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ID 118746
Title Alternative
A case report of Sotos syndrome treated with nonsurgical orthodontic technique
A treatment case of Sotos syndrome
Author
Shioyasono, Ryoko Tokushima University
Yoshinaga, Kaoru Tokushima University
Shioyasono, Atsushi Kagawa University
Ito, Ayami Tokushima University
Keywords
Sotos syndrome
long-term management
overgrowth
skeletal Class III
Content Type
Journal Article
Description
Sotos syndrome is a genetic disorder characterized by overgrowth in childhood, specific facial manifestations, advanced bone age, and mental retardation. Although only one case report of Sotos syndrome treated with surgical orthodontics has thus far been published, there have also been a few detailed reports of long-term observation of Sotos syndrome through total orthodontic treatment. This article aimed to present the case of a growing patient with skeletal mandibular protrusion and unilateral posterior crossbite as present in Sotos syndrome treated with a non-surgical orthodontic technique. A 10-year-old boy was diagnosed with skeletal mandibular protrusion and posterior crossbite associated with Sotos syndrome. After maxillary lateral expansion, the skeletal Class III relationship with an anterior crossbite improved owing to mandibular clockwise rotation, while the facemask had a marginal effect. At the completion of growth at 16 years, he had a skeletal Class I relationship, and thus, conventional orthodontic treatment with preadjusted edgewise appliances was initiated. After 41 months of multibracket treatment, acceptable occlusion with a functional Class I relationship was obtained. At 12 months postretention, no or few changes in occlusion and facial features were observed. Our results demonstrate that considering the maxillofacial vertical growth during peripubertal period associated with Sotos syndrome, much attention should be paid to the early orthopedic treatment with the facemask and/or chin cap.
Journal Title
American Journal of Orthodontics and Dentofacial Orthopedics
ISSN
08895406
10976752
NCID
AA10705697
AA11537430
Publisher
The American Association of Orthodontists|Elsevier
Volume
163
Issue
3
Start Page
426
End Page
442
Published Date
2022-11-24
Rights
© 2022. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Author
departments
Oral Sciences
University Hospital