PMC3292823_01
Retained deciduous teeth.
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F1
Oral findings include Class III malocclusion with anterior and posterior crossbite and retained deciduous teeth (Figure 1).
Orthopantomogram showing impacted supernumeraries.
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F2
An orthopantomogram revealed multiple unerupted permanent teeth and supernumerary teeth in the mandibular anterior region (Figure 2).
Absence of the clavicle - one of the confirmatory feature of central core disease.
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F3
A lateral cephalograph revealed wide skull sutures (Figure 3).
Lateral cephalogram showing open skull sutures.
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F4
The posteroanterior view of a chest radiograph revealed the absence of clavicles (Figure 4) and a bell-shaped ribcage.
Surgical removal of the retained mandibular deciduous teeth.
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F5
Permanent anterior teeth were exposed surgically (Figure 5) and orthodontic brackets and ligature wires were placed for traction for the permanent teeth to erupt, along with a lingual arch appliance to prevent the arch collapsing (Figure 6).
Bonded brackets for orthodontic traction of permanent teeth to erupt.
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F6
Permanent anterior teeth were exposed surgically (Figure 5) and orthodontic brackets and ligature wires were placed for traction for the permanent teeth to erupt, along with a lingual arch appliance to prevent the arch collapsing (Figure 6).
Surgical removal of the retained maxillary deciduous teeth.
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F7
The same procedure was performed in the maxillary anterior region after two months (Figure 7).
Six month recall - note the erupted permanent teeth assisted by orthodontic brackets.
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F8
After six months, the permanent teeth were erupting assisted by the orthodontic brackets and arch wire (Figure 8).