C, \n            \n              Franchi\n              L, \n            \n              Defraia\n              E, \n            \n              Mucedero\n              M, \n            \n              Cozza\n              P, \n            \n              Bacetti\n              T. \n          \n          Stability of rapid maxillary expansion and facemask therapy: a long-term controlled study.  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Angle Orthod.  2011; 81( 1): 42\u2013 49."},{"key":"angl-86-03-09-b28","series-title":"Plast Reconstr Surg","first-page":"1382","article-title":"Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities","volume":"114","author":"Figueroa\n              AA,","year":"2004","unstructured":"Figueroa\n              AA, \n            \n              Polley\n              JW, \n            \n              Friede\n              H, \n            \n              Ko\n              EW. \n          \n          Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities.  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Am J Orthod Dentofacial Orthop.  1998; 113: 333\u2013 343."},{"key":"angl-86-03-09-b05","series-title":"J Clin Orthod","first-page":"598","article-title":"An orthopedic approach to the treatment of Class III malocclusion in young patients","volume":"21","author":"McNamara\n              JA\n              Jr.","year":"1987","unstructured":"McNamara\n              JA\n              Jr. \n          \n          An orthopedic approach to the treatment of Class III malocclusion in young patients.  J Clin Orthod.  1987; 21: 598\u2013 608."},{"key":"angl-86-03-09-b06","series-title":"J Clin Orthod","first-page":"314","article-title":"Orthopedic correction of Class III malocclusion with palatal expansion and custom protraction headgear","volume":"22","author":"Turley\n              PK.","year":"1988","unstructured":"Turley\n              PK. \n          \n          Orthopedic correction of Class III malocclusion with palatal expansion and custom protraction headgear.  J Clin Orthod.  1988; 22: 314\u2013 325."},{"key":"angl-86-03-09-b07","series-title":"Am J Orthod Dentofacial Orthop","first-page":"196","article-title":"Early treatment of the Class III malocclusion with rapid maxillary expansion and maxillary protraction","volume":"113","author":"Da Silva Filho\n              OG,","year":"1998","unstructured":"Da Silva Filho\n              OG, \n            \n              Magro\n              AC, \n            \n              Capelozza Filho\n              L. \n          \n          Early treatment of the Class III malocclusion with rapid maxillary expansion and maxillary protraction.  Am J Orthod Dentofacial Orthop.  1998; 113: 196\u2013 203."},{"key":"angl-86-03-09-b08","series-title":"Am J Orthod Dentofacial Orthop","first-page":"27","article-title":"The effect of a modified protraction headgear on maxilla","volume":"117","author":"Alcan\n              T,","year":"2000","unstructured":"Alcan\n              T, \n            \n              Keles\n              A, \n            \n              Erverdi\n              N. \n          \n          The effect of a modified protraction headgear on maxilla.  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Br J Oral Maxillofac Surg.  2001; 39: 13\u2013 21."},{"key":"angl-86-03-09-b11","series-title":"Br J Oral Maxillofac Surg","first-page":"623","article-title":"A novel modular retention system for midfacial distraction osteogenesis","volume":"38","author":"Hierl\n              T,","year":"2000","unstructured":"Hierl\n              T, \n            \n              Hemprich\n              A. \n          \n          A novel modular retention system for midfacial distraction osteogenesis.  Br J Oral Maxillofac Surg.  2000; 38: 623\u2013 626."},{"key":"angl-86-03-09-b12","series-title":"Plast Reconstr Surg","first-page":"1360","article-title":"Rigid external distraction: its application in cleft maxillary deformities","volume":"102","author":"Polley\n              JW,","year":"1998","unstructured":"Polley\n              JW, \n            \n              Figueroa\n              AA. \n          \n          Rigid external distraction: its application in cleft maxillary deformities.  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Am J Orthod Dentofacial Orthop.  1999; 115: 1\u2013 12."},{"key":"angl-86-03-09-b14","series-title":"Plast Reconstr Surg","first-page":"951","article-title":"Maxillary distraction: aesthetic and functional benefits in cleft lip-palate and prognathic patients during mixed dentition","volume":"101","author":"Molina\n              F,","year":"1998","unstructured":"Molina\n              F, \n            \n              Ortiz Monasterio\n              F, \n            \n              de la Paz Aguilar\n              M, \n            \n              Barrera\n              J. \n          \n          Maxillary distraction: aesthetic and functional benefits in cleft lip-palate and prognathic patients during mixed dentition.  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