case_images: PMC11766404_01
case_images: (a) Panoramic radiograph and (b) periapical radiographs were taken of the 7-year and 4-month-old patient (first visit). The film shows the patient's primary teeth with a decayed-missing-filled-teeth index (DMFT) of 10. (b) The red arrows show rudimentary formations on tooth numbers 15 and 25. The yellow arrow heads show microdontia on tooth numbers 35 and 45.
case_images: jcm-14-00603-g001.jpg
case_images: PMC11766404_01_jcm-14-00603-g001.jpg
case_images: jcm-14-00603-f001
case_images: Figure 1 shows the radiographic images taken during the first dental visit. The primary molars and canine teeth exhibited poor oral hygiene, with a DMFT of 10 on the primary teeth, as shown on a standard panoramic radiograph (Figure 1a) and periapical radiographs (Figure 1b).
case_images: These images were taken of the patient at age 12, five years after completing dental treatment. (a) Intraoral pictures show microdontia on tooth numbers 35 and 45 (black circles). Black arrows show the cervical line on the enamel of tooth numbers 34 and 44 (chronological hypoplasia). A lingual holding arch was placed on the lower arch to prevent mesial shift of tooth numbers 36 and 46. (b) This panoramic radiograph was taken after the completion of dental treatment. It shows a DMFT of 0 on permanent teeth. The yellow arrows show microdontia on tooth numbers 35, 37, 45, and 47. The blue arrow shows where tooth number 17 is missing, and the red arrow shows a minor calcification mass on tooth number 27.
case_images: jcm-14-00603-g002.jpg
case_images: PMC11766404_01_jcm-14-00603-g002.jpg
case_images: jcm-14-00603-f002
case_images: Examination of intraoral (Figure 2a) and radiograph pictures (Figure 2b) revealed microdontia in tooth numbers 35, 37, 45, and 47 (Figure 2b, yellow arrows). It was also observed that tooth numbers 17 and 27 were missing (Figure 2b, blue and red arrows, respectively). Cervical lines on enamel (chronological hypoplasia) were found in all first permanent premolars (Figure 2a, black arrows). The overall oral hygiene could be rated as "fair" due to generalized gingivitis associated with the presence of biofilm with no carious lesions (Figure 2a).
case_images: Proposed oral care protocol form before, during, after CMT.
case_images: jcm-14-00603-g003.jpg
case_images: PMC11766404_01_jcm-14-00603-g003.jpg
case_images: jcm-14-00603-f003