Cleidocranial Dysplasia Case Report: Remodeling of Teeth as Aesthetic Restorative Treatment

Abstract

Cleidocranial dysplasia (CCD), is an autosomal dominant disorder with a prevalence of 1 in 1,000,000 individuals. It is generally characterized by orofacial manifestations, including enamel hypoplasia, retained primary teeth, and impacted permanent and supernumerary teeth. The successful treatment involving a timing intervention (orthodontic-maxillofacial surgeons-restorative) is already described. However, the restorative treatment might improve the aesthetic final result in dentistry management for patients with cleidocranial dysplasia. Objective. Therefore, this clinical report presents a conservative restorative management (enamel microabrasion, dental bleaching, and direct composite resin) for aesthetic solution for a patient with CCD. Clinical Considerations. The cosmetic remodeling is a conservative, secure, and low cost therapy that can be associated with other procedures such as enamel microabrasion and dental bleaching to achieve optimal outcome. Additionally, the Golden Proportion can be used to guide dental remodeling to improve the harmony of the smile and the facial composition. Conclusions. Thus, dentists must know and be able to treat dental aesthetic problems in cleidocranial dysplasia patients. The intention of this paper is to describe a restorative approach with the cosmetic remodeling teeth (by grinding or addicting material) associated with enamel microabrasion and dental bleaching to reestablish the form, shape, and color of smile for patients with cleidocranial dysplasia.

Fabrication of lithium silicate ceramic veneers with a CAD/CAM approach: A clinical report of cleidocranial dysplasia

“…6 Gingival therapy was considered an acceptable and conservative alternative for the current CCD patient, but the patient declined the suggested treatment. Thus, glass ceramic laminate veneers were fabricated with the CAD/CAM approach.…”

“…CCD is characterized by orofacial defects, including enamel hypoplasia and impacted permanent and supernumerary teeth. 6 …”

Cosmetic Remodeling of the Smile: Combining Composite Resin and Ceramics over Teeth and Implants

“…The direct adhesive restorative system used provided minimal wear of tooth structure, good clinical durability, and low cost. Further, the treatment is reversible and gives excellent esthetics [ 7 ].…”

“…To favor the harmony of the smile, tooth remodeling can be done with composite resin. The direct adhesive restorative system provides excellent esthetic and functional results, as well as presenting lower cost and clinical time relative to that required for indirect treatments, making it a viable alternative for both patient and clinician [ 7 ]. In addition, the resins can be associated with previous dental bleaching to favor the color of the substrate [ 8 ].…”

Displasia cleidocraneal: reporte de un caso

“…The CCD can be present as a mutation in 60% of the cases, in a 10% it can be present as deletion, and in the remaining percentage of patients, no mutation of the gene has been found, which it is assumed that there is heterogenecity of loci, involving another genes 4 . The CCD is characterized by frontal and parietal prominence, brachycephaly, late closure of the cranial sutures, hypoplasia or clavicle aplasia (which it does not occur in all patients) and multiple dental anomalies 3,[5][6][7][8][9][10][11][12] . All these features tend to be vary, even among the members of the same family.…”