Aesthetic Anxiety in a Child with Cleidocranial Dysplasia

Abstract

Cleidocranial dysplasia (CCD) is a rare syndrome that affects the skeleton and teeth. It is characterized by absent or hypoplastic clavicles, mobile shoulder girdles, patent fontanelles, supernumerary teeth, retained deciduous and delayed permanent teeth. A 10 year old boy with CCD is reported with chief complaints of aesthetics and dental pain. The bullying and social agony at a tender age were alarming as the patient was highly distressed regarding his missing teeth. Juvenile aesthetic concerns and the psychosocial impact were emphasized in this case. He was treated with manual scaling, pulp therapy, restoration, and a prosthesis to speedily replace his missing teeth. Long-term orthodontic treatment was suggested. Due to the early diagnosis, a better prognosis exists for multidisciplinary treatment. Counselling was pivotal for dealing with his aesthetic anxiety and oral health. Special attention should be given to the aesthetics and psychosocial state of patients with syndromes in underdeveloped societies.