case_images: PMC3880541_01
case_images: Full face photo.
case_images: 1756-0500-7-3-1.jpg
case_images: PMC3880541_01_1756-0500-7-3-1.jpg
case_images: F1
case_images: A 14-year-old Chinese boy suffering from major beta-thalassemia was referred to the dental clinic for treatment of rampant dental caries (Figure 1).
case_images: Pale conjunctiva.
case_images: 1756-0500-7-3-2.jpg
case_images: PMC3880541_01_1756-0500-7-3-2.jpg
case_images: F2
case_images: His conjunctiva was pale, a symptom of anemia (Figure 2).
case_images: Bruising of the lips.
case_images: 1756-0500-7-3-3.jpg
case_images: PMC3880541_01_1756-0500-7-3-3.jpg
case_images: F3
case_images: Oral examination revealed bruising of the lips (Figure 3) and depapillation of the tongue (Figure 4), indicating an underlying condition of anemia.
case_images: Depapillation of the tongue.
case_images: 1756-0500-7-3-4.jpg
case_images: PMC3880541_01_1756-0500-7-3-4.jpg
case_images: F4
case_images: Oral examination revealed bruising of the lips (Figure 3) and depapillation of the tongue (Figure 4), indicating an underlying condition of anemia.
case_images: Pre-treatment intra-oral frontal view.
case_images: 1756-0500-7-3-5.jpg
case_images: PMC3880541_01_1756-0500-7-3-5.jpg
case_images: F5
case_images: The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
case_images: Pre-treatment upper occlusal view.
case_images: 1756-0500-7-3-6.jpg
case_images: PMC3880541_01_1756-0500-7-3-6.jpg
case_images: F6
case_images: The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
case_images: Pre-treatment lower occlusal view.
case_images: 1756-0500-7-3-7.jpg
case_images: PMC3880541_01_1756-0500-7-3-7.jpg
case_images: F7
case_images: The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
case_images: Pre-treatment left buccal view.
case_images: 1756-0500-7-3-8.jpg
case_images: PMC3880541_01_1756-0500-7-3-8.jpg
case_images: F8
case_images: The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
case_images: Pre-treatment right buccal view.
case_images: 1756-0500-7-3-9.jpg
case_images: PMC3880541_01_1756-0500-7-3-9.jpg
case_images: F9
case_images: The patient had a full, permanent dentition (except the third molar) with caries on all 28 erupted teeth (Figures 5, 6, 7, 8 and 9).
case_images: Pre-treatment panoramic radiograph.
case_images: 1756-0500-7-3-10.jpg
case_images: PMC3880541_01_1756-0500-7-3-10.jpg
case_images: F10
case_images: A panoramic radiograph (Figure 10) revealed extensive caries on the dentition.
case_images: Pre-treatment periapical radiographs.
case_images: 1756-0500-7-3-11.jpg
case_images: PMC3880541_01_1756-0500-7-3-11.jpg
case_images: F11
case_images: By electric pulp test, all maxillary premolars, anterior teeth, and lower-right premolars were found nonvital with apical radiolucencies on several nonvital premolars (Figure 11).
case_images: Front view after SDF treatment.
case_images: 1756-0500-7-3-12.jpg
case_images: PMC3880541_01_1756-0500-7-3-12.jpg
case_images: F12
case_images: Caries were found arrested and turned coal black in appearance (Figure 12).
case_images: Upper occlusal view after SDF treatment.
case_images: 1756-0500-7-3-13.jpg
case_images: PMC3880541_01_1756-0500-7-3-13.jpg
case_images: F13
case_images: All of the enamel of the upper and lower-left second premolars, and two lower right premolars, was no longer existent, leaving a smooth, hardened, black dentine core behind (Figures 13, 14, 15 and 16).
case_images: Lower occlusal view after SDF treatment.
case_images: 1756-0500-7-3-14.jpg
case_images: PMC3880541_01_1756-0500-7-3-14.jpg
case_images: F14
case_images: All of the enamel of the upper and lower-left second premolars, and two lower right premolars, was no longer existent, leaving a smooth, hardened, black dentine core behind (Figures 13, 14, 15 and 16).
case_images: Left buccal view after SDF treatment.
case_images: 1756-0500-7-3-15.jpg
case_images: PMC3880541_01_1756-0500-7-3-15.jpg
case_images: F15
case_images: All of the enamel of the upper and lower-left second premolars, and two lower right premolars, was no longer existent, leaving a smooth, hardened, black dentine core behind (Figures 13, 14, 15 and 16).