Cleidocranial Dysplasia: 2 Generations of Management

Patients with cleidocranial dysplasia (CCD) commonly present with significant dentalproblems, such as retention of multiple deciduous teeth, impaction or delay in eruptionof permanent teeth and, often, the presence of supernumerary teeth. Several approacheshave been described for the management of such patients. We report 2 cases illustratingthe shift in the management paradigm from edentulation and prosthetic replacementto orthodontically assisted forced eruption and fixed appliance orthodontic treatmentcombined with orthognathic surgery.