{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:13:09Z","timestamp":1777522389273,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2013,3,1]],"date-time":"2013-03-01T00:00:00Z","timestamp":1362096000000},"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":[[2013,3]]},"abstract":"<jats:p>Noonan syndrome is a multiple malformation disorder with an autosomal dominant inheritance pattern. Congenital heart defects, short stature, thoracic deformities, short neck with webbing, hypertelorism, malocclusions, and feeding difficulties are some of the commonly observed clinical features. We report on a case of a patient with Noonan syndrome, severe open bite, associated feeding difficulties, and strong gag reflex, discussing conservative management with myofunctional therapy. Myofunctional therapy has demonstrated a successful outcome, reestablishing masticatory function and routine dental home care after an 18-month follow-up.<\/jats:p>","DOI":"10.1597\/11-214","type":"journal-article","created":{"date-parts":[[2012,7,31]],"date-time":"2012-07-31T14:36:19Z","timestamp":1343745379000},"page":"242-248","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Conservative Management of Severe Open Bite and Feeding Difficulties in Patient with Noonan Syndrome"],"prefix":"10.1177","volume":"50","author":[{"given":"Cristiane S\u00e1 Roriz","family":"Fonteles","sequence":"first","affiliation":[{"name":"Division of Pediatric Dentistry, Department of Clinical Dentistry, Federal University of Cear\u00e1, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Catarina","family":"De Miranda Mota","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry, Federal University of Cear\u00e1, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramille Ara\u00fajo","family":"Lima","sequence":"additional","affiliation":[{"name":"Postgraduate Program in Dentistry, Federal University of Cear\u00e1, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priscilla Cavalcante","family":"Borges","sequence":"additional","affiliation":[{"name":"Department of Clinical Dentistry, Federal University of Cear\u00e1, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Da Silveira","sequence":"additional","affiliation":[{"name":"Dell Children's Craniofacial Center, Department of Biomedical Engineering, University of Texas at Austin."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,3,1]]},"reference":[{"key":"bibr1-11-214","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(96)90449-8"},{"key":"bibr2-11-214","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2004.02.018"},{"key":"bibr3-11-214","doi-asserted-by":"crossref","first-page":"35","DOI":"10.52010\/ijom.1997.23.1.6","volume":"23","author":"Benkert K.K.","year":"1997","journal-title":"Int J Orofacial Myology."},{"key":"bibr4-11-214","doi-asserted-by":"publisher","DOI":"10.1590\/S0041-87812003000100002"},{"key":"bibr5-11-214","doi-asserted-by":"publisher","DOI":"10.1590\/S0041-87811999000500003"},{"key":"bibr6-11-214","first-page":"103","volume":"84","author":"Haruki T.","year":"1999","journal-title":"J Dent Child."},{"key":"bibr7-11-214","first-page":"155","volume":"35","author":"Kaufman E.","year":"1988","journal-title":"Anesth Prog."},{"key":"bibr8-11-214","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.ejo.a035975"},{"key":"bibr9-11-214","first-page":"343","volume":"14","author":"Kobilinsky O.","year":"1883","journal-title":"Arch Anthropol."},{"key":"bibr10-11-214","doi-asserted-by":"publisher","DOI":"10.1038\/eye.1992.66"},{"key":"bibr11-11-214","doi-asserted-by":"crossref","first-page":"4","DOI":"10.52010\/ijom.2005.31.1.1","volume":"31","author":"Mason R.M.","year":"2005","journal-title":"Int J Orofacial Myology."},{"key":"bibr12-11-214","first-page":"78","volume":"18","author":"Ng C.S.T.","year":"2008","journal-title":"Int J Paediatr Dent."},{"key":"bibr13-11-214","first-page":"91","volume":"19","author":"Ngan P.","year":"1997","journal-title":"Pediatr Dent."},{"key":"bibr14-11-214","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1968.02100020377005"},{"key":"bibr15-11-214","doi-asserted-by":"publisher","DOI":"10.1507\/endocrj.51.61"},{"key":"bibr16-11-214","doi-asserted-by":"publisher","DOI":"10.2334\/josnusd.45.117"},{"key":"bibr17-11-214","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-183X.2008.00469.x"},{"key":"bibr18-11-214","doi-asserted-by":"publisher","DOI":"10.1016\/1058-9813(96)00169-5"},{"key":"bibr19-11-214","unstructured":"ProfittW.R.FieldsHWJr. Contemporany Orthodontics. 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