Background/Objectives: Skeletal Class III malocclusion in growing patients presents therapeutic challenges. While traditional tooth-anchored facemask (FM) therapy is widely used, it may induce undesired dental effects. Bone-anchored maxillary protraction (BAMP), using either miniscrews (MSs) or miniplates (MPs), has been proposed to enhance skeletal outcomes and minimize dental compensation. The objective is to compare the efficacy of MS and MP as skeletal anchorage in the orthopedic treatment of the Class III growing patients. Methods: This systematic review and meta-analysis followed PRISMA guidelines. Five databases and manual searches were conducted without restrictions. Inclusion criteria encompassed randomized and non-randomized controlled trials assessing cephalometric outcomes in growing patients treated with MS or MP. Risk of bias was assessed with RoB 2 and ROBINS-I tools, and evidence certainty was evaluated using GRADE. A meta-analysis was performed, collecting all the statistically significant results that emerged in the 11 articles between skeletal anchorage and controls, comparing the values of the MP group with the MS group. Results: Eleven studies (seven MP, four MS) met the inclusion criteria. Both MS and MP groups showed significant maxillary advancement and improved maxillo–mandibular relationships compared to controls. Regarding vertical values, studies have reported contrasting outcomes. Soft tissue improvements were consistent in both MS and MP devices. Statistical analysis has highlighted how MP devices demonstrated more pronounced skeletal effects, while MS systems were associated with more dental effects. Conclusions: MP may be preferable when the aim is to maximize skeletal correction with fewer dental side effects, while MS can be considered in cases favoring less invasive approaches; long-term follow-up and high-quality clinical studies are needed to confirm these clinical assessments.

Background/Objectives: Accurate assessment of biological maturation is essential in pediatric dentistry and orthodontics for optimizing treatment timing. Quantitative methods proposed by Cameriere allow continuous estimation of residual skeletal and dental growth; however, the degree of agreement between these maturation processes remains unclear. This study aimed to assess residual skeletal and dental growth in children using quantitative Cameriere methods and to evaluate the agreement between these two maturation indicators. Methods: This cross-sectional observational study included 98 Caucasian subjects (50 males and 48 females) aged 7.0–11.9 years. Residual skeletal growth was assessed on lateral cephalometric radiographs using the fourth cervical vertebra ratio (C4-Vba), while residual dental growth was evaluated on panoramic radiographs using the open apices method. Measurements were performed using the AgEstimation Project software v1.0. Intra- and inter-observer reproducibility were assessed using intraclass correlation coefficients (ICCs). Correlation analysis and Bland–Altman analysis were performed to evaluate the association and agreement between skeletal and dental maturation. Results: Excellent reproducibility was observed for all measurements, with ICC values ranging from 0.93 to 1.00. Residual skeletal growth time (T_skeletal) and residual dental growth time (T_dental) showed a weak positive association (Spearman ρ = 0.18, p = 0.09). Discrepancies exceeding the predefined 1-year threshold between skeletal and dental maturation (|ΔT| > 1 year) were observed in 48.0% of subjects. Skeletal predominance was identified in 46.9% of cases, whereas dental predominance was observed in only 1.0%. Females showed significantly greater residual skeletal and dental growth compared with males (p < 0.001). Conclusions: Skeletal and dental maturation showed limited agreement in children aged 7–11 years, supporting the concept that these processes follow partially independent biological pathways. The integration of quantitative skeletal and dental assessments may improve the evaluation of individual growth potential and support more personalized orthodontic treatment planning.

Sports-related oro-dento-facial trauma is a major clinical and socioeconomic burden, with oro-dento-facial injuries affecting approximately 30–40% of athletes. Mouthguards are widely recommended as primary protective devices, yet the comparative effectiveness of custom-made versus stock and boil-and-bite designs remains unclear. This scoping review aimed to map the clinical evidence on different mouthguard types for preventing sports-related oro-dento-facial injuries. The review followed the PRISMA-ScR guidelines. PubMed, Embase, Scopus, Web of Science, and the Cochrane Library were searched on 22 January 2026, without restrictions on language, date, or design. Eligibility was defined using the PICOS framework, and three reviewers independently performed selection and data extraction (Cohen’s kappa = 0.79). Of 820 records, eight studies published between 1989 and 2025 met the inclusion criteria, covering contact and non-contact sports across a wide age range. Custom-made mouthguards, mainly fabricated from ethylene-vinyl acetate, were consistently associated with reductions in dental trauma, intraoral lacerations, and temporomandibular joint injuries, with statistically significant effects in several studies (p < 0.05 to p < 0.001). Heterogeneity in design, materials, and outcomes precluded quantitative synthesis. Custom-made mouthguards are associated with favourable clinical outcomes; however, direct comparative evidence remains limited, and the heterogeneity of the available studies precludes definitive conclusions regarding their superiority over non-custom devices. Standardised reporting and large prospective studies are needed to define optimal material and design parameters.