Pediatric Dentistry · single question

Which developmental condition is characterized by supernumerary (extra) teeth and delayed eruption?

  1. Ectodermal dysplasia
  2. Cleidocranial dysplasia
  3. Treacher Collins syndrome (Mandibular dysostosis)
  4. Turner syndrome
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Correct answer: B. Cleidocranial dysplasia

Cleidocranial dysplasia (CCD) is an autosomal dominant skeletal dysplasia caused by mutations in the RUNX2 gene. Classic features include: (1) hypoplastic or absent clavicles (allowing patients to approximate their shoulders at the midline); (2) multiple supernumerary teeth; (3) delayed eruption or failure of eruption of permanent teeth; (4) wide cranial sutures and fontanelles; and (5) short stature. Treatment requires surgical extraction of retained primary teeth and supernumerary teeth, followed by orthodontic/prosthetic rehabilitation. Ectodermal dysplasia is characterized by hypodontia (fewer teeth), not supernumerary teeth.

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