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Up-to Date Review And Case Report

Table III

Summary of different therapeutic strategies to rectify oral impairments of cleidocranial dysplasia in the literature.

Strategy Intervention age Intervention type Reference
Toronto–Melbourne 5-6 years Extraction of the temporary incisors [6,7]
6-7 years Creation of anterior mucoperiosteal flaps to uncover permanent incisors and fixation of brackets for orthodontic traction; Extraction of temporary molars
9–12 years Creation of posterior flaps to uncover permanent canines and premolars and fixation of brackets for orthodontic traction;
Extraction of supernumerary teeth
Jerusalem 10–12 years Extraction of anterior temporary teeth
Extraction of supernumerary teeth
Creation of anterior mucoperiosteal flaps and fixation of brackets on permanent incisors for orthodontic traction
[3,4]
13 years and older Extraction of posterior temporary teeth;
Creation of posterior flaps and fixation of brackets on canines and permanent premolars for orthodontic traction
Belfast–Hamburg Non-specific age Only one procedure: Extraction of temporary teeth and supernumerary teeth; Creation of anterior and posterior flaps to expose the permanent teeth; Implementation of regularly renewed surgical “packs” that allow second-line healing; Fixation of brackets to permanent teeth when accessible. [1]
The Bronx Non-specific age First procedure: Avulsion of all supernumerary teeth;
Second procedure: Creation of anterior and posterior flaps and fixation of brackets on permanent incisors for orthodontic traction;
Installation of removable prostheses for temporization over the arches;
Third procedure (if necessary): Conduct osteotomies and implant placement
[8]

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