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Living with Cleidocranial dysostosis

A genetic condition mainly affecting bone and tooth development, with underdeveloped collarbones and a late-closing skull.

Understanding Cleidocranial dysostosis

Cleidocranial dysostosis (cleidocranial dysplasia) is a condition that mainly affects the development of the bones and teeth.

Signs vary widely, even within a family. Collarbones are underdeveloped or absent, so the shoulders are narrow and sloping and can be brought close together. The skull bones close late, and the soft spots (fontanelles) may stay open for life. Some people have extra small bones (Wormian bones) in the skull. GARD lists onset during pregnancy and at birth.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Underdeveloped or absent collarbones
  • Late-closing soft spots in the skull
  • Dental differences
  • Rib and hand bone differences
  • Underdeveloped cheekbones
  • Long-lasting middle ear infections

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists, genetic specialists and gum, teeth and mouth specialists.

  3. Consider genetic testing

    Changes in RUNX2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Little People of America may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists)
Expert care
Expert lists: Little People of America
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Little People of America and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can RUNX2 genetic testing confirm the diagnosis?
How should dental care be planned from childhood?
Should hearing and ear infections be monitored?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant
GenesRUNX2

GARD says changes in the RUNX2 gene cause this condition. It is autosomal dominant, so one changed copy of the gene can be enough.

Genetic

Also known as: ccd - cleidocranial dysplasia; clcd - cleidocranial dysplasia; clcd1; cleidocranial dysplasia; cleidocranial dysplasia 1; craniocleidodysostosis

Patient organizations

Source: NIH GARD · Cleidocranial dysostosisGARD ID 6118 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Cleidocranial dysostosis.

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HealthSpark

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