Oral Health Division, Ministry of Health, Putrajaya, Malaysia.
Faculty of Dentistry, Universiti Teknologi MARA, Sungai Buloh, Malaysia.
Spec Care Dentist. 2021 Jan;41(1):111-117. doi: 10.1111/scd.12532. Epub 2020 Oct 20.
Cleidocranial dysplasia (CCD) is a rare bone disorder. The main dental features are the presence of multiple retained deciduous teeth and supernumerary teeth, as well as unerupted permanent teeth. To date, CCD is managed by a combination approach, which consists of the extraction of deciduous and supernumerary teeth, followed by orthodontic traction of unerupted permanent teeth. This case highlights the management of a girl with CCD, who refused the recommended protocol. A 15-year-old Malay female presented with a complaint of retained deciduous teeth. Intraoral examination revealed multiple retained deciduous teeth. Radiographs showed numerous impacted supernumerary and unerupted permanent teeth. The patient opted to improve her facial appearance with a less aggressive treatment option. A composite build-up on all anterior maxillary deciduous teeth was carried out until the patient was ready to undergo surgical intervention.
颅锁骨发育不全(CCD)是一种罕见的骨骼疾病。主要的牙齿特征是存在多个滞留的乳牙和额外牙,以及未萌出的恒牙。迄今为止,CCD 通过联合治疗方法进行管理,该方法包括拔除乳牙和额外牙,然后对未萌出的恒牙进行正畸牵引。本病例重点介绍了一名拒绝接受推荐方案的 CCD 女孩的治疗。一名 15 岁的马来裔女性因滞留的乳牙前来就诊。口腔检查显示有多个滞留的乳牙。X 光片显示有多颗埋伏的额外牙和未萌出的恒牙。患者选择了一种侵袭性较小的治疗方案来改善她的面部外观。在前上颌所有乳牙上进行复合树脂修复,直到患者准备好接受手术干预。