PMC9218817_01
Case report. (A) Orthopantomogram X-ray of our 10-year-old Singleton-Merten patient. In orange, a first permanent molar (tooth n 46) and central permanent mandibular incisors (teeth n  31-41) with short roots were highlighted. To compare, a healthy patient's teeth are shown in a green insert. (B) Photography of the patient. (C,D) Intra-oral photographies of the maxillary and the mandibular arch. (E) First molar enamel. (F) Second temporary molar dentin. (G) First molar cement.
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F3
The patient experienced pain due to numerous carious lesions, associated with dental and jawbone anomalies visible on the panoramic radiograph (Figure 3). Intra-oral examination revealed multiple caries, severe teeth malposition, especially in the anterior arch, and oral hygiene deficiency with a 100% plaque index (Figure 3).