RESEARCH PAPER
Dentinogenesis Imperfecta type II – treatment strategy
in different age groups
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Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny
Department of Prosthodontics, Medical University of Warsaw
Acceptance date: 2022-08-17
Publication date: 2022-09-07
Prosthodontics 2022;72(3):282-287
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ABSTRACT
Dentinogenesis Imperfecta is an autosomal
dominant disease. The defect affects both
deciduous and permanent teeth. There are
three types of DGI. DGI type I associated with
osteogenesis imperfecta (OI), DGI type II as a
separate disease without OI, and DGI type III is
rare and found only in Maryland (USA), otherwise
known as the Brandywine type.
In the clinical examination colour of the
teeth varies from yellow through brown, grey
to blue with an opalescent translucent shine.
Radiographically, both deciduous and permanent
teeth present root canals and pulp chambers
with progressive obliteration short and narrow
roots, and improper dentine-enamel junction. The
enamel often becomes chipped away exposing
poorely mineralized dentine which can lead
to rapid attrition. The early detection of the
disorder is essential for undertaking preventative
measures and choosing appropriate treatment
plan with the goal of preserving. As the condition
progresses, treatment becomes more complicated
and requires interdisciplinary approach..
The aim of the study is to present the methods of treatment that can be used in cases of
dentinogenesis imperfecta type II, depending on
the patient’s age, type of dentition and the extent
of tooth destruction.