Evidence map›Paper›PMID 42149138›Full record

ArticleOrthodontics & craniofacial research2026

Machine Learning-Based Model for Predicting Short- and Long-Term Growth in Untreated Class III Malocclusion.

Maria Denisa Statie, Michele Nieri, Valentina Rutili, Lorenzo Buffoni, Lorenzo Chicchi, Pietro Auconi, Veronica Giuntini, James A McNamara, Lorenzo Franchi

Abstract read
In one paragraph

Article in Orthodontics & craniofacial research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Maria Denisa StatieDepartment of Experimental and Clinical Medicine, Università degli Studi di Firenze, Firenze, Italy.
Michele NieriDepartment of Experimental and Clinical Medicine, Università degli Studi di Firenze, Firenze, Italy.
Valentina RutiliDepartment of Experimental and Clinical Medicine, Università degli Studi di Firenze, Firenze, Italy.
Lorenzo BuffoniDepartment of Physics and Astronomy, Università degli Studi di Firenze, Firenze, Italy.
Lorenzo ChicchiDepartment of Physics and Astronomy, Università degli Studi di Firenze, Firenze, Italy.
Pietro AuconiPrivate Practice of Orthodontics, Roma, Italy.
Veronica GiuntiniDepartment of Experimental and Clinical Medicine, Università degli Studi di Firenze, Firenze, Italy.
James A McNamaraDepartment of Orthodontics and Pediatric Dentistry, The University of Michigan, Ann Arbor, Michigan, USA.
Lorenzo FranchiDepartment of Experimental and Clinical Medicine, Università degli Studi di Firenze, Firenze, Italy.ORCID https://orcid.org/0000-0002-2072-460X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop a Machine Learning-based model to predict growth of Caucasian subjects with untreated Class III malocclusion in the short- and long-term. MATERIALS AND

methodsA longitudinal sample of 144 Caucasian subjects with untreated Class III malocclusion was selected (80% training data; 20% test data). Cephalograms of the subjects of the test group were divided into short- and long-term observations. Sixteen cephalometric landmarks were digitised in an X-Y Cartesian coordinate system. The trained model was a Graph Neural Network. A one-sample t-test and the Euclidean distances between predicted and observed values were calculated.

resultsIn the short-term prediction, 16 subjects were examined. On the X-Y axis, the following cephalometric points were statistically significant: SX, PgY, BY, PNSY, NY and SY. Mean Euclidean distance between predicted and actual values revealed high values for the mandibular points Go (2.6 mm), Me (1.9 mm), Gn (1.9 mm), Pg (2.0 mm), and B (2.0 mm). In the long-term prediction, 13 subjects were examined. On the X-Y axis, the following cephalometric points were statistically significant: MeX, GnX, PgX, BX, BY and PtY. Mean Euclidean distance between predicted and actual values revealed high values for the mandibular points Go (3.1 mm), Me (4.3 mm), Gn (4.1 mm), Pg (4.5 mm), and B Point (4.1 mm).

conclusionsThe ML-based prediction model was accurate for the majority of the landmarks. Cephalometric mandibular landmarks (Go, Me, Gn, Pg, and B Points) showed the highest mean Euclidean distances between predicted and observed values, indicating lower prediction accuracy.

Indexed as

Machine LearningMalocclusion, Angle Class IIIAdolescentCephalometryChildFemaleGraph Neural NetworksHumansLongitudinal StudiesMalePrediction AlgorithmsPredictive Learning Models

Identifiers

PMID42149138
PMCPMC13543202

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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.