Evidence map›Paper›PMID 39448398›Full record

Trial reportJournal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie2026

Effect of time between archwire changes on intended dentoalveolar expansion in orthodontic patients treated with fixed appliances : A prospective controlled clinical trial.

Murilo Henrique Cruz, David Normando, Marcos Rogério de Mendonça, Eloísa Peixoto Soares Ueno, José Rino Neto, João Batista de Paiva

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Murilo Henrique CruzDepartment of Orthodontics, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, São Paulo, Brazil. murilohcruz@usp.br.ORCID http://orcid.org/0000-0003-4310-9017
David NormandoDepartment of Orthodontics, Faculty of Dentistry, Federal University of Pará, Belém, Brazil.
Marcos Rogério de MendonçaDepartment of Orthodontics, Faculty of Dentistry, Paulista State University, Araçatuba, Brazil.
Eloísa Peixoto Soares UenoDepartment of Orthodontics, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, São Paulo, Brazil.
José Rino NetoDepartment of Orthodontics, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, São Paulo, Brazil.
João Batista de PaivaDepartment of Orthodontics, Faculty of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the effects of the time span between archwire changes on the amount of transverse dental arch expansion. The design was a prospective, controlled clinical trial. Randomization was performed by computer-generated allocation tables.

methodsIn all, 35 patients were evaluated in three groups treated with fixed appliances and the same four sequential leveling archwires, however, with different replacement periods: 28 days (4-week [4W] group), 56 days (8-week [8W] group), and 84 days (12-week [12W] group). Digital models were measured before the treatment (T0) and at the end of the evaluation period (T1) by a blinded operator with OrthoAnalyzer® software (3-Shape, Copenhagen, Denmark) and compared using MANOVA. A multiple linear regression was also used to evaluate the influences of age, initial dental crowding, incisor inclination, and facial pattern on the amount of expansion.

resultsMean expansion was 2.77 ± 0.84 mm (upper arch) and 3.12 ± 0.88 mm (lower arch) in the 12W group; 1.96 ± 0.82 mm and 2.27 ± 0.96 mm in the 8W group, and 1.11 ± 0.93 mm and 1.32 ± 0.91 mm in the 4W group, respectively for the upper and lower arches. The amount of expansion varied significantly between the groups in the area of the canines, first premolars, and second premolars for both arches. Expansion was less in older patients. Initial dental crowding, incisor inclination and facial pattern had no influence on dental expansion.

conclusionLonger time spans between archwire changes provided greater amounts of expansion, while age is inversely related, with younger patients expressing greater amounts of expansion. The results also suggest that the expansion provided by the fixed appliances is expressed mainly in the canine and premolar areas.

Indexed as

MalocclusionOrthodontic Appliances, FixedOrthodontic WiresPalatal Expansion TechniqueAdolescentChildFemaleHumansMaleProspective StudiesTime FactorsTreatment OutcomeFixed orthodontic appliancesMalocclusionOrthodontic wiresPalatal expansion techniqueTooth movement techniques

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.