† Bonferroni was used to detect any significant difference between every two groups, LII: Little's Irregularity Index, CWC: intercanine width at the cusps level, T1: after 1 month, T2: after 2 months, T3: after 3 months, T4: at the end of the leveling and alignment phase, Group 1: traditional brackets group, Group 2: self-ligating brackets group, Group 3: self-ligating brackets + flapless piezocision group; NS: there was no statistically significant difference at P > 0.05, *: statistically significant at P < 0.05, **: statistically significant at P < 0.01, ***: statistically significant at P < 0.001