The provided text contains only the article title and not enough information to create a factual summary about the efficiency, esthetics, or maxillary arch changes. Based on this short excerpt, it is not possible to summarize the study's results, methods, or any specific findings or statistics. A comprehensive summary would require the full content of the article. Without more detailed text, no verified facts, numbers, or statistics regarding the evaluation of F-D-NAM can be provided. Therefore, it is not possible to create a 6-8 sentence summary that meets all requirements.