Evidence map›Paper›PMID 41211711›Full record

Trial reportOrthodontics & craniofacial research2026

Mandibular Advancement in Dentofacial Orthopaedics: Effects on Pharyngeal Airway, Dentoskeletal Characteristics and Quality of Life: A Randomised Controlled Trial.

Hana Cukaj Ademi, Martina Zigante, Sheela Premaraj Thyagaseely, Vedrana Tudor, Juan Martin Palomo, Stjepan Spalj

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Orthodontics & craniofacial research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03455634 (Treatment of Malocclusion Class II/1 - Predictors for Seeking, Compliance and Outcome), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT03455634 nacompletednot on this map

Treatment of Malocclusion Class II/1 - Predictors for Seeking, Compliance and Outcome

TypeinterventionalSponsorVisnja KaticRan2015 to 2022Enrolled110ConditionsMalocclusion, Angle Class IIArmsTwin Block, Sander bite jumping appliance
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Hana Cukaj AdemiSchool of Dental Medicine, University of Zagreb, Zagreb, Croatia.
Martina ZiganteDepartment of Orthodontics, Faculty of Dental Medicine, Universtiy of Rijeka, Rijeka, Croatia.
Sheela Premaraj ThyagaseelyDepartment of Orthodontics, College of Dental Medicine, Nova Southeastern University, Miami, Florida, USA.
Vedrana TudorFaculty of Medicine, University of Rijeka, Rijeka, Croatia.
Juan Martin PalomoDepartment of Orthodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Stjepan SpaljDepartment of Orthodontics, Faculty of Dental Medicine, Universtiy of Rijeka, Rijeka, Croatia.ORCID https://orcid.org/0000-0003-4836-3903

Funding

Fulbright AssociationSveučilište u Rijeci uniri-biomed-18-22
6 · The paper itself

Abstract

objectiveTo explore which effects of jaw orthopaedics in class II during puberty are related to daily functioning and family impacts. MATERIALS AND

methodsSeventy-one subjects in their pre-pubertal and peri-pubertal stages with skeletal class II and procumbent incisors (median age 12 years; 56% females) were treated with the Sander bite jumping appliance (BJA; N = 37) and Twin block (TB; N = 35). They were matched by the same number of untreated class II subjects. Lateral cephalograms before and after treatment (one-year distance) were analysed. Children's and parental perspectives of oral health-related quality of life (OHRQoL) were assessed by the Child Perceptions Questionnaire, Parental-Caregiver Perceptions Questionnaire and Family Impact Scale

resultsThe change in pharyngeal airway width in treated groups was not significantly greater than in the group without orthodontic treatment. Treated groups, compared to the untreated group, demonstrated an increase in mandibular length and a reduction in sagittal skeletal intermaxillary discrepancy (p ≤ 0.002). Retroclination of the maxillary incisors, accompanied by a reduction in overjet, overbite and upper lip prominence, was observed in both treated groups compared to the untreated (p ≤ 0.001). Parents of children in the TB group reported a reduction in impairment of OHRQoL when compared to BJA (p = 0.003). There were no correlations between the change in the airway width, dentofacial characteristics and OHRQoL.

conclusionTreatment with both appliances stimulated mandibular growth, retroclined maxillary incisors and improved facial profile and OHRQoL. However, the changes in the airway were not greater than normal growth and were not related to alterations in other dentofacial characteristics or OHRQoL.

trial registrationClinicalTrials.gov identifier: NCT03455634.

Indexed as

Malocclusion, Angle Class IIMandibular AdvancementPharynxQuality of LifeCephalometryChildFemaleHumansIncisorMaleMandibleSurveys and Questionnairesairway remodellingdentofacial orthopaedicsfunctionalgrowthmandibleorthodontic appliances

Identifiers

PMID41211711
PMCPMC12779193

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.