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Freeman-Sheldon Syndrome: A Rare Case Report with Dental Perspective.

Sahil Mustafa Kidwai1, Suman Sen2, Nikil Kumar Jain3

  • 1Department of Oral Medicine and Radiology, Shree Bankey Bihari Dental College and Research Center, Ghaziabad, India.

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|January 2, 2026
PubMed
Summary

Freeman-Sheldon syndrome (FSS) is a severe congenital disorder. This case report highlights the dental management of an 8-year-old patient with FSS, emphasizing its unique challenges.

Keywords:
Dental managementDistal arthrogryposisFreeman-Sheldon syndromeOro facial featuresSkeletal malformations

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Area of Science:

  • Medical Genetics
  • Pediatric Orthopedics
  • Craniofacial Biology

Background:

  • Freeman-Sheldon syndrome (FSS) is a rare, severe congenital disorder characterized by multiple contractures.
  • It represents the most extreme manifestation of distal arthrogryposis, impacting skeletal and facial development.
  • Key features include limb deformities like camptodactyly and talipes equinovarus, alongside distinctive facial traits.

Purpose of the Study:

  • To present a rare case of Freeman-Sheldon syndrome in an 8-year-old patient.
  • To emphasize the specific challenges and considerations in the dental management of FSS.
  • To contribute to the understanding of FSS clinical presentation and multidisciplinary care.

Main Methods:

  • Case report detailing a clinical presentation of FSS.
  • Focus on the diagnostic features and orthodontic/dental interventions.
  • Review of relevant literature on FSS and its management.

Main Results:

  • The patient presented with characteristic skeletal and facial anomalies of FSS.
  • Dental management strategies were tailored to address the specific oral and maxillofacial manifestations.
  • Successful implementation of dental interventions aimed at improving function and aesthetics.

Conclusions:

  • Freeman-Sheldon syndrome requires a comprehensive, multidisciplinary approach to care.
  • Dental management is a critical component in addressing the functional and aesthetic concerns of FSS patients.
  • Early and specialized dental intervention can significantly improve outcomes for individuals with FSS.