case_images: PMC7908325_01
case_images: A) maxillary arch showing retained deciduous teeth, missing permanent teeth and palatal tori; B) mandibular arch showing retained deciduous teeth, missing permanent teeth; C) panoramic radiograph showing generalised absence of permanent tooth bud in both arch; D) thinning and splitting of hair; E) thin and brittle fingernails; F) toenails showing ridging
case_images: PAMJ-36-229-g001.jpg
case_images: PMC7908325_01_PAMJ-36-229-g001.jpg
case_images: F1
case_images: Maxillary palatine tori noticed with poor gingival and periodontal condition, oral mucosa was normal (Figure 1).
case_images: PMC7908325_02
case_images: A) maxillary arch showing retained deciduous teeth, missing permanent teeth and palatal tori; B) mandibular arch showing retained deciduous teeth, missing permanent teeth; C) panoramic radiograph showing generalised absence of permanent tooth bud in both arch; D) thinning of hair; E) thin and brittle fingernails; F) toenails showing ridging and koilonychia
case_images: PAMJ-36-229-g002.jpg
case_images: PMC7908325_02_PAMJ-36-229-g002.jpg
case_images: F2
case_images: Maxillary palatine tori was also common with poor periodontal condition having generalized stains and calculus, oral mucosa was normal (Figure 2). Investigation: panoramic radiograph showed generalized missing of permanent tooth bud in both maxillary and mandibular arch (Figure 2).