{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T10:06:29Z","timestamp":1781085989645,"version":"3.54.1"},"reference-count":29,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T00:00:00Z","timestamp":1706832000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Multi-center clinical research project of Shanghai Jiao Tong University School of Medicine","award":["DLY201808"],"award-info":[{"award-number":["DLY201808"]}]},{"name":"the Multi-center clinical research project of Shanghai Jiao Tong University School of Medicine","award":["23ZR1438100"],"award-info":[{"award-number":["23ZR1438100"]}]},{"DOI":"10.13039\/100007219","name":"Shanghai Natural Science Foundation","doi-asserted-by":"publisher","award":["DLY201808"],"award-info":[{"award-number":["DLY201808"]}],"id":[{"id":"10.13039\/100007219","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007219","name":"Shanghai Natural Science Foundation","doi-asserted-by":"publisher","award":["23ZR1438100"],"award-info":[{"award-number":["23ZR1438100"]}],"id":[{"id":"10.13039\/100007219","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The surgery first approach (SFA) and clear aligners technique can address traditional treatment defects, such as prolonged waiting times for surgery and a less desirable facial appearance due to wire aligners. However, the curative effect of the combination remains uncertain. The randomized controlled study aimed to evaluate the skeletal stability of the SFA compared to the conventional orthodontic first approach (OFA), both of which were applied with clear aligners. A total of 74 participants were randomly allocated to two groups: the SFA group (experimental) and the OFA group (control). The skeletal deviation was calculated using reconstruction models from computed tomography scans taken immediately and 6 months after surgery. The largest median deviations were detected in the y-axis of the mandible for both two groups, separately 1.36 mm in the experimental group and 1.19 mm in the control group. Apart from the maxillary yaw dimension (p = 0.005), there were no significant differences between the two groups in terms of linear and angular deviation. The experimental group had an overall treatment time of 18.05 \u00b1 2.53 months, while the control group took 22.83 \u00b1 3.60 months (p &lt; 0.05). Therefore, the combined surgery-first and clear aligners treatment can achieve comparable skeletal stability to the conventional approach, while also saving significant time.<\/jats:p>","DOI":"10.3390\/jcm13030872","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T09:42:32Z","timestamp":1706866952000},"page":"872","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Skeletal Stability of Combined Surgery First Approach and Clear Aligners in Skeletal Class III Malocclusion Correction: A Randomized Controlled Trial"],"prefix":"10.3390","volume":"13","author":[{"given":"Meng","family":"Li","sequence":"first","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People\u2019s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai 200011, China"},{"name":"Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunyao","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People\u2019s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai 200011, China"},{"name":"Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingyang","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People\u2019s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai 200011, China"},{"name":"Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiming","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People\u2019s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai 200011, China"},{"name":"Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiahao","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People\u2019s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai 200011, China"},{"name":"Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People\u2019s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai 200011, China"},{"name":"Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongbo","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People\u2019s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China"},{"name":"National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai 200011, China"},{"name":"Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai 200011, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,2]]},"reference":[{"key":"ref_1","first-page":"119","article-title":"Cephalometric characteristics of Korean Class III surgical patients and their relationship to plans for surgical treatment","volume":"15","author":"Baik","year":"2000","journal-title":"Int. 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