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June 20, 2026BMC Oral HealthOpen Access

Comparative evaluation of the skeletal, dental, and soft-tissue effects of twin block, monoblock, and invisalign mandibular advancement appliances

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Authors

TETürkan Sezen ErhamzaZÇZeynep ÇevikEKEbru İLHAN KOÇAK

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Overview

Randomized trial compares skeletal, dental, and soft-tissue effects in individuals with Class II malocclusion, highlighting differences among appliances.

Key Points

  • This study evaluates the effects of Twin Block, Monoblock, and Invisalign MA appliances on skeletal, dental, and soft-tissue changes in Class II malocclusion.
  • Included 45 individuals in the S–MP3cap stage of growth and development, treated with different appliances.
  • Evaluated changes using lateral cephalometric radiographs before (T0) and after treatment (T1).
  • Assessed 29 measurements of dental, skeletal, and soft-tissue changes.
  • Significant decreases in ANB°, Wits appraisal, overjet and overbite across all groups.
  • Invisalign MA group showed less vertical parameter increase than Monoblock and Twin Block.
  • Maxillary incisor inclination decreased more in the Invisalign MA group compared to the others.

Cite This Study

Erhamza et al. (2026) studied this question.

synapsesocial.com/papers/6a36306fdb0793dc1a53789bhttps://doi.org/10.1186/s12903-026-08686-9
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Mandibular advancement with clear aligners in the treatment of skeletal Class II. A retrospective controlled study.2021 · 52 citations
  2. 2Class II subdivision correction with clear aligners using intermaxilary elastics2018 · 54 citations