A Simultaneous Mobilization Of Four Impacted Upper Incisors In A Case Of An Adolescent Patient With Cleidocranial Dysplasia (CCD)

Abstract

Introduction: Cleidocranial dysplasia (CCD) is often attended by a considerable number of supernumerary teeth combined with impaction of sometimes all permanent teeth. To help these patients obtain an esthetically pleasing and functional dentition, eruption of an appropriate number of permanent teeth should ideally be brought about, while all other teeth should be removed. The simultaneous traction of several neighboring teeth into the same direction is associated with biomechanical challenges. This report illustrates how these difficulties were solved in a specific treatment case.

Cleidocranial dysplasia-dental disorder treatment and audiology diagnosis

“…The difference lies in the orthodontic appliances used to expose the retained teeth. The use of both fixed [13,14] and removable appliances were described [12,15], and a removable device was used in our own case. However, it is important to emphasize the fact that in such therapy, working directly with the patient is indispensable, as such cooperation strongly affects the final result – the lifespan of the appliance and the patient’s fixing of the elastic traction on their own significantly affects the outcome of the therapy.…”

“…In 2014, Bechtold et al [15] described a 9 year-old boy with nineteen supernumerary teeth, a third skeletal class, and persistent deciduous teeth. A pantomogram, orthopantomogram, cephalometric scans in the lateral projection and CBCT were all performed.…”

“…People suffering from this condition are relatively short. The main symptoms reported in the literature are: bilateral or one-sided hypoplastic or aplastic clavicles (affecting 10%), resulting in hypermobility of the arms; supernumerary teeth; brachycephalic skull; delayed anterior fontanelle closure; delayed sagittal and frontal suture closure; numerous Wormian bones; a hypoplastic jaw and zygomatic bone (making the face seem smaller than usual); a wide based nose with a collapsed ridge, as well as many other skeletal deformities [1,2,3,4]. Hearing problems are most often a result of abnormalities in the development of the facial skeleton, a high, arched palate, reduced paranasal sinuses and mastoid cells (or a lack thereof), dysfunction of the auditory tube and frequent inflammation of the middle ear [5,6].…”