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TREATMENT OF A PATIENT WITH CLEIDOCRANIAL DYSPLASIA USING IMPLANT-SUPPORTED BAR OVERDENTURE: A CASE REPORT  

Jang, Jung-Hui (Dept. of Oral and Maxillofacial Surgery, Gil Medical Center, Gachon Medical School)
Song, Min-Seok (Dept. of Oral and Maxillofacial Surgery, Gil Medical Center, Gachon Medical School)
Kim, Hyeon-Min (Dept. of Oral and Maxillofacial Surgery, Gil Medical Center, Gachon Medical School)
Kim, Nam-Hun (Dept. of Oral and Maxillofacial Surgery, Gil Medical Center, Gachon Medical School)
Eom, Min-Yong (Dept. of Oral and Maxillofacial Surgery, Gil Medical Center, Gachon Medical School)
Koo, Hyun-Mo (Dept. of Oral and Maxillofacial Surgery, Gil Medical Center, Gachon Medical School)
Yi, Jun-Kyu (Dept. of Oral and Maxillofacial Surgery, Gil Medical Center, Gachon Medical School)
Jeong, Jong-Cheol (Sam More Dental Clinic)
Kim, Se-Woong (Dept. of Prosthodontics, Gil Medical Center, Gachon Medical School)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.28, no.1, 2006 , pp. 80-86 More about this Journal
Abstract
Cleidocranial dysplasia is rare inherited skeletal dysplasia. It was first reported by Martin in 1765. Subsequently, Marie and Sainton independently documented the criteria of the disease. Cleidocranial dysplasia is a bone disorder caused by a defect in the CBFA1 gene of chromosome 6p21. This gene guides osteoblastic differentiation and appropriate bone formation. Patient with cleidocranial dysplasia has maxillary deficiency, high and narrow palate, prolonged retention of primary teeth, unerupted permanent teeth and supernumerary teeth. Therapeutic options in these patients include of autotransplantation of selected impacted teeth, forced eruption of permanent teeth, full denture, overdenture and implant-supported prosthesis. We report a patient with cleidocranial dysplasia. This patient was treated with implant supported bar overdenture. Despite of gene defect that affects osteoblastic activity, bone remodeling and osseointegration occurred in our patient. So, we report this case with review of literature.
Keywords
Cleidocranial dysplasia; Overdenture; Impacted tooth; Implant;
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1 Cooper SC, Flaitz CM, Johnston DA et al : A natural history of cleidocranial dysplasia. Am J Med Genet 104(1) : 1, 2001   DOI   ScienceOn
2 Martin S : Sur undeplacement natural de la clavicule. J Med Chir Phamacol 23 : 456, 1765
3 Golan I, Preising M, Wagener H, et al : A novel missense mutation of the CBFA1 gene in a family with cleidocranial dysplasia (CCD) and variable expressivity. J Craniofac Genet Dev Biol 20(3) : 113, 2000
4 Visosky AM, Johnson J, Bingea B et al : Otolaryngological manifestations of cleidocranial dysplasia, concentrating on audiological findings. Laryngoscope 113(9) : 1508, 2003   DOI   ScienceOn
5 Becker A, Shteyer A, Bimstein E et al : Cleidocranial dysplasia: Part 2--Treatment protocol for the orthodontic and surgical modality. Am J Orthod Dentofacial Orthop 111(2) : 173, 1997   DOI   ScienceOn
6 Jensen BL, Kreiborg S : Dental treatment strategies in cleidocranial dysplasia. Br Dent J 172(6) : 243, 1992   DOI   ScienceOn
7 Petropoulos VC, Balshi TJ, Balshi SF et al : Treatment of a patient with cleidocranial dysplasia using osseointegrated implants: a patient report. Int J Oral Maxillofac Implants 19(2) : 282, 2004
8 Mundlos S, Otto F, Mundlos C et al : Mutations involving the transcription factor CBFA1 cause cleidocranial dysplasia. Cell 89 : 773, 1997   DOI   ScienceOn
9 Marie P, Sainton P : Observation d'hydrocephalie here ditaire par vice de devalopment du crane et du ceverau. Bull Soc Med Hop Paris 14 : 706, 1987
10 Farrar EL, Van Sickels JE : Early surgical management of cleidocranial dysplasia: a preliminary report. J Oral Maxillofac Surg 41(8) : 527, 1983   DOI   ScienceOn
11 Weintraub GS, Yalisove IL : Prosthodontic therapy for cleidocranial dysostosis: report of case. J Am Dent Assoc 96(2) : 301, 1978
12 Otto F, Thornell AP, Crompton T et al : Cbfa1, a candidate gene for cleidocranial dysplasia syndrome, is essential for osteoblast differentiation and bone development. Cell 89(5) : 765, 1997   DOI   ScienceOn
13 Erlebacher A, Derynck R : Increased expression of TGFbeta 2 in osteoblasts results in an osteoporosis-like phenotype. J Cell Biol 132 : 195, 1996   DOI   ScienceOn
14 Lombardas P, Toothaker RW : Bone grafting and osseointegrated implants in the treatment of cleidocranial dysplasia. Compend Contin Educ Dent 1997 18(5) : 509, 1997
15 Yamamoto H, Sakae T, Davies JE : Cleidocranial dysplasia: a light microscope, electron microscope, and crystallographic study. Oral Surg Oral Med Oral Pathol 68(2) : 195, 1989   DOI   ScienceOn
16 Jarvinen S : Cephalometric findings in three cases of cleidocranial dysostosis. Am J Orthod 79(2) : 184, 1981   DOI   ScienceOn
17 Robert EM, Diane S: Oral and maxillofacial pathology, Hong-Kong, Quintessence Book, 2003
18 Quack I, Vonderstrass B, Stock M et al : Mutation analysis of core binding factor A1 in patients with cleidocranial dysplasia. Am J Hum Gen 65 : 1268, 1999   DOI   ScienceOn
19 Davies TM, Lewis DH, Gillbe GV : The surgical and orthodontic management of unerupted teeth in cleidocranial dysostosis. Br J Orthod 14(1) : 43, 1987
20 Becker A, Lustmann J, Shteyer A : Cleidocranial dysplasia: Part 1--General principles of the orthodontic and surgical treatment modality. Am J Orthod Dentofacial Orthop 111(1) : 28, 1997   DOI   ScienceOn
21 Hitchin AD : Cementum and other root abnormalities of permanent teeth in cleidocranial dysostosis. Br Dent J 139(8) : 313, 1975   DOI   ScienceOn