case_images: PMC11134137_01
case_images: Pedigree chart of the patient.
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case_images: The referral originated from the Department of Pediatrics at Justice KS Hegde Charitable Hospital, with a thorough family history analysis that revealed no hereditary patterns of the disease and parents involved in a non-consanguineous marriage ( Figure 1).
case_images: Timeline depicting the medical history of the patient.
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case_images: The subsequent timeline showing the major events is shown in Figure 2.
case_images: Extraoral photographs of the patient.
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case_images: On physical examination, the child presented with a clumsy gait, thick coarse hair and skin, generalised facial puffiness ( Figure 3) and brittle unkempt nails.
case_images: Pre operative (a - Maxilla, b - Mandible) and Post operative photographs (c - Maxilla, d - Mandible) of the patient.
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case_images: f4
case_images: Tooth Number 63, 64, Glass Ionomer Cement Type IX restoration with respect to FDI Tooth Number 65, 75, 55; Indirect Pulp therapy with respect to FDI Tooth Number 51, 53, 54, 74, 84, 85 (Biodentine); Composite Restoration with respect to FDI Tooth Number 63, 51; Extraction with respect to FDI Tooth Number 61, 62; Topical Fluoride application (APF gel)), was undertaken by the Department of Pediatric and Preventive Dentistry ( Figure 4). This comprehensive interdisciplinary effort aimed to address the diverse health concerns of the child efficiently and with due consideration of their overall well-being.