case_images: PMC5828096_01
case_images: Patient with Ellis-van Creveld syndrome.
case_images: CRID2018-8631602.001.jpg
case_images: PMC5828096_01_CRID2018-8631602.001.jpg
case_images: fig1
case_images: A 15-year-old female was referred to the Department of Prosthetic Dentistry for evaluation and prosthetic dental treatment of congenitally absent maxillary lateral incisors and mandibular incisors (Figure 1).
case_images: Hands showing polydactyly and hypoplastic nails.
case_images: CRID2018-8631602.002.jpg
case_images: PMC5828096_01_CRID2018-8631602.002.jpg
case_images: fig2
case_images: Polydactyly of hands was observed with dysplastic and atrophic finger and toe nails (Figure 2).
case_images: Absent maxillary lateral incisors and mandibular incisors, large maxillary labial frenum, multiple accessory labial frenula, midline diastema, mandibular anterior ridge defect, and crossbite.
case_images: CRID2018-8631602.003.jpg
case_images: PMC5828096_01_CRID2018-8631602.003.jpg
case_images: fig3
case_images: Laterally, there were multiple small accessory labial frenula (Figure 3).
case_images: Panoramic radiograph showing agenesis of maxillary lateral incisors, mandibular incisors, and all 4 third molars.
case_images: CRID2018-8631602.004.jpg
case_images: PMC5828096_01_CRID2018-8631602.004.jpg
case_images: fig4
case_images: Lateral cephalogram.
case_images: CRID2018-8631602.005.jpg
case_images: PMC5828096_01_CRID2018-8631602.005.jpg
case_images: fig5
case_images: Cervical Vertebrae Maturation Index (CVMI), using lateral cephalogram (Figure 5), depicted the patient to be in CVMI Stage V.
case_images: Quad helix cemented to maxillary molars.
case_images: CRID2018-8631602.006.jpg
case_images: PMC5828096_01_CRID2018-8631602.006.jpg
case_images: fig6
case_images: Initial activation of 8 mm was done extraorally, and the bands were cemented with glass ionomer cement (Ketac Cem Glass Ionomer Cement, 3M) on maxillary molars (Figure 6).
case_images: Andrew's removable component with Ceka Preciline attachments.
case_images: CRID2018-8631602.007.jpg
case_images: PMC5828096_01_CRID2018-8631602.007.jpg
case_images: fig7
case_images: Bar and Clip attachments (Preci-Horix, Ceka) were used to secure removable and fixed component (Figure 7).