PMC5902100_01
Abdominal enlargement: at the initial visit (June 2016) and at the last control appointment (November 2017).
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fig1
At the moment of the patient's first dental visit, the presence was evident of a huge abdominal growth due to ascites (Figure 1).
Extraoral views. Note the audition appliances.
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fig2
The facial profile was markedly convex with an increased lower third, retrusive chin, protruding maxilla, closed nasolabial angle, and manifested lip incompetence (mouth permanently open) (Figure 2).
View of the macroglossia.
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fig3
Intraorally, the examination showed both arches with interdental spacing, carious cavities in all primary molars, a root remnant of the upper left lateral incisor with related abscess fistula and gingival swelling, and macroglossia associated with an evident anterior open bite (Figure 3).