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Case Reports in Dentistry
Volume 2014 (2014), Article ID 901071, 5 pages
http://dx.doi.org/10.1155/2014/901071
Case Report

Cleidocranial Dysplasia Case Report: Remodeling of Teeth as Aesthetic Restorative Treatment

1Graduate Program in Dentistry, Positivo University, 5300 Rua Professor Pedro Viriato Parigot de Souza, 81280-330 Curitiba, PR, Brazil
2Department of Orthodontics, Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Al. Octávio Pinheiro Brisolla 9-75, Vila Universitária, 17012-901 Bauru, SP, Brazil
3University of São Paulo, Bauru, Al. Octávio Pinheiro Brisolla 9-75, Vila Universitária, 17012-901 Bauru, SP, Brazil

Received 17 March 2014; Accepted 5 June 2014; Published 18 June 2014

Academic Editor: Alberto C. B. Delbem

Copyright © 2014 Leonardo Fernandes da Cunha et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.