Evidence map›Paper›PMID 42201474›Full record

ArticleProgress in orthodontics2026

Transverse skeletal proportionality in the prognostic evaluation of facemask therapy for skeletal class III malocclusion: a retrospective cephalometric study.

Song E Park, Mi Sun Kim, Hyeyeon Park, Hyo Won Ahn, Su-Jung Kim, Kyung-A Kim

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Article in Progress in orthodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Song E ParkDepartment of Dentistry, Graduate School, Kyung Hee University, Seoul, Korea, Republic of.
Mi Sun KimDepartment of Pediatric Dentistry, College of Dentistry, Kyung Hee University, Seoul, Korea, Republic of.
Hyeyeon ParkDepartment of Dentistry, Graduate School, Kyung Hee University, Seoul, Korea, Republic of.
Hyo Won AhnDepartment of Orthodontics, College of Dentistry, Kyung Hee University, Seoul, Korea, Republic of.
Su-Jung KimDepartment of Orthodontics, College of Dentistry, Kyung Hee University, Seoul, Korea, Republic of.
Kyung-A KimDepartment of Orthodontics, College of Dentistry, Kyung Hee University, Seoul, Korea, Republic of. k2aortho@khu.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to identify prognostic skeletal factors associated with long-term stability following early orthopedic treatment in growing patients with skeletal Class III malocclusion by integrating lateral (LAT) and posteroanterior (PA) cephalometric analyses. MATERIALS AND

methodsForty-four growing patients with skeletal Class III malocclusion and maxillary retrusion treated with facemask therapy were retrospectively analyzed. Cephalometric records were obtained at pretreatment (T0), posttreatment (T1), and post-growth completion (T2). Patients were classified into favorable growth (FG) and unfavorable growth (UG) groups based on occlusal and skeletal outcomes at T2. Twenty lateral and fourteen posteroanterior cephalometric variables were assessed. Principal factor analysis with Varimax rotation was performed to derive latent skeletal components, which were subsequently evaluated using multiple linear regression to identify predictors of ANB at T2. A classification decision tree was constructed using T0 variables to classify long-term growth outcomes.

resultsFactor analysis yielded five principal variables (PV1-PV5), of which transverse maxillary structure (PV1), maxillomandibular transverse relationship (PV2), and vertical skeletal pattern (PV3) demonstrated significant associations with ANB at T2. A classification decision tree identified the transverse differential between mandibular and maxillary width (Mn. width - Mx. width) as the strongest initial discriminator of long-term prognosis, followed by AB-mandibular plane angle and Sum. The model achieved a classification accuracy of 93.2% in distinguishing favorable and unfavorable growth outcomes.

conclusionsTransverse skeletal proportionality plays a central role in determining the long-term stability of early orthopedic treatment in skeletal Class III malocclusion. Prognostic assessment may benefit from incorporating transverse, sagittal, and vertical skeletal dimensions including measurements from LAT and PA cephalograms, to improve individualized treatment planning and outcome prediction.

Indexed as

CephalometryExtraoral Traction AppliancesMalocclusion, Angle Class IIIMandibleMaxillaAdolescentChildFemaleHumansMaleRetrospective StudiesTreatment OutcomeCephalometryClass III malocclusionGrowth predictionMaxilla growthMaxillary protraction

Identifiers

PMID42201474
PMCPMC13216365

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