PMC3880541_01
Full face photo.
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F1
A 14-year-old Chinese boy suffering from major beta-thalassemia was referred to the dental clinic for treatment of rampant dental caries (Figure 1).
Pale conjunctiva.
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F2
His conjunctiva was pale, a symptom of anemia (Figure 2).
Bruising of the lips.
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F3
Oral examination revealed bruising of the lips (Figure 3) and depapillation of the tongue (Figure 4), indicating an underlying condition of anemia.
Depapillation of the tongue.
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F4
Oral examination revealed bruising of the lips (Figure 3) and depapillation of the tongue (Figure 4), indicating an underlying condition of anemia.
Pre-treatment intra-oral frontal view.
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F5
The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
Pre-treatment upper occlusal view.
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F6
The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
Pre-treatment lower occlusal view.
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F7
The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
Pre-treatment left buccal view.
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F8
The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
Pre-treatment right buccal view.
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F9
The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
Pre-treatment panoramic radiograph.
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F10
A panoramic radiograph (Figure 10) revealed extensive caries on the dentition.
Pre-treatment periapical radiographs.
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F11
By electric pulp test, all maxillary premolars, anterior teeth, and lower-right premolars were found nonvital with apical radiolucencies on several nonvital premolars (Figure 11).
Front view after SDF treatment.
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F12
Caries were found arrested and turned coal black in appearance (Figure 12).
Upper occlusal view after SDF treatment.
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F13
All of the enamel of the upper and lower-left second premolars, and two lower right premolars, was no longer existent, leaving a smooth, hardened, black dentine core behind (Figures 13, 14, 15 and 16).
Lower occlusal view after SDF treatment.
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F14
All of the enamel of the upper and lower-left second premolars, and two lower right premolars, was no longer existent, leaving a smooth, hardened, black dentine core behind (Figures 13, 14, 15 and 16).
Left buccal view after SDF treatment.
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F15
All of the enamel of the upper and lower-left second premolars, and two lower right premolars, was no longer existent, leaving a smooth, hardened, black dentine core behind (Figures 13, 14, 15 and 16).