# Comprehensive Orthodontic Therapy and Retention Protocol in Freeman–Sheldon Syndrome: A Case Report

## TL;DR

This case report details the successful non-surgical orthodontic treatment of a rare congenital disorder in a 15-year-old girl.

## Contribution

A customized non-surgical orthodontic and retention protocol for managing Freeman-Sheldon syndrome is presented.

## Key findings

- Severe crowding was resolved using pre-adjusted edgewise appliances.
- A combination of Essix and fixed lingual retainers ensured long-term stability.
- Functional occlusion was achieved despite restricted oral access.

## Abstract

Freeman-Sheldon syndrome (FSS) is a rare congenital disorder with craniofacial and musculoskeletal abnormalities, presenting unique orthodontic challenges due to microstomia and restricted oral access. This case report describes the successful non-surgical orthodontic management of a 15-year-old girl with severe crowding using pre-adjusted edgewise appliances. Favorable alignment and functional occlusion were achieved, and a customized retention protocol combining Essix and fixed lingual retainers ensured stability.