case_images: PMC4086548_01
case_images: Frontal appearance of the patient
case_images: ijcpd-02-052-g001.jpg
case_images: PMC4086548_01_ijcpd-02-052-g001.jpg
case_images: F1
case_images: Extraoral examinations revealed that his hair and eyebrows were sparse, his supraorbital ridges and chin were prominent, protuberant and everted lips with angular cheilitis and reduced lower facial height (Fig. 1) contributed to a senile facial expression.
case_images: Self mutilation (A) Scratch marks over his hands,
  (B) Peeling of skin in fingers, (C and D) Burn marks on his
  palm and legs
case_images: ijcpd-02-052-g002.jpg
case_images: PMC4086548_01_ijcpd-02-052-g002.jpg
case_images: F2
case_images: Scratch marks on his hands, peeling of skin in fingers, burn marks on palm of hand and legs, (Figs 2A to D) and multiple scars over his forehead were seen.
case_images: Hyperkeratosis of palm of hand
  with deformity of nails
case_images: ijcpd-02-052-g003.jpg
case_images: PMC4086548_01_ijcpd-02-052-g003.jpg
case_images: F3
case_images: Nails were deformed with hyperkeratosis of palms of his hands (Fig. 3). 
case_images: Intraoral view: (A) Lower arch,
  (B) Upper arch
case_images: ijcpd-02-052-g004.jpg
case_images: PMC4086548_01_ijcpd-02-052-g004.jpg
case_images: F4
case_images: Following teeth were present (Figs 4A and B): 16, 55, 53, 11, 26, 31, 34, 36, 42 and 46.
case_images: Orthopantomograph showing hypodontia
case_images: ijcpd-02-052-g005.jpg
case_images: PMC4086548_01_ijcpd-02-052-g005.jpg
case_images: F5
case_images: Radiographic evaluation by an orthopantomograph confirmed hypodontia with missing 21, 45, 41 and presence of tooth buds of remaining teeth with delayed root formation (Fig. 5).
case_images: PMC4086548_02
case_images: PMC4086548_03
case_images: Postoperative view after removable
  partial denture insertion
case_images: ijcpd-02-052-g006.jpg
case_images: PMC4086548_03_ijcpd-02-052-g006.jpg
case_images: F6
case_images: To improve the child's appearance, mastication, and speech, removable dentures were fabricated and inserted (Fig. 6).
case_images: Follow-up after 1 year: (A) Lower arch, and
  (B) Upper arch
case_images: ijcpd-02-052-g007.jpg
case_images: PMC4086548_03_ijcpd-02-052-g007.jpg
case_images: F7
case_images: Every three month recall visits were planned and one year follow up revealed the following erupted teeth- 12, 14, 22 and 32 (Figs 7A and B).