case_images: PMC4365165_01
case_images: Female patient with scar mark on right upper lip area, sparse eyebrows, mild hypertelorism and potentially incompetent lips
case_images: JISP-19-88-g001.jpg
case_images: PMC4365165_01_JISP-19-88-g001.jpg
case_images: F1
case_images: Outpatient Division, Department of Periodontics, with the chief complaint of increased spacing between upper and lower anterior teeth since the last 2 years [Figure 1]. Occasionally, bleeding occurred while brushing teeth and hypersensitivity in lower anterior teeth with cold fluids. She had nasal twang in her voice, long nails without any gross digital anomaly, sparse eyebrows, mild hypertelorism, potentially incompetent lips and a scar mark on right upper lip area [Figures 1 and 3].
case_images: (a) Cleft lip scar before second repair surgery; (b) Postoperative view of cleft lip
case_images: JISP-19-88-g002.jpg
case_images: PMC4365165_01_JISP-19-88-g002.jpg
case_images: F2
case_images: She was operated at the age of 2 and 24 years [Figure 2] for surgical correction of CL.
case_images: Hand and feet with long nails and absence of any gross digital anomaly
case_images: JISP-19-88-g003.jpg
case_images: PMC4365165_01_JISP-19-88-g003.jpg
case_images: F3
case_images: She had nasal twang in her voice, long nails without any gross digital anomaly, sparse eyebrows, mild hypertelorism, potentially incompetent lips and a scar mark on right upper lip area [Figures 1 and 3].
case_images: (a-e) Oral examination; (f) Absence of any soft tissue defect on labial mucosa
case_images: JISP-19-88-g004.jpg
case_images: PMC4365165_01_JISP-19-88-g004.jpg
case_images: F4
case_images: Oral examination does not reveal any soft tissue defect on labial mucosa, palate, and gingiva [Figure 4]. Patient had 29 teeth of which 23, 31 and 41 were congenitally missing [Figure 4].
case_images: Panoramic radiograph
case_images: JISP-19-88-g005.jpg
case_images: PMC4365165_01_JISP-19-88-g005.jpg
case_images: F5
case_images: (a) Subgingival plaque sampling. (b) Microbiological culturing
case_images: JISP-19-88-g008.jpg
case_images: PMC4365165_01_JISP-19-88-g008.jpg
case_images: F6
case_images: Minute black colonies (3 x 104 CFU/mL) of Porphyromonas gingivalis were observed [Figure 6].