A rare presentation of cleidocranial dysplasia with multiple dentigerous cysts

This case report presents a rare instance of Cleidocranial Dysplasia (CCD) in a 27-year-old male exhibiting multiple dentigerous cysts, a feature seldom documented in literature. The patient exhibited hallmark CCD features including short stature, drooping shoulders with hypermobility, frontal bossing, midface deficiency, and mandibular prognathism. Intraoral findings included multiple missing permanent teeth, retained deciduous teeth, and gingival swellings. Radiographic evaluation using orthopantomogram and CBCT revealed multiple impacted teeth, supernumerary teeth, open cranial sutures, and cystic lesions associated with impacted teeth. A multidisciplinary treatment plan was formulated involving surgical enucleation of cysts, orthodontic traction for eruption guidance, and prosthetic rehabilitation. This case emphasizes the importance of early diagnosis and coordinated multidisciplinary management in addressing the complex skeletal and dental manifestations of CCD to improve functional and esthetic outcomes.