PMC9363210_01
Evidence of pupillary dyscoria.
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Her extraoral characteristics included pupillary dyscoria (Figure 1), corectopia, blepharitis, abnormalities in the iris, and posterior embryotoxon.
There is a greater predominance of the upper third of the face with respect to the middle and lower thirds. A slightly flattened mentolabial angle is observed.
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In profile analysis, there is a greater predominance of the upper third of the face with respect to the middle and lower thirds (Figure 2). Moreover, a slightly flattened infraorbital area, prominent cheekbones, straight nasolabial angle, superior retrochelia, resting labial seal, inferior normochelia, and slightly flattened mentolabial angle are observed (Figure 2).
The lateral cephalic radiography shows skeletal Class III due to mild maxillary macrognathism.
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III due to mild maxillary macrognathism is shown. In addition, an increased lower facial third is observed (Figure 3).
Panoramic X-ray shows teeth 17-11-21-23-24 and 27 in intraosseous formation, in Nolla stage between 3 and 5. The formation of the other maxillary permanent teeth is not appreciated, indicating their agenesis (a and b). Panel (b) shows a close-up view of the anterosuperior area. The formation of teeth 12, 22, and 13 is not appreciated.
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The panoramic X-ray (Figure 4) shows a slightly narrower right nostril than the left. Teeth 17-11-21-23-24 and 27 are in intraosseous formation, in Nolla stage between 3 and 5; therefore, the formation of the other maxillary permanent teeth is not appreciated, indicating their agenesis (Figure 4). The patient presents mixed mandibular dentition (Figures 4 and 5); it is also observed that 36-31-41-46 erupted without apical closure (physiological phase), complete deciduous dentition, except 71 and 81 already exfoliated (Figure 4).
Asymmetrical oval arches and dental malocclusion Class III are shown (a and b). Traction upper labial frenulum associated with lack of vertical development of the superior alveolar process is observed (c, d, and e).
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The patient presents mixed mandibular dentition (Figures 4 and 5); it is also observed that 36-31-41-46 erupted without apical closure (physiological phase), complete deciduous dentition, except 71 and 81 already exfoliated (Figure 4). Asymmetric oval arches and dental malocclusion Class III are shown (Figure 5).
The existence of an everted umbilicus.
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