PMC6501246_01
(a and b) Intraoral maxillary and mandibular aspects before multiple dental extractions. (c) Panoramic radiograph before extractions.
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Intraoral examination revealed that many primary teeth (teeth 54, 52, 51, 61, 62, 64, 74, 72, 71, 81, and 82) were missing while remaining teeth (teeth 85, 84, 83, 73, 75, 65, 63, 53, and 55) exhibited plaque accumulation, multiple caries, and generalized grade III mobility with the formation of periodontal pockets (Figure 1); gingival tissues surrounding these teeth were inflamed, edematous, and tender to palpation, while those of edentulous regions appeared normal and nontender to palpation. Panoramic radiograph displayed several floating teeth with generalized horizontal and vertical bone loss (Figure 1).
Hyperkeratosis on hand palms (a and b) and dorsal surfaces (c).
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Hyperkeratosis of soles of feet (scaly and rough soles).
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(a) Maxillary and mandibular removable complete dentures. (b) Insertion of maxillary denture in the mouth.
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Two weeks after extractions, maxillary and mandibular RCDs were fabricated (Figure 4(a)) and inserted in the mouth (Figure 4(b)).
The erupting mandibular central incisors.
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Eight-month follow-up revealed the erupting mandibular central incisors (Figure 5).