PMC5962253_01
Initial facial and intraoral photographs.
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The smile line was inadequate due to the patient's asymmetrical smile (Fig 1).  Additionally, the patient presented anterior open bite, 3.5-mm overjet, maxillary anterior crowding, long-term retention of #53, darkened #11, loss of teeth #16 and #36, tooth #13 in labial-mesial infraversion, tooth #12 in palatoversion, and excess axial inclination of maxillary and mandibular incisors (bimaxillary protrusion) (Fig 1). Lastly, a convex profile was found, with upper and lower lips positioned 7mm and 6mm forward relative to the S line, respectively (Fig 4, Table 1).
Initial panoramic radiograph.
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Periapical radiograph also revealed root dilaceration of tooth #13 and radiolucent image in periapex of tooth #11 (Figs 2 and 3).
Initial periapical radiographs.
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Periapical radiograph also revealed root dilaceration of tooth #13 and radiolucent image in periapex of tooth #11 (Figs 2 and 3).
Initial lateral cephalogram (A) and cephalometric tracing (B).
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Lastly, a convex profile was found, with upper and lower lips positioned 7mm and 6mm forward relative to the S line, respectively (Fig 4, Table 1).