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The purpose of this study was to evaluate the treatment effects of maxillary posterior tooth distalization performed by a modified palatal anchorage plate appliance with cephalograms derived from cone-beam computed tomography.

The sample consisted of 40 lateral cephalograms obtained from the cone-beam computed tomography images of 20 Class II patients (7 men, 13 women; average age, 22.9 years) who underwent bilateral distalization of their maxillary dentition. The lateral cephalograms were derived from the cone-beam computed tomography images taken immediately before placement of a modified palatal anchorage plate appliance and at the end of distalization. Paired t tests were used for comparisons of the changes.

The distal movement of the maxillary first molar was 3.3 ± 1.8 mm, with distal tipping of 3.4° ± 5.8° and intrusion of 1.8 ± 1.4 mm. Moreover, the maxillary …