Abstract:Dental hard tissue is subject to variety of disorders. Dentinogenesis Imperfecta is one such disorder attributed to heredity. It is known
to be an autosomal dominant trait. Teeth with such ‘imperfect’ dentin are liable to be weak and discolored. The disease has variable
penetration and therefore can be expressed as a range of phenotypic manifestations from mild discoloration and chipping to frank
attrition and multiple pulp canal exposures. Here we present a comparative study of a series of cases from differen… Show more
“…OI type V and VI do not seem to be affected by DI ( Schwartz & Tsipouras, 1984 ). The DI present in OI subjects is classified as Shields DI type I ( Shields, 1983 ) and is characterized by yellow to bluish-brown discoloration of teeth due to abnormal dentine ( Jindal et al, 2009 ; Shields, Bixler & El-Kafrawy, 1973 ) and short roots. Initially, the primary pulp chambers are uncharacteristically large, but they will calcify fairly rapidly.…”
Section: Dental Manifestations and Treatmentsmentioning
Osteogenesis imperfecta (OI) is a genetic disorder that is usually caused by disturbed production of collagen type I. Depending on its severity in the patient, this disorder may create difficulties and challenges for the dental practitioner. The goal of this article is to provide guidelines based on scientific evidence found in the current literature for practitioners who are or will be involved in the care of these patients. A prudent approach is recommended, as individuals affected by OI present with specific dentoalveolar problems that may prove very difficult to address. Recommended treatments for damaged/decayed teeth in the primary dentition are full-coverage restorations, including stainless steel crowns or zirconia crowns. Full-coverage restorations are also recommended in the permanent dentition. Intracoronal restorations should be avoided, as they promote structural tooth loss. Simple extractions can also be performed, but not immediately before or after intravenous bisphosphonate infusions. Clear aligners are a promising option for orthodontic treatment. In severe OI types, such as III or IV, orthognathic surgery is discouraged, despite the significant skeletal dysplasia present. Given the great variations in the severity of OI and the limited quantity of information available, the best treatment option relies heavily on the practitioner’s preliminary examination and judgment. A multidisciplinary team approach is encouraged and favored in more severe cases, in order to optimize diagnosis and treatment.
“…OI type V and VI do not seem to be affected by DI ( Schwartz & Tsipouras, 1984 ). The DI present in OI subjects is classified as Shields DI type I ( Shields, 1983 ) and is characterized by yellow to bluish-brown discoloration of teeth due to abnormal dentine ( Jindal et al, 2009 ; Shields, Bixler & El-Kafrawy, 1973 ) and short roots. Initially, the primary pulp chambers are uncharacteristically large, but they will calcify fairly rapidly.…”
Section: Dental Manifestations and Treatmentsmentioning
Osteogenesis imperfecta (OI) is a genetic disorder that is usually caused by disturbed production of collagen type I. Depending on its severity in the patient, this disorder may create difficulties and challenges for the dental practitioner. The goal of this article is to provide guidelines based on scientific evidence found in the current literature for practitioners who are or will be involved in the care of these patients. A prudent approach is recommended, as individuals affected by OI present with specific dentoalveolar problems that may prove very difficult to address. Recommended treatments for damaged/decayed teeth in the primary dentition are full-coverage restorations, including stainless steel crowns or zirconia crowns. Full-coverage restorations are also recommended in the permanent dentition. Intracoronal restorations should be avoided, as they promote structural tooth loss. Simple extractions can also be performed, but not immediately before or after intravenous bisphosphonate infusions. Clear aligners are a promising option for orthodontic treatment. In severe OI types, such as III or IV, orthognathic surgery is discouraged, despite the significant skeletal dysplasia present. Given the great variations in the severity of OI and the limited quantity of information available, the best treatment option relies heavily on the practitioner’s preliminary examination and judgment. A multidisciplinary team approach is encouraged and favored in more severe cases, in order to optimize diagnosis and treatment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.