PMC6945669_01
Facial view: enlarged lips and nose. Fingers appear thickened and stubby
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Extra oral clinical examination revealed classic features of acromegaly including facial asymmetry, thickened lips, mild mandibular prognathism, and retrusion of maxilla, proptosis, prominent nose and supraorbital ridges (Figure 1).
Macroglossia
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Intraoral examination revealed, macroglossia (Figure 3), Angle's class-III malocclusion, the first left molar 36 was decayed and poor oral hygiene (Figure 4).
Intraoral view
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Intraoral examination revealed, macroglossia (Figure 3), Angle's class-III malocclusion, the first left molar 36 was decayed and poor oral hygiene (Figure 4).
Orthopantomogram showing a generalized moderate bone loss, root fragment of 36 and hypercemoentosis (16,27,37 and 46)
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The patient was subjected to orthopantomogram radiographic examination which revealed generalized moderate bone loss, root fragment of 36 and hypercemoentosis (16,27,37 and 46) (Figure 5).