Symptoms:

Patients with cleidocranial dysostosis have a jaw and brow area that sticks out. The middle of their nose (nasal bridge) is wide.

The collar bones may be missing or abnormally developed. This pushes the shoulders together in front of the body.

Primary teeth do not fall out at the expected time. Adult teeth may develop later than normal, and an extra set of adult teeth grow in. This causes the normal teeth to become crooked.

The condition does not affect one's intelligence.

Other symptoms can include

• Ability to touch shoulders together in front of body
• Delayed closure of fontanelles ("soft spots")
• Loose joints
• Prominent forehead (frontal bossing)
• Short forearms
• Short fingers

Signs and tests:

There is often a family history of cleidocranial dysostosis. X-rays are usually taken and may show:

• Undergrowth of the collarbone
• Undergrowth of the shoulder blade
• Failure of the area in the front of the pelvis bone to close

Treatment:

There is no specific treatment for the bone problems. An oral surgeon should monitor teeth regularly. An otologist should check for hearing problems.

Expectations (prognosis):

The bone symptoms usually cause few problems. Appropriate dental care is important.

Complications:

Complications include dental problems and shoulder dislocations.

Calling your health care provider:

Call your health care provider if you have a family history of cleidocranial dysostosis and are planning to have a child. Also call if you have a child with similar symptoms.

Prevention:

Genetic counseling is appropriate if a person with a family or personal history of cleidocranial dysostosis is planning to have children.