PMC9894502_01
Frontal facial view showing coarse features: large head, short neck, broad nose tip, and thickened lips with flattened philtrum
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FIG1
On examination, the following facial features were observed: hypertelorism, flat nasal bridge, flared nose, upturned nasal tip, large mouth with broad lips, and a discrete anterior open bite (Figure 1).
Orthopantomography: cystic lesions with erupting impacted permanent teeth and bilateral hypoplasia of mandibular condyles with shortened vertical ramus height.
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FIG2
An irregular jaw arch was also seen with cyst-like areas of bone destruction surrounding unerupted permanent molar teeth and ramus of the mandible (Figure 2).
PMC9894502_02
Upper arch: unerupted tooth 21
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FIG3
Intraoral photograph: spacing between permanent teeth and enamel pitting
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FIG4
PMC9894502_03
Frontal facial view
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FIG5
Clinically, no coarse facial features were observed (Figure 5).
Intraoral photograph: enamel hypoplasia and dysmorphic superior premolars
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FIG6
Dental and osseous abnormalities were the principal findings on physical and radiographic examination, with enamel hypoplasia of permanent teeth, dysmorphic superior premolars (14, 15, 24, and 25), and severe anatomical alteration of the condyles (Figure 6 and Figure 7).
Orthopantomography: short mandible and flat irregular condyles surface
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FIG7
Dental and osseous abnormalities were the principal findings on physical and radiographic examination, with enamel hypoplasia of permanent teeth, dysmorphic superior premolars (14, 15, 24, and 25), and severe anatomical alteration of the condyles (Figure 6 and Figure 7).