PMC3039604_01
Hand and wrist X-rays, with bone age corresponding to chronological age.
1752-1947-5-38-1.jpg
PMC3039604_01_1752-1947-5-38-1.jpg
F1
We also carried out an auxological examination, and found that our patient's bone age was compatible with his chronological age (verified by assessment of the radiographs of the hand and wrist), but his ponderal growth was delayed (Figure 1).
Absence of lower and the upper right canines, delayed eruption and rotation of the lower incisors incipient cavities.
1752-1947-5-38-2.jpg
PMC3039604_01_1752-1947-5-38-2.jpg
F2
The oral clinical examination revealed the absence of both the lower and upper right canines, delayed eruption and rotation of the lower incisors due to deciduous incipient cavities (Figure 2), and a high, narrow palate (Figure 3).
Narrow palate (previous surgical procedure for cleft palate).
1752-1947-5-38-3.jpg
PMC3039604_01_1752-1947-5-38-3.jpg
F3
The oral clinical examination revealed the absence of both the lower and upper right canines, delayed eruption and rotation of the lower incisors due to deciduous incipient cavities (Figure 2), and a high, narrow palate (Figure 3).
Panoramic radiographic view demonstrating chronologically delayed eruption and radicular abnormalities of the second molars.
1752-1947-5-38-4.jpg
PMC3039604_01_1752-1947-5-38-4.jpg
F4
Based on the panoramic radiograph, our patient presented with chronologically delayed eruption and radicular abnormalities of the second molars (Figure 4).
Anteroposterior X-ray of the skull showing hypoplastic frontal sinuses and mild nasal septum deviation.
1752-1947-5-38-5.jpg
PMC3039604_01_1752-1947-5-38-5.jpg
F5
Anteroposterior radiological sinonasal findings showed hypoplastic frontal sinuses and mild nasal septum deviation (Figure 5).
Lateral radiography views of the skull, with skeletal class II, ethmoid cell hypoplasia, frontal bone thickness, normal maxillary sinus and mild frontal hyperostosis.
1752-1947-5-38-6.jpg
PMC3039604_01_1752-1947-5-38-6.jpg
F6
In addition lateral radiography views of our patient's skull showed skeletal class II, ethmoid cell hypoplasia, frontal bone thickness, a normal maxillary sinus and mild hyperostosis frontalis (Figure 6).