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Optimized Approach for Retrieval of Multiple Impacted Teeth in Cleidocranial Dysplasia
Roohi Sobti1, Shilpa Upadhyay1, Andrew Paige1
1Section of Orthodontics, School of Dentistry, University of California, Los Angeles, Los Angeles, CA, USA.
Summary
Cleidocranial dysplasia (CCD) management involves complex orthodontic treatment for impacted teeth. This case report details a successful interdisciplinary approach for a patient with CCD, achieving good outcomes.
Area of Science:
- Dentistry
- Orthodontics
- Genetics
Background:
- Cleidocranial dysplasia (CCD) is a rare genetic disorder.
- Patients exhibit craniofacial anomalies, supernumerary and impacted teeth, and delayed eruption.
- Effective management requires innovative, multi-stage orthodontic mechanics.
Purpose of the Study:
- To present the orthodontic management of a patient with Cleidocranial dysplasia (CCD).
- To highlight an interdisciplinary approach for impacted and retained teeth in CCD.
- To demonstrate successful forced eruption of multiple impacted teeth.
Main Methods:
- Extraction of retained primary and supernumerary teeth.
- Surgical exposure, bonding, and forced eruption of impacted teeth.
- Utilized a custom lower appliance and modified transpalatal arch for anchorage and traction.
Main Results:
- Achieved successful retrieval of multiple impacted teeth.
- Facilitated eruption of impacted teeth using reinforced anchorage.
- Obtained favorable orthodontic outcomes in a patient with CCD.
Conclusions:
- An interdisciplinary, sequential orthodontic approach is effective for managing impacted teeth in Cleidocranial dysplasia.
- Innovative appliance design and surgical techniques can overcome challenges in CCD treatment.
- Successful management leads to positive orthodontic outcomes for patients with CCD.
