Evidence map›Paper›PMID 41974799›Full record

ArticleScientific reports2026

Soft tissue and dentoskeletal changes associated with mandibular molar distalization using clear aligner therapy: a retrospective cross-sectional CBCT study.

Yunshan Zhao, Qifeng Liu, Ebrahim Ebadi, Almustafa Osama, Jingyi Shi, Zhongyong Zhang, Parnian Bagheri, Xi Chen, Daxu Li

Abstract read
In one paragraph

Article in Scientific reports, 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

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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. 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

9 authors.

Yunshan Zhao *Department of Stomatology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, People's Republic of China.
Qifeng Liu *Department of Stomatology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, People's Republic of China.
Ebrahim EbadiDepartment of Stomatology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, People's Republic of China.
Almustafa OsamaDepartment of Orthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, Shaanxi, People's Republic of China.
Jingyi ShiDepartment of Stomatology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, People's Republic of China.
Zhongyong ZhangShenzhen Goodfeel Dental Group Co., Ltd, Shenzhen, Guangdong, People's Republic of China.
Parnian BagheriDepartment of Stomatology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, People's Republic of China.
Xi ChenDepartment of Stomatology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, People's Republic of China. 13038598996@163.com.
Daxu LiDepartment of Stomatology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, People's Republic of China. daxu_li@163.com.

Funding

Concept Validation Project of the First Affiliated Hospital of Xi'an Jiaotong University GNYZ202513Joint Project of Universities in Shaanxi Province 2020GXLH-Y-014
6 · The paper itself

Abstract

This retrospective study aims to determine the changes in soft and hard tissue parameters after mandibular molar distalization using clear aligners and its correlation with the treatment duration, and the amount of molar distalization. 23 adult patients (15 Female, 8 Male) were included in this study. Cone beam computed tomography (CBCT) images were evaluated for soft and hard tissue parameters especially lower facial profile including lip and chin. Paired sample t test and the Wilcoxon signed rank test were used to compare changes before and after molar distalization. Bivariate Pearson correlation analysis was conducted to assess relationships between treatment duration and amount of distalization and changes in lower facial profile. Multiple linear regression (MLR) was applied to predict the changes based on amount of distalization and incisors inclination. Significant increase in mandibular plane angle based on MP-FH angle (25.41 ± 5.08, 26.16 ± 5.47, P = 0.021). Furthermore, the total anterior facial height (N-Me) and lower anterior facial height (ANS-Me) significantly increased (135.63 ± 9.39, 136.79 ± 9.77, P = 0.021 and 71.33 ± 5.92, 72.33 ± 1.32, P = 0.030 respectively). However, the lower lip thickness decreased significantly (13.31 ± 3.80, 12.36 ± 3.24, P = 0.001), as well as lower lip length (19.78 ± 2.80, 18.66 ± 2.58, P = 0.003). Pearson correlation analysis revealed significant correlation between the treatment duration and the amount of distalization across most of the parameters. Mandibular molar distalization provides stable mandibular control with negligible rotational or sagittal changes, minimal facial height increase, and reductions in lower lip thickness and length without significant sagittal displacement.

Indexed as

Cone-Beam Computed TomographyMandibleMolarTooth Movement TechniquesAdultCross-Sectional StudiesFaceFemaleHumansMaleRetrospective StudiesYoung AdultCBCTClear alignerFacial profileMolar distalization

Identifiers

PMID41974799
PMCPMC13234094

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