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Dentistry · Tooth development and dental anatomy: cleidocranial dysplasia
Sample itemA 10-year-old can bring both shoulders together in front of the chest, has frontal bossing and open fontanelles, and retained primary teeth with unerupted supernumerary teeth. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Cleidocranial dysplasia
Cleidocranial dysplasia is caused by RUNX2 mutation and features absent or hypoplastic clavicles, delayed suture closure and multiple unerupted supernumerary teeth. Primary teeth are often retained.
Option by option
A. Apert syndrome
Apert syndrome features craniosynostosis and syndactyly.
B. Gardner syndrome
Gardner syndrome shows osteomas and colonic polyps, and supernumerary teeth less characteristically.
C. Cleidocranial dysplasia (correct)
Correct. Hypermobile shoulders with dental retention and extra teeth fit this disorder.
D. Treacher Collins syndrome
Treacher Collins syndrome shows malar hypoplasia and ear anomalies.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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