ORTHOdontic spectrum of cleidocranial dysplasia : A

CASE REPORT

Reg No: 0479

 Cleidocranial dysostosis ???

Cleidocranial dysostosis (CCD) is a

congenital skeletal disorder with
significant manifestations in facial and
dental development.
Case Report

3
Patient Details:

Name : Sachin Jivanawar .

Age/Sex : 17 / Male
 Chief complaint of patient
Patient had a complaint of multiple missing teeth in upper
front teeth region.
Extra-oral Photographs
Intra-oral Photographs
Cephalometric examination
Parameters Pre -
Treatment
SNA 92°

SNB 94°

ANB -2°

Beta angle 44°

Yen angle 132°

W angle 64°

SN/MP 38
OPG examination
CBCT examination
 Diagnosis

A 17 year old male patient diagnosed as skeletal class III with

retrognathic maxilla and retrognathic mandible with vertical growth
pattern, dentally Angle’s class III subdivision malocclusion with multiple
impacted teeth, multiple supernumerary teeth, reverse jet, over-
retained deciduous teeth with concave profile and competent lips.
 Treatment Objectives
Correction of Skeletal Class III Jaw bases

Alignment and leveling

Surgical exposure of impacted teeth.

Correction of molar relationship

Achieving ideal overjet and overbite

Achieving pleasing profile

 Treatment plan

After that surgical

The first phase of exposure of with
the treatment 11, 22,33, Gingival exposure
included the 35 ,orthodontic with 15 & 25. Open
surgical extraction traction force for coil spring was Class III elastics for Re-evalution for
of all the alignment & placed in upper saggital correction. functional occlusion
supernumerary and levelling in both arch between 14 &
primary teeth with arches till 19×25 ss 16 , 24 & 26 region.
53, 73, and 74. wire.
Surgical Exposure 1
 Surgical Exposure 2
Extraction of the supernumerary teeth in upper left teeth region
 Surgical Exposure 3
surgical exposure of with 13,35orthodontic traction force for alignment & levelling in both arches.
Post Surgical Exposure 3
Gingival exposure with 15 & 25.

Open coil spring was placed in

upper arch between 14 & 16 , 24 &
26 region.
Treatment Progress : Extra-oral Photographs
Treatment Progress Intra-oral Photographs
Treatment Progress Lateral Cephalogram
Parameters Pre -
Treatment
SNA 92°

SNB 94°

ANB -2°

Beta angle 44°

Yen angle 132°

W angle 64°

SN/MP 38
Treatment Progress OPG
Class III elastics for saggital correction.
Treatment Progress
 Further treatment plan

Protraction with 35,36 for For midline correction diagonal Recession present with 33 so Flap
achieving class I molar elastics . surgery will be required with 33.
relationship.
 Conclusion

Patients with cleidocranial dysplasia require a team approach which

demands good communication and cooperation from the patient.
Timing of the intervention is critical, and numerous surgeries may be
required.
Thank You 