Figure 1.

Figure 2.

Figure 3.
![Box plots of overjet values (mm) in the 3 categories of IOFTN [5 (n = 214), 4 (n = 164), and 1–3 (n = 25)] showing a near normal range of overjet in IOFTN 1–3 category.](https://sciendo-parsed.s3.eu-central-1.amazonaws.com/65d34c683bc2d770e76b8ec9/j_aoj-2024-0013_fig_003.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA6AP2G7AKMWJ565BN%2F20260120%2Feu-central-1%2Fs3%2Faws4_request&X-Amz-Date=20260120T074244Z&X-Amz-Expires=3600&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEN%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDGV1LWNlbnRyYWwtMSJGMEQCIA7vMa2WbDYJmqlryeygI6jbWjbg1pTa34zribYoe49XAiAu6%2FXxKdWOEy3gjI59AcxznHNsWa0vxOrM9YMCL7qrIirGBQio%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDk2MzEzNDI4OTk0MCIMSXe0zd3vPLRi2a81KpoFh1p3BGur1233DzfEWKuGGPtwypUbT2MbdMJACojZwKjomdAfGHTgv9IS5ix27tU4PJm2%2FgFK0raD3RpwKzzgLPvFxv7c1GJJ%2FHOfQb8tfAR3024uQPB8%2FNH5U5CG8T%2BK4C8Q2TfKzrK1KeBbRxoiuYLWlWZmJnO2PrkaOicdxjGNYZF7YHSkrpUx7gIiCTSXOSeTnBWcr12KHP0A2y8gzvTtUkgglmau2MEAHwVcOcwkWJdHfwtc2IUiu0LokB7wNgHwcyjvkKSf5eyfXnJSdIFCnQS2bwo%2F8iET7%2BWN8DyBirO%2BZPdSjK9M69TtdL4VtofH5hxjgse0UEBPjAdYqWJ84vV3bLjFPxHbdrVgLm3gOz%2BqZSPMJ2ZKHvxfHQl%2BPqZOudC4Y8mqR6hSzSbhiZj2eaWk6yJBUySAUzZXmgAcHNCFlRwh6oiqHOOW2RWrUAa6kkJ6ZPt9mQzYp2K87ZKXF3X0PC51LROt%2FRHXYVWJwkHvy7O%2BPQczid4fjIV3RgiZmeZGPCXbe2lmq9VaB3Tf9P77z5BgFK0jNAm11TtW9jySOjdOAq1FyhqS4W1gI9fjLfN4QvMU7%2BaM1IoI8xkFVNgr6N4bfk%2F%2F%2BfJ6udsrJwm9Lq1fO%2BvjGBndlMyqUzhhOrmLAfviEdny%2FmbAHJGcLY4OZPxfQFDxU8h8Id2AUkVcAXDc2tWOQ6x8sYBI4LVkWEsjgXObsNbewE5dcKZfli3qqe%2FhRieSMhyOxbi1F0JK0lGJVF3UFkmNNsFW88SMtMaZP%2BqhNKZuhAzxUrQEEHUZAkXBn7wjKZ8LyUsXeNPjHb8%2FoNIBD9JJcCfH8JD6oyjAMVywhqdbfq9pe%2F7glAtprk5mabAeenCpv0fGttk4ICeFaiHyMInMvMsGOrIB0lSvUYmg9NnC47m4KSntGIC%2BVf4Mr5q2%2Ffp9tg5B5TMVpuhAlnDfdw2wmdt1X5fXB02tB8k5CxU%2BXxH%2Bh%2B%2B9%2F%2BKiMGDU8Hct4htG0%2BveJjZ5c1sUkm1OiF8zquL5khiQmb3dpJpu8gl9uXy9SAaTdnCk1gwWE9%2BrOvZFLlGQufPDv8eyZQWXIYGLiLmiAPjl6B%2FgvSbam4%2B4JpuLfG0JS6Nhm%2B4UzXo5%2BQ%2FyoMxktt6K%2Fg%3D%3D&X-Amz-Signature=c1a1647d010e838756c230d02f13bff76b561358341ad1448f158215cdde85f5&X-Amz-SignedHeaders=host&x-amz-checksum-mode=ENABLED&x-id=GetObject)
Figure 4.
![Box plots of ANB angles in the 3 categories of IOFTN [5 (n = 214), 4 (n = 164), and 1–3 (n = 25)] demonstrating a wide range of ANB angles in the IOFTN 1–3 category [mean (SD) = 3.44° (3.86°), 95% CI, 1.85°-5.04°, range = -4° to 9°].](https://sciendo-parsed.s3.eu-central-1.amazonaws.com/65d34c683bc2d770e76b8ec9/j_aoj-2024-0013_fig_004.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA6AP2G7AKMWJ565BN%2F20260120%2Feu-central-1%2Fs3%2Faws4_request&X-Amz-Date=20260120T074244Z&X-Amz-Expires=3600&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEN%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaDGV1LWNlbnRyYWwtMSJGMEQCIA7vMa2WbDYJmqlryeygI6jbWjbg1pTa34zribYoe49XAiAu6%2FXxKdWOEy3gjI59AcxznHNsWa0vxOrM9YMCL7qrIirGBQio%2F%2F%2F%2F%2F%2F%2F%2F%2F%2F8BEAIaDDk2MzEzNDI4OTk0MCIMSXe0zd3vPLRi2a81KpoFh1p3BGur1233DzfEWKuGGPtwypUbT2MbdMJACojZwKjomdAfGHTgv9IS5ix27tU4PJm2%2FgFK0raD3RpwKzzgLPvFxv7c1GJJ%2FHOfQb8tfAR3024uQPB8%2FNH5U5CG8T%2BK4C8Q2TfKzrK1KeBbRxoiuYLWlWZmJnO2PrkaOicdxjGNYZF7YHSkrpUx7gIiCTSXOSeTnBWcr12KHP0A2y8gzvTtUkgglmau2MEAHwVcOcwkWJdHfwtc2IUiu0LokB7wNgHwcyjvkKSf5eyfXnJSdIFCnQS2bwo%2F8iET7%2BWN8DyBirO%2BZPdSjK9M69TtdL4VtofH5hxjgse0UEBPjAdYqWJ84vV3bLjFPxHbdrVgLm3gOz%2BqZSPMJ2ZKHvxfHQl%2BPqZOudC4Y8mqR6hSzSbhiZj2eaWk6yJBUySAUzZXmgAcHNCFlRwh6oiqHOOW2RWrUAa6kkJ6ZPt9mQzYp2K87ZKXF3X0PC51LROt%2FRHXYVWJwkHvy7O%2BPQczid4fjIV3RgiZmeZGPCXbe2lmq9VaB3Tf9P77z5BgFK0jNAm11TtW9jySOjdOAq1FyhqS4W1gI9fjLfN4QvMU7%2BaM1IoI8xkFVNgr6N4bfk%2F%2F%2BfJ6udsrJwm9Lq1fO%2BvjGBndlMyqUzhhOrmLAfviEdny%2FmbAHJGcLY4OZPxfQFDxU8h8Id2AUkVcAXDc2tWOQ6x8sYBI4LVkWEsjgXObsNbewE5dcKZfli3qqe%2FhRieSMhyOxbi1F0JK0lGJVF3UFkmNNsFW88SMtMaZP%2BqhNKZuhAzxUrQEEHUZAkXBn7wjKZ8LyUsXeNPjHb8%2FoNIBD9JJcCfH8JD6oyjAMVywhqdbfq9pe%2F7glAtprk5mabAeenCpv0fGttk4ICeFaiHyMInMvMsGOrIB0lSvUYmg9NnC47m4KSntGIC%2BVf4Mr5q2%2Ffp9tg5B5TMVpuhAlnDfdw2wmdt1X5fXB02tB8k5CxU%2BXxH%2Bh%2B%2B9%2F%2BKiMGDU8Hct4htG0%2BveJjZ5c1sUkm1OiF8zquL5khiQmb3dpJpu8gl9uXy9SAaTdnCk1gwWE9%2BrOvZFLlGQufPDv8eyZQWXIYGLiLmiAPjl6B%2FgvSbam4%2B4JpuLfG0JS6Nhm%2B4UzXo5%2BQ%2FyoMxktt6K%2Fg%3D%3D&X-Amz-Signature=759a57bc832ad8c947a3b798b5197a956bd8f4b704c2a22b45896b558de35e51&X-Amz-SignedHeaders=host&x-amz-checksum-mode=ENABLED&x-id=GetObject)
Breakdown of the malocclusions and sagittal skeletal patterns in the Turkish and Iranian orthognathic samples
| Malocclusion | ||||
| Country | I | II | III | Total |
| Iran | 12 (5.9%) | 78 (38.4%) | 113 (55.7%) | 203 |
| Turkey | 27 (13.5%) | 35 (17.5%) | 138 (69%) | 200 |
| Sagittal skeletal pattern | ||||
| I | II | III | ||
| Iran | 5 (2.5%) | 85 (41.9%) | 113 (55.7%) | 203 |
| Turkey | 24 (12%) | 38 (19%) | 138 (69%) | 200 |
Breakdown of patients with a low IOFTN score (<4) in the Turkish and Iranian orthognathic samples and previous studies which reported the sub-categories of the IOFTN
| James et. al.18 | Soh et. al.19 | Hasebe et. al.20 | Almoammar et al.21 | Total | ||
|---|---|---|---|---|---|---|
| IOFTN score | n (%) | n (%) | ||||
| 3.3 (Reverse overjet > 0 mm and | ||||||
| < 3 mm with no functional difficulties) | 2 (8%) | 9 | 6 | 4 | 5 | 26 (40.63%) |
| 3.4 (Open bite <4 mm with no functional difficulties) | 1 | 1 | 2 | 1 | 5 (7.81%) | |
| 3.9 (Upper labial segment gingival exposure <3 mm at rest, but with evidence of gingival/periodontal effects) | 1 (4%) | 1 (1.56%) | ||||
| 3.10 (Facial asymmetry with no occlusal disturbance) | 10 (40%) | 1 | 11 (17.19%) | |||
| 2.8 (Increased overbite, but no evidence of dental or soft tissue trauma) | 7 (28%) | 3 | 10 (15.63%) | |||
| 2.9 (Upper labial segment gingival exposure < 3 mm at rest with no evidence of gingival/periodontal effects) | 1 | 1 (1.56%) | ||||
| 2.11 (Marked occlusal cant with no effect on the occlusion) | 1 | 1 (1.56%) | ||||
| 1.14 (Occlusal features not classified in the IOFTN need categories) | 5 (20%) | 4 | 9 (14.06%) | |||
| Total | 25 (100%) | 64 (100%) | ||||