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Differing therapeutic approaches to cleidocranial dysplasia (CCD)
C Mortellaro1, A Greco Lucchina, E Prota
1Department of Medical Science, University of Eastern Piedmont B, Amedeo Avogadro Faculty of Medicine, Novara, Italy. carmenmortellaro@hotmail.com
Minerva Stomatologica
|March 24, 2012
Summary
Cleidocranial dysplasia (CCD) management requires early surgical-orthodontic intervention. Prompt treatment of supernumerary teeth in CCD patients prevents complications and ensures proper dental occlusion.
Area of Science:
- Dentistry
- Genetics
- Orthodontics
Background:
- Cleidocranial dysplasia (CCD) is an autosomal dominant skeletal disorder characterized by cranial, clavicular, and pelvic bone abnormalities, alongside typical hyperdontia (supernumerary teeth).
- Hyperdontia in CCD presents significant challenges, including impacted teeth hindering normal eruption, and erupted supernumerary teeth causing aesthetic and functional issues.
- Early surgical intervention is crucial for managing CCD-related dental anomalies and preventing adult complications.
Observation:
- Two distinct cases of CCD with hyperdontia were managed differently.
- Case 1 involved an adult patient with severe oral issues, requiring complex, invasive surgery for impacted supernumerary teeth and extraction of most remaining teeth.
- Case 2 demonstrated successful management through combined surgical-orthodontic treatment, involving supernumerary tooth extraction and subsequent orthodontic therapy to achieve normal occlusion.
Findings:
- Delayed or inadequate management of hyperdontia in CCD can lead to severe dental complications, including recurrent abscesses and the need for extensive extractions.
- Early combined surgical-orthodontic treatment in CCD patients can effectively address supernumerary teeth, prevent complications, and restore normal occlusion.
- The study highlights the critical importance of early surgical interception for hyperdontia in CCD patients.
Implications:
- Effective management of rare genetic disorders like CCD requires individualized treatment plans based on clinical presentation and potential complications.
- Early and appropriate surgical-orthodontic interventions are paramount for improving outcomes in CCD patients with hyperdontia.
- This study underscores the benefits of timely intervention in preventing severe dental issues and achieving functional and aesthetic restoration in CCD patients.
