Apert syndrome is also known as Apert-Crouzon syndrome or Acrocephalic syndactyly.  It is a rare developmental condition characterized by early synostosis of the sutures, producing alterations in growth.  It presents with associated brachicephalia and a protuberant frontal region and ridge which may pass to the root of the nose,  syndactyly of the hands and feet, malformation of the nasal structures, megalocornea, divergent strabismus, orbital hypoplasia and other malformations such as maxillary hypoplasia with a relative mandibular prognatism, and a high arched palate which is sometimes cleft.  Dental crowding with delayed eruption is common in this condition.  The nose is small and has a parrot beak appearance.  It is believed to be transmitted in an autosomal dominant fashion.  The panoramic radiograph of the patient shows marked dental crowding  in the maxilla and a supernumerary mesiodens. The hands and feet have been operated to correct the syndactylies.