Restorative treatment strategies for patients with cleidocranial dysplasia

Chang, Huaiguang; Wei, Jiahui; Wang, Ying; Jia, Jinping; Li, Xiaotong; Feng, Hailan

doi:10.3109/00016357.2014.983541

Cited by 11 publications

(13 citation statements)

References 20 publications

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“…She rejected orthodontic treatment and bone grafting procedures and desired an immediate solution for her dental problems. Accordingly, we decided to extract all teeth and deliver implant-supported fixed prostheses in order to prevent further bone resorption and provide comfortable, stable prostheses [3,8].…”

Section: Discussionmentioning

confidence: 99%

“…Dental treatment planning varies among cases and primarily depends on the needs of the patient, age at diagnosis, and social and financial circumstances [8]. Nevertheless, the main objectives are to restore craniofacial and dental function, improve aesthetics, and maximise patient satisfaction [8].…”

Section: Introductionmentioning

confidence: 99%

“…Initially, the condition was considered untreatable [3]. However, various treatment strategies have been developed for the oral manifestations, including the extraction of all teeth and their replacement by dentures [3,8] or a more conservative approach involving extraction of supernumerary and retained deciduous teeth with surgical exposure of impacted permanent teeth and orthodontically guided eruption [3]. In some cases, the impacted teeth are exposed, aligned, and used to support overdentures [4].…”

Section: Introductionmentioning

confidence: 99%

“…In some cases, the impacted teeth are exposed, aligned, and used to support overdentures [4]. When orthodontic treatment is not possible or rejected by the patient, prosthetic rehabilitation may be the treatment of choice [3,8].…”

Section: Introductionmentioning

confidence: 99%

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Full-mouth rehabilitation of a patient with cleidocranial dysplasia using immediately loaded basal implant-supported fixed prostheses: A case report

Ahmad

Osman

Awadalkreem

2019

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Full-mouth rehabilitation of a patient with cleidocranial dysplasia using immediately loaded basal implant-supported fixed prostheses: A case report

Ahmad

Osman

Awadalkreem

2019

International Journal of Surgery Case Reports

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show abstract

“…The treatment alternatives of patients with CCD include prosthetic replacements, facilitation of unerupted permanent teeth through surgery by removing the overlying supernumerary teeth and bone, surgical exposure of impacted teeth combined with orthodontic treatment, and combined orthognathic-orthodontic treatment [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Combined surgical-orthodontic treatment of patients with cleidocranial dysplasia: case report and review of the literature

Zhu

Yin

et al. 2018

Orphanet J Rare Dis

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ObjectivesTo study the present treatment situation and investigate a better orthodontic approach for patients with cleidocranial dysplasia (CCD) through systematically reviewing the published cases and to conclude the surgical-orthodontic treatment experience of cleidocranial dysplasia.MethodsA comprehensive search for studies published through to April 10, 2018 was conducted using the Pubmed, Web of Science, and Embase databases. The CCD cases treated with the approach combining surgical exposure and orthodontic treatment were concluded.ResultsEight papers and 9 finished cases were included to be compared with the present case. The age of cases ranged from 9 to 28 years. Clearing the way of eruption path in early age can facilitate the spontaneous eruption of impacted teeth. For adults, combined surgical-orthodontic treatment can achieve a nearly complete dentition and stable occlusal contact, but it is time consuming and needs surgical assistance. The combination of orthognathic surgery can reduce the difficulty of orthodontic treatment and treatment duration, as well as achieve a better facial profile.ConclusionSurgical exposure combined with orthodontic traction is an effective treatment for patient with CCD. Patient’s age, demand, economic circumstances, and status of permanent dentition should be considered when making treatment plan.

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Interventions for improving clinical outcomes and health-related quality-of-life for people living with skeletal dysplasias: an evidence gap map

Moy¹,

Flynn²,

Henríquez³

et al. 2023

Qual Life Res

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Purpose Skeletal dysplasias are rare genetic disorders that are characterized by abnormal development of bone and cartilage. There are multiple medical and non-medical treatments for specific symptoms of skeletal dysplasias e.g. pain, as well as corrective surgical procedures to improve physical functioning. The aim of this paper was to develop an evidence-gap map of treatment options for skeletal dysplasias, and their impact on patient outcomes. Methods We conducted an evidence-gap map to identify the available evidence on the impact of treatment options on people with skeletal dysplasias on clinical outcomes (such as increase in height), and dimensions of health-related quality of life. A structured search strategy was applied to five databases. Two reviewers independently assessed articles for inclusion in two stages: titles and abstracts (stage 1), and full text of studies retained at stage 2. Results 58 studies fulfilled our inclusion criteria. The included studies covered 12 types of skeletal dysplasia that are non-lethal with severe limb deformities that could result in significant pain and numerous orthopaedic interventions. Most studies reported on the effect of surgical interventions (n = 40, 69%), followed by the effect of treatments on dimensions of health quality-of-life (n = 4, 6.8%) and psychosocial functioning (n = 8, 13.8%). Conclusion Most studies reported on clinical outcomes from surgery for people living with Achondroplasia. Consequently, there are gaps in the literature on the full range of treatment options (including no active treatment), outcomes and the lived experience of people living with other skeletal dysplasias. More research is warranted to examine the impact of treatments on health-related quality-of-life of people living with skeletal dysplasias, including their relatives to enable them to make preference- and valued based decisions about treatment.

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Restorative treatment strategies for patients with cleidocranial dysplasia

Abstract: Schedule III based on a comprehensive multidisciplinary therapy is an ideal restorative therapeutic strategy and can achieve good outcomes for patients with CCD who missed the optimal treatment stage.

Cited by 11 publications

References 20 publications

Full-mouth rehabilitation of a patient with cleidocranial dysplasia using immediately loaded basal implant-supported fixed prostheses: A case report

Full-mouth rehabilitation of a patient with cleidocranial dysplasia using immediately loaded basal implant-supported fixed prostheses: A case report

Combined surgical-orthodontic treatment of patients with cleidocranial dysplasia: case report and review of the literature

Interventions for improving clinical outcomes and health-related quality-of-life for people living with skeletal dysplasias: an evidence gap map

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