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Introduction
The purpose of this study was to systematically review the evidence regarding conventional
versus skeletal anchorage devices for molar distalization.
Conclusion
The conventional and skeletal anchorage devices were not significantly different in terms of
the amount of molar distalization/tipping. However, the anchorage loss was lower in the
skeletal anchorage group. The treatment time was shorter in the conventional anchorage
group. More studies with proper design are required.
The aim of this systematic review is to assess the treatment effects (amount of distalization,
distal tipping, and vertical movement) of buccally versus palatally placed temporary skeletal
anchorage devices (TSADs) on maxillary first molars during distalization. Materials and
methods: Medline and Scopus databases were searched up to September 2020 for randomized
controlled trials (RCTs) and non‐randomized prospective cohort studies on maxillary molar
distalization using TSADs in patients with Class II malocclusion. After study selection, data
extraction, and risk of bias assessment, meta‐analyses were performed for the amount of
distalization, distal tipping and intrusion of first molars.
Conclusions
Inter‐radicular TSADs resulted in less distal tipping but also in less distalization. Palatal TSAD‐
supported appliances showed the greatest amount of distal tipping. Further RCTs or prospective
studies on the effect of various designs of TASD‐supported distalization are warranted
Introduction
The aims of this meta-analysis were to quantify and to compare the amounts of distalization and
anchorage loss of conventional and skeletal anchorage methods in the correction of Class II
malocclusion with intraoral distalizers.
Conclusions
There was scientific evidence that both anchorage systems are effective for distalization;
however, with skeletal anchorage, there was no anchorage loss when direct anchorage was
used.