Evidence map›Paper›PMID 40498107›Full record

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

Dentoskeletal effects of the cast-splint Herbst, twin-block, and twin-force bite corrector devices used to correct class II malocclusion : Three-year follow-up.

Buket Pala Mutlu, Burak Gülnar, Taner Öztürk

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Buket Pala MutluDepartment of Orthodontics, Faculty of Dentistry, Karadeniz Technical University, 61080, Trabzon, Turkey.ORCID http://orcid.org/0000-0003-0262-6368
Burak GülnarPrivate Dental Clinic, 38030, Kayseri, Turkey.ORCID http://orcid.org/0000-0002-3184-763X
Taner ÖztürkDepartment of Orthodontics, Faculty of Dentistry, Erciyes University, 38039, Kayseri, Turkey. tanertr35@gmail.com.ORCID http://orcid.org/0000-0003-1670-286X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis retrospective observational study aimed to evaluate the stability of dentoskeletal changes in skeletal class II division 1 with removable and fixed functional orthopedic appliances followed by fixed orthodontic appliances over a follow-up period of 3 years.

methodsWe included lateral cephalograms of 42 individuals who had undergone orthodontic treatment with functional jaw orthopedic appliances followed by fixed orthodontic appliances and 7 individuals who did not receive any treatment. Measurements were obtained at the start of treatment (T0) and at the end of treatment (T1) and at 3 years follow-up (T3). Participants were divided into three equal groups based on the used appliance: cast-splint Herbst (CSH), twin-block (TWB), and twin-force bite corrector (TFBC). Cephalometric assessments were performed using NemoCeph software (Nemotec, Madrid, Spain).

resultsThe total follow-up period of all individuals included in the study was 39.12 ± 7.64 months after the end of the fixed orthodontic treatment. The groups differed significantly in changes in the cephalometric parameters Co-Gn, Co-Go, Co‑A, Wits appraisal, overbite, overjet, and lower lip‑E line parameters during the follow-up period. The parameters Co-Gn, Co-Go, and Co‑A in the control group increased significantly more than in the treatment groups. While the increase in overjet and overbite was significantly higher in the treatment groups compared to the control group, the regression in the lower lip‑E line was observed to decrease (except for the TFBC group).

conclusionOrthodontic treatment performed by applying fixed appliances after the first phase of functional jaw orthopedics can be considered stable for a 3-year follow-up period. Soft tissue changes were more common than those in the area of the skeletal structures. The observed skeletal effect of the TFBC appliance was less than that of the other two treatment devices.

Indexed as

Malocclusion, Angle Class IIOcclusal SplintsOrthodontic Appliances, FunctionalAdolescentCephalometryChildFemaleFollow-Up StudiesHumansMaleOrthodontic Appliance DesignOrthodontic Appliances, FixedRetrospective StudiesTreatment OutcomeCephalometric analysisFunctional jaw orthopedicsFunctional orthodontic appliancesStabilityTreatment outcome

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Registered trials

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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.