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The aim was to evaluate the efficiency of using temporary anchorage devices (TADs) in minimizing the anchorage loss and increasing the skeletal effects during correction of Class II malocclusion with Herbst appliance. Search without restrictions was performed up to January 2021 in three electronic databases (CENTRAL, MEDLINE and EMBASE) for randomized controlled trials (RCTs), prospective and retrospective cohort studies. The included studies assessed the dental and skeletal changes in Class II malocclusion patients who were treated usi