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Figure 5: Intra-oral examination revealed that the patient had an anterior open bite, v-shaped maxillary arch, hyperplastic frenum attachments, two conical shaped teeth in the space of missing 11, 21, and one conical supernumerary tooth in the space between missing 31, 41

Figure 5: Intra-oral examination revealed that the patient had an anterior open bite, v-shaped maxillary arch, hyperplastic frenum attachments, two conical shaped teeth in the space of missing 11, 21, and one conical supernumerary tooth in the space between missing 31, 41