A meta-analysis of the literature on fixed functional appliances found nine unique data sets (n= 418 patients, mean age = 13.2 years) that fulfilled the criteria. Small but statistically significant changes in SNA, SNB, and ANB occurred, with larger changes in the incisor angulations. The results are compared with a previous meta-analysis on the effects of removable functional appliances by the same team and discussed in regard to their implications for clinical practice.
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