Evidence map›Paper›PMID 40281144›Full record

ArticleClinical oral investigations2025

Effect of clear aligners on distalization of maxillary first molars in mixed dentition and early permanent dentition: a retrospective study.

Yue Li, Meiying Wu, Xinyu Xing, Yumiao Chen, Chengle Zhang, Junhan Hu, Congchong Shi

Abstract read
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In one paragraph

Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Observational
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4 · The record

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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.

Yue LiDepartment of Orthodontics, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, 650106, China.
Meiying WuDepartment of Orthodontics, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, 650106, China.
Xinyu XingDepartment of Orthodontics, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, 650106, China.
Yumiao ChenDepartment of Orthodontics, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, 650106, China.
Chengle ZhangDepartment of Orthodontics, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, 650106, China.
Junhan HuDepartment of Orthodontics, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, 650106, China.
Congchong ShiDepartment of Orthodontics, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, 650106, China. shicongchong@kmmu.edu.cn.

Funding

Graduate Education Innovation Fund Project of Kunming Medical University 2024S041Key project of Yunnan Provincial Basic Research Program 202501AS070168Medical discipline leader of Yunnan Province D-2024026Scientific and technological innovation team of multi-stage and multidisciplinary integration prevention and treatment of malocclusion deformities of Kunming Medical University CXTD202213Scientific Research Fund Graduate Program of Education Department of Yunnan Province 2024Y240The National Natural Science Foundation of China 82260184
6 · The paper itself

Abstract

backgroundThe differential impact of maxillary first molar distalization on the three-dimensional displacement of the maxillary second molars during crown formation (Nolla 4-6 stages) and root development (Nolla 7-8 stages) remains unclear. Furthermore, the influence of two stages on the three-dimensional displacement of the first molars and central incisors, as well as the actual distal displacement and displacement rate of the first molars requires further investigation.

method36 patients were equally divided into Nolla 4-6 stages group ( aged 8.50 ± 0.92 years) and Nolla 7-8 stages group ( aged 11.27 ± 0.67 years). CBCT data were analyzed before and after distalization. Normally distributed data were analyzed using paired sample T-tests, with significance set at P < 0.05.

result(1) After distalization in Nolla 4-6 and Nolla 7-8 stages groups, the first and second molars showed buccal movement, distobuccal rotation and crown distal inclination (P < 0.05). Proclination of the maxillary central incisors was found. (2) Compared to Nolla 4-6 stages group, the degree of distobuccal rotation and crown distal inclination of second molars, distobuccal rotation of first molars and proclination of central incisors were smaller and the realization rate was larger in Nolla 7-8 stages group (P < 0.05).

conclusionsClear aligners can effectively distalize maxillary first molars when second molars are unerupted. However, the movement of molars and central incisor, the actual displacement and realization rate of first molars are different in Nolla 4-6 and Nolla 7-8 stages. Treatment plans should be tailored to the developmental stage of the second molars to enhance efficiency and ensure optimal dental and maxillofacial health in children.

Indexed as

Dentition, MixedMolarOrthodontic Appliance DesignOrthodontic Appliances, RemovableTooth Movement TechniquesChildCone-Beam Computed TomographyDentition, PermanentFemaleHumansMaleMaxillaRetrospective StudiesAngle Class II malocclusionClear aligner treatmentEarly orthodontic treatmentEarly permanent dentitionMaxillary first molar distalizationMixed dentition

Identifiers

PMID40281144

What Socratic holds

Textmetadata
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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 Socratic graph.