PMC6300120_01
Intra-oral views of patient; (a) note the macrodontic teeth #12, #22, #32, #42, #31, #41, shovel-shaped teeth #11, #21, enamel opacity on tooth #12, enamel hypoplysia on tooth #22, (b) extra palatinal tubercles on teeth #17, #27, carabelli tubercles on teeth #16, #26 and (c) extracted macrodontic multituberculated tooth #38. Extra-oral views of patient; (d) showing no abnormalty and (e, f) Pink birth mark extending from her first toe of the right foot to her right leg.
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The right and left maxillary second premolars had been extracted during previous orthodontic treatment (Figure 1a-c). Only a generalised birth mark in pink colour was detected extending from her first toe of the right foot to her right leg (Figure 1d-f).
(a) Panoramic radiography showed macrodontic impacted third molars (red stars), root dilaceration on teeth #14, #27 (red arrows). CBCT images of the patient; 3D views of (b, c) Macrodontic multituberculated teeth #18, #28, #38, #48 (red arrows), (c) Extra palatinal tubercles on teeth #17, #27 (red stars), Axial images showing (d) C-shaped large palatinal root canal of tooth #17, double palatinal rooted tooth #27, (e) Enameloma on teeth #17, #27 (red arrows), Saggital images showing (f) Root dilaceration on tooth #14, (g) Dilaceration on cemento-enamel junction and pulp stone on tooth #22 (red arrows).
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Panoramic radiography showed macrodontic impacted third molars, root dilacerations on the right maxillary first premolar and left maxillary second molar (Figure 2a). C-shaped large palatinal root canal in the right maxillary second molar, double palatinal rooted left maxillary second molar, pulp stone on the left maxillary lateral incisor, enameloma on the right and left maxillary second molars, dilaceration on the right maxillary first premolar and left maxillary second molar, macrodontic multituberculated impacted third molars were also detected during the investigation of the CBCT images (Figure 2b-f).