PMC4093632_01
Intraoral photograph showing occlusal caries in relation to permanent left mandibular first molar
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F1
On intraoral examination, a carious lesion was present in relation to left mandibular first permanent molar; however, there was no tenderness on vertical percussion (Fig. 1).
Intraoral periapical radiograph showing developing supernumerary premolar close to the root of left mandibular first premolar
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F2
The radiograph (Fig. 2) revealed the carious lesion involving dentin, but not approximating the pulp, with an associated finding of a calcified structure resembling the crown of a developing premolar close to the root of left mandibular first premolar.
Orthopantomograph showing bilateral developing supplemental supernumerary premolars in both right and left mandibular premolar regions
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F3
A follow-up orthopantomograph (Fig. 3) was then advised to rule out presence of other supernumerary teeth elsewhere in the jaws.
Intraoral photograph of patient's mother showing tongue-tie
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F4
When explained about the treatment for it, the patient's mother was reluctant to get any surgical intervention done since she had a similar problem (Fig. 4) without any complaint.
Follow-up orthopantomogram
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F5
After 6 months, another orthopantomograph (Fig. 5) was taken and compared with the earlier one.