PMC6975004_01
Anterior facial view
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F1
Extraoral examination revealed mild features of facial dysmorphism such as long narrow face, mandibular prognathism, large narrow nose with a high narrow nasal bridge, and large protruding anteverted ears [Figure 1].
(a) Anterior view. (b) Maxillary occlusal view
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F2
The incisors were of unusual morphology, displaying conical or screwdriver shape, along with the presence of notched incised edges (Hutchinson's incisors) [Figure 2a]. Talon's cusps were observed on both the upper lateral incisors [Figure 2b]. The molars displayed unusual morphology due to the presence of central supernumerary cusps and a globular appearance (mulberry molars).
Orthopantomograph and cone-beam computed tomography images showing: (A) Impacted supernumerary teeth.(B) Pulpal calcifications/stones. (C) Taurodontism
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F3
Radiological examination revealed the presence of impacted supernumerary teeth in relation to 46 and 36 [Figure 3A]. Pulpal pathologies such as multiple pulp stones in relation to 16 and 26 [Figure 3B] and enlarged pulp chambers suggestive of taurodontism in relation to 13 [Figure 3C] were also evident.
Three-dimensional images showing facially impacted 13. (a) Facial view. (b) Palatal view. (c) Occlusal view. (d) Lateral view
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F4
Since the 13 is bucally impacted [Figure 4a-d], space creation for 13 would be required, followed by surgical exposure under local anesthesia and traction into the arch.