PMC7136759_01
A profile view of the patient's mandibular protrusion.
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A head and neck extraoral examination revealed a mandibular protrusion leading to a straight facial profile (Figure 1) and tight lips upon closure with a thick lower lip.
An intraoral anterior view of the patient's anterior cross bite.
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An intraoral examination showed racial melanin pigmentation, especially on attached gingiva, with anterior and bilateral cross bites (Figures 2 and 3).
An intraoral lateral view of the patient's posterior cross bite.
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An intraoral examination showed racial melanin pigmentation, especially on attached gingiva, with anterior and bilateral cross bites (Figures 2 and 3).
A view of the deep V-shaped maxillary vault of the patient. Bone enlargement in the molar area is also observed.
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Tooth #32 presented hypomineralization, while a very deep vault in the hard palate and bony enlargement of the posterior areas of the maxillary arch were also observed (Figure 4).
A panoramic radiograph showing the elongated roots of the teeth.
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A panoramic view of the patient's teeth show long roots (radiculomegaly) for most of the teeth, especially for the molar teeth (Figure 5).
PA X-ray of the long root of the teeth.
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Periapical radiographs also show unusually long roots (Figure 6).
CBCT view of some teeth.
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Measurements were made from the apex to the tip of the cusps in a slice orientation manner (Figure 7).