{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:43:46Z","timestamp":1777524226631,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,1,19]],"date-time":"2018-01-19T00:00:00Z","timestamp":1516320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To understand the actual condition of orthodontic treatment in team care for patients with syndromic craniosynostosis (SCS) in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A nationwide collaborative survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Twenty-four orthodontic clinics in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>A total of 246 patients with SCS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure:<\/jats:title>\n                    <jats:p>Treatment history was examined based on orthodontic records using common survey sheets.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most patients first visited the orthodontic clinic in the deciduous or mixed dentition phase. Midface advancement was performed without visiting the orthodontic clinic in about a quarter of the patients, and more than a half of the patients underwent \u201csurgery-first\u201d midface advancement. First-phase orthodontic treatment was carried out in about a half of the patients, and maxillary expansion and protraction were performed. Tooth extraction was required in about two-thirds of patients, and the extraction of maxillary teeth was required in most patients. Tooth abnormalities were found in 37.8% of patients, and abnormalities of maxillary molars were frequently (58.3%) found in patients who had undergone midface surgery below the age of 6 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Many patients underwent \u201csurgery-first\u201d midface advancement, and visiting the orthodontic clinic at least before advancement was considered desirable. First-phase orthodontic treatment should be performed considering the burden of care. Midface advancement below the age of 6 years had a high risk of injury to the maxillary molars. This survey is considered useful for improving orthodontic treatment in team care of patients with SCS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665617747703","type":"journal-article","created":{"date-parts":[[2018,1,19]],"date-time":"2018-01-19T12:58:46Z","timestamp":1516366726000},"page":"479-486","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["A Survey of Orthodontic Treatment in Team Care for Patients With Syndromic Craniosynostosis in Japan"],"prefix":"10.1177","volume":"55","author":[{"given":"Takafumi","family":"Susami","sequence":"first","affiliation":[{"name":"Department of Oral-Maxillofacial Surgery, Dentistry and Orthodontics, University of Tokyo Hospital, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiko","family":"Fukawa","sequence":"additional","affiliation":[{"name":"Fukawa Orthodontic Clinic, Kamakura, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruyo","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Tokyo Dental College, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teruo","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Tokyo Dental College, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Morishita","sequence":"additional","affiliation":[{"name":"St Mary\u2019s Hospital, Kurume, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiaki","family":"Sato","sequence":"additional","affiliation":[{"name":"Hokkaido University, Sapporo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiaki","family":"Kinno","sequence":"additional","affiliation":[{"name":"Iwate Medical University, Morioka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyuki","family":"Kurata","sequence":"additional","affiliation":[{"name":"Matsumoto Dental University, Shiojiri, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichiro","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Tokushima University, Tokushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshikazu","family":"Asahito","sequence":"additional","affiliation":[{"name":"Asahito Orthodontic &amp; Pedodontic Clinic, Niigata, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isao","family":"Saito","sequence":"additional","affiliation":[{"name":"Niigata University, Niigata, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,1,19]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2015.48"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000318838"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000308"},{"key":"e_1_3_4_5_1","first-page":"211","volume-title":"Clinical Management of Craniosynostosis","author":"Evans RD","year":"2004","unstructured":"Evans RD, Bradford R. 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