Case presentation A 4.5-year-old girl visited the OPD along with her mother, complaining of decayed upper front teeth. Birth and development history Normal delivery of the child. The mother did not suffer any medical condition or take medication during pregnancy. The child's height and weight were normal at birth. Motor skills, social and emotional, and language development were normal for the first 1.5 years.
Post 1.5 years of life, slowed and delayed development was seen. (Regression) Clinical features Continuous stereotypic hand movements. Tight clenching of her fingers led to wounds and wasting on her phalangeal joints. Incapable of carrying out hand functions like grasping, touching, and holding objects. Intraoral examination revealed four grossly decayed maxillary incisors and a recent history of involuntary teeth grinding, but no significant attrition was…
