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Syndromes/Craniofacial Anomalies

273 - Oral Rehabilitation of a Patient With William’s Syndrome: A Case Report

Saturday, May 24, 2025
11:30 AM - 11:45 AM MDT
Has Audio

    Presenting Author(s)

  • DeAnna Drake, DDS

    Resident
    Case Western Reserve University — UH Rainbow Babies and Children’s Hospital, Cleveland, OH
    Case Western Reserve University
    Longmont, Colorado, United States

    • Co-Author(s)

  • YA

    Ying An, DDS PhD

    Case Western Reserve University — UH Rainbow Babies and Children’s Hospital, Cleveland, OH

    • Co-Author(s)

  • GF

    Gerald Ferretti, DDS

    Pediatric dentistry Chair
    Case Western Reserve University - Rainbow Babies and Children's Hospital
    cleveland, Ohio, United States

  • MF

    Margaret Elaine Ferretti, DMD

    Program Director
    Case Western Reserve University- University Hospitals Rainbow Babies and Children's
    Rainbow Babies and Children's Hospitals, Case Western Reserve University
    Cleveland, Ohio, United States

    • Research Mentor(s)

  • GF

    Gerald Ferretti, DDS

    Pediatric dentistry Chair
    Case Western Reserve University - Rainbow Babies and Children's Hospital
    cleveland, Ohio, United States

    • Program Director(s)

  • MF

    Margaret Elaine Ferretti, DMD

    Program Director
    Case Western Reserve University- University Hospitals Rainbow Babies and Children's
    Rainbow Babies and Children's Hospitals, Case Western Reserve University
    Cleveland, Ohio, United States

Abstract: Oral Rehabilitation of a Patient With William’s Syndrome: A Case Report

Drake D, An Y, Ferretti G, Ferretti M.

University Hospitals Rainbow Babies and Children’s Hospital, Cleveland, OH

 

Williams Syndrome (WS) is a chromosomal disorder associated with the elastin gene. WS is usually identified by diagnosing the cause of specific cardiac abnormalities. Those with WS frequently have the following characteristics: cardiac malformations, kidney problems, increased risk of diabetes, cognitive and developmental abnormalities, and connective tissue irregularities. Common physical characteristics can include facial dysmorphisms or elfin facies and dental malformations.

The following case report will discuss the multidisciplinary approach taken in treating a 15-year-old male with the primary diagnosis of Williams Syndrome. He presented to the dental clinic at University Hospitals Rainbow Babies and Children’s Hospital for comprehensive care. The patient’s medical history, appearance, and dental presentations are consistent with WS. His health history includes pulmonary valve stenosis, hypercalcemia, learning disabilities, vision problems, and short stature. His dental presentation of hypodontia, microdontia, excessive spacing, and misshapen laterals are also in line with WS. Due to the patient’s health history and inability to sit for procedures, all treatment was completed under general anesthesia. Pediatric dentistry partnered with oral surgery to complete necessary restorations and remove impacted, ankylosed, and grossly decayed teeth. Treatment will be followed by an orthodontic consult to address excess spacing.

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