ArticleProgress in orthodontics2023
Impact of molar teeth distalization by clear aligners on temporomandibular joint: a three-dimensional study.
Article in Progress in orthodontics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Impact of Clear Aligners on the Temporomandibular Joint: A Systematic Review.Orthodontics & craniofacial research · 2026Pooled it
- Clinical Outcomes of Sequential Distalization with Clear Aligners: A Systematic Review and Meta-Analysis.Dentistry journal · 2026Review
- Temporomandibular joint changes after orthodontic treatment with clear aligners: A scoping review.BMC oral health · 2026Article
- Soft tissue and dentoskeletal changes associated with mandibular molar distalization using clear aligner therapy: a retrospective cross-sectional CBCT study.Scientific reports · 2026Article
- Mechanical considerations for deep bite correction with clear aligners-research article.Bioinformation · 2026Article
- The relationship between curve of Spee modification and changes in temporomandibular joint parameters: a CBCT-based study.Scientific reports · 2025Article
- Clinical Efficacy of Clear Aligners in Class II Malocclusion: From Pediatric to Adult Cases-A Narrative Review.Journal of functional biomaterials · 2025Review
- Impact of Molar Teeth Distalization by Clear Aligners on the Temporomandibular Joint: Systematic Review and Meta-Analysis.Journal of clinical medicine · 2025Review
- Accuracy and reliability of a three-dimensional superimposition method for maxillary jaws and dentition.BMC oral health · 2025Article
- Incidence and risk factors of alveolar bone dehiscences and fenestrations after clear aligner therapy with Class II elastics: a retrospective study.BMC oral health · 2025Article
- Three-dimensional quantitative temporomandibular joint changes in skeletal class I malocclusion treated with extraction and non-extraction protocols: a comparative study of fixed orthodontic appliances and clear aligners.Progress in orthodontics · 2025Article
- Article
- Evaluating the efficacy and predictability of distalization protocols for maxillary molars in Class II treatment with clear Aligners: A narrative review.The Saudi dental journal · 2024Review
- Miniscrew anchorage versus Class II elastics for maxillary arch distalization using clear aligners.The Angle orthodontist · 2024Article
- Effectiveness of Clear Aligner Therapy in Maxillary Molar Distalization for Class II Malocclusion: A Systematic Review of Clinical Studies.Journal of International Society of Preventive & Community DentistryReview
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundMaxillary molar distalization is a common technique used in the non-extraction treatment of Angle Class II malocclusion that can effectively correct the molar relationship and create spaces for anterior teeth alignment. However, this approach may also impact the temporomandibular joint (TMJ) due to predictable changes in the posterior vertical dimension. Despite its widespread use, Class II malocclusions correction by molar distalization with clear aligners has not been investigated for their effects on the TMJ. Therefore, this study aimed to analyze the impact of sequential molar distalization using clear aligners on the TMJ.
methodsThree-dimensional CBCT scans of 23 non-growing patients (7 males, 16 females; mean age 29.8 ± 4.6 years) with skeletal class I or II malocclusion and a bilateral molar class II relationship treated by sequential upper molars distalization with orthodontic clear aligners (Invisalign, Align Technology, San Josè, Ca, USA). A total of 46 joints were examined before and after molar distalization using Anatomage InvivoDental 6.0.3. Linear and angular measurements of the mandibular joint were measured, including joint parameters, inclination, position, and the dimension of the condyle and articular fossa. In addition, 3D volumetric spaces of the joint were analyzed. All data were statistically analyzed by paired T test to determine the differences between the pre-and post-orthodontic procedures.
resultsNo statistically significant differences were found in all primary effects resulting from maxillary molars distalization by clear aligners on TMJ components measurements and joint spaces between T0 and T1. Meanwhile, statistically significant differences were observed in the linear position of the upper molars and the molar relationship parameter with at least P ≤ 0.05.
conclusionTreatment by sequential upper molars distalization with clear aligners does not lead to significant TMJ parameters changes in condyle and fossa spaces, dimensions, and positions.
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