Patient: This is a 53 year old female with a non-contributory medical history. She did have a thumb sucking habit in her childhood which likely affected the mamelons. She is a regular patient of mine in my office in Orange, CT and she is from Woodbridge, CT.
Description: Quite simply, this woman had the most amazing and defined mamelons I have ever seen in an adult patient. Her occlusion played a factor – she had an anterior open bite and occluded edge to edge on her central incisors. Her occlusion shot is seen here:
Note the anterior open bite. Bilateral first premolar contact is seen.
Note the well defined mamelons on 8 and 9 on the maxilla as well as all on the lower incisors.
The best part of this was the fact the patient was incredibly good natured and pleasant. She was proud of her mamelons! And so she should!