mohanpal--20 year old boy recalled from dept of ortho for his complaint regarding the spacing in his teeth...during routine check up ..we took a opg..in opg there were incomplete root formation in mandibular molars.some impacted teeth.retained deciduous..we shoot sum iopas..the picture was more clear..bone was normal but teeth were explaining the storey of sum thing unusual..but what was that..the very basic principle of osteosynthesis is BONE IS DYNEAMIC WHILE TOOTH IS STATIC...so we cant say anything by seeuing the bone..but there must be sum deficiency which cause disruption of growth during the development...
we took the medical history and general examination..patient was not intrested in activities like sports,tv,games...he left his school due to difficulty in memorising things and sum problem in his vision since 5 years.so we take opthalmology opinian..cataract surgery was done 3 years back..he was short in height..lean..nose was like mangaloid..frankly i thought about hypothyroidism..one striking part was his history of seizures for which he was taking carbazepine...since 7 years..he also gave history of seizures..so senario was totally full of confusion..we took medicine opinion ..physician give new insight he told it is tetany...
our teacher thought about sum rare syndrome..we sent the patient for calcium ,phosphate,alkaline phoshphatase...
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