PMC4327286_01
A= Frontal view of open mouth with patient's help. The limitation of mouth opening was a consequence of microstomia. B = Maximal upper occlusal view
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Due to her great difficulty in performing adequate oral hygiene, almost all of her teeth had been destroyed by caries lesions and were covered with dental plaque (Figure 1A and B).
PMC4327286_02
Panoramic radiograph showing the oral health status
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After evaluation of the panoramic radiograph (Figure 2) and intraoral examination, a treatment plan was established.
A= Immediate (maxillary right central and lateral incisors) and 7-day (maxillary left central and lateral incisors) postoperative aspect. Note the hemorrhagic blisters on the lip and palate after surgery. B= Oral aspect 1 month after the first surgical procedure
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Following the patient's conditioning therapy, the surgical procedures were carried out in 5 weekly appointments (Figure 3A). After each extraction, the healing process was very rapid and the patient did not complain about any pain (Figure 3B).
Frontal view of the patient's face partially showing the prosthetic appliance with two upper incisors
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A prosthetic appliance with two central incisors was prepared to replace the four maxillary anterior teeth, and it was delivered after the maxillary extractions had been completed (Figure 4).
PMC4327286_03
Frontal view of open mouth. The limitation of mouth opening was a consequence of the microstomia
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The teeth had advanced white spot lesions, and there was deposition of dental plaque on all teeth (Figure 5).
Panoramic radiograph showing the oral health status
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After the contact with the patient's physician, a panoramic radiograph was taken and a treatment plan was developed (Figure 6).
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