Evidence map›Paper›PMID 41523299›Full record

ReviewJournal of orthodontic science2025

Bone-anchored maxillary protraction versus conventional orthopedic treatment for Class III malocclusion in children under 12 years: A systematic review.

Alaa Gamal Hassan, Mohamed Elshial, Bahaa Hassan, Ahmed Barakat, Awf Alshahwani, Eslam Abourisha, Alaa Abu Zahra

Abstract readReview
In one paragraph

Review in Journal of orthodontic science, 2025. 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

7 authors.

Alaa Gamal HassanOrthodontic Lecturer and Clinical Supervisor, Department of Orthodontics, Diamond Dental Academy, Egypt.
Mohamed ElshialDepartment of Trauma and Orthopaedics, Orthopaedic Registrar, Hywel DDA University Health Board, United Kingdom.
Bahaa HassanDepartment of Trauma and Orthopaedics, Norfolk and Suffolk NHS Foundation Trust, United Kingdom.
Ahmed BarakatOrthopaedic Registrar, University Hospitals of Leicester, United Kingdom.
Awf AlshahwaniOrthopaedic Registrar, University Hospitals of Leicester, United Kingdom.
Eslam AbourishaOrthopaedic Registrar, University Hospitals of Leicester, United Kingdom.
Alaa Abu ZahraDepartment of Paediatric Dentistry, SmileCare Dental Clinic, Sultanate of Oman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Class III malocclusion in mixed dentition often involves maxillary retrusion. Conventional orthopedic treatments, such as facemask or chin cup therapy, aim to redirect craniofacial growth but frequently cause dentoalveolar compensation and unfavorable vertical changes. Bone-anchored maxillary protraction (BAMP) provides skeletal traction to enhance maxillary advancement while limiting vertical side effects. This review compares the skeletal, dentoalveolar, and soft-tissue outcomes of BAMP versus conventional orthopedic treatment or natural growth in children under 12 years. The protocol was prospectively registered in PROSPERO (CRD420251042103). A systematic search of PubMed, Scopus, Embase, Web of Science, and the Cochrane Library was conducted up to April 2025 following PRISMA 2020 guidelines. Studies evaluating BAMP against conventional Class III therapies or untreated controls in children younger than 12 years were included. Four quantitative and four qualitative studies were synthesized. Risk of bias was assessed using RoB 2.0 and ROBINS-I. Across 116 patients in the quantitative studies, BAMP consistently improved SNA (+1.9° to +6.17°) and ANB (+1.4° to +6.83°), enhanced Wits appraisal, and demonstrated minimal increases in SN-MP angles, indicating superior vertical control. Overjet gains (+5.97 mm) and stable upper incisor inclination suggested reduced dental compensation. Soft-tissue improvements included enhanced midface projection. The qualitative studies supported these trends. Current evidence indicates that BAMP achieves greater skeletal correction and vertical control with fewer dentoalveolar side effects compared with conventional Class III therapies or observation. Further long-term studies are required.

Indexed as

BAMPbone-anchored maxillary protractionClass III malocclusionfacemaskgrowing patientsskeletal anchoragevertical control

Identifiers

PMID41523299
PMCPMC12788707

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.