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.
Highlights
Cleidocranial dysplasia (CCD) is a rare (1 : 1.000.000) autosomal dominant inheritance skeletal syndrome related to numerous dental abnormalities such as delayed eruption, retention of the permanent dentition, and highly arched palate [1]
Multidisciplinary cooperation between orthodontists and oral and maxillofacial surgeons is previously described in the literature for treatment of the CCD [2,3,4,5]
Enamel hypoplasia can be thoroughly treated by the abrasive action of a microabrasion with pumice and acid solutions as described by Croll and Cavanaugh [6, 7]
Summary
Cleidocranial dysplasia (CCD) is a rare (1 : 1.000.000) autosomal dominant inheritance skeletal syndrome related to numerous dental abnormalities such as delayed eruption, retention of the permanent dentition, and highly arched palate [1]. In some situations, the orthodontic and maxillofacial surgeons’ intervention is not sufficient to meet the patient’s smile aesthetic expectations due to, for example, the presence of enamel hypoplasia or supernumerary teeth in dental arch In these circumstances, restorative intervention probably improves the final results. Bleaching is a conservative procedure routinely used The association of these techniques is possible and a interesting option to other more invasive aesthetic procedures in esthetic improvement of patients with enamel hypoplasia and/or CCD. The intention of this paper is to describe an association of conservative procedures (enamel microabrasion, dental bleaching, and remodeling of teeth) as restorative solution for an anterior dental composition of a patient with cleidocranial dysplasia after cooperation involving orthodontists and oral and maxillofacial surgeons
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