Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of Cleidocranial Dysplasia (CCD), characterized by persistent open fontanelles, hypoplastic or absent clavicles, and delayed eruption of permanent dentition. History significant for [insert specific concerns: e.g., masticatory dysfunction, aesthetic concerns regarding midface hypoplasia, or shoulder hypermobility]. No history of recurrent fractures or severe neurological deficits.
Clinical Examination Findings
Physical examination reveals brachycephaly with prominent frontal bossing and hypertelorism. Midface hypoplasia noted with depressed nasal bridge. Palpation of the shoulder girdle demonstrates excessive range of motion due to bilateral clavicular aplasia/hypoplasia, allowing for abnormal approximation of shoulders. Intraoral exam confirms supernumerary teeth, retained primary dentition, and high-arched palate.
Treatment Protocol
Multidisciplinary management plan initiated. Surgical intervention for midface hypoplasia (e.g., Le Fort I osteotomy) planned for skeletal maturity. Orthodontic consultation for management of supernumerary teeth and forced eruption of permanent dentition. Physical therapy recommended for shoulder girdle stabilization. Monitoring for potential spinal complications and bone density assessment.