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Article: Volume 47 Number 11 Page 928 - December 2020

  Dent Update 2020; 47: 928-933  Read article

Restorative dentistry:  Dentinogenesis Imperfecta: Development of Treatment Strategies over 40 Years

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Abstract: Dentinogenesis Imperfecta (DI) is an inherited autosomal dominant disorder of dentine formation, which affects both primary and permanent dentitions. This paper discusses four cases of DI within one family over three generations and illustrates how increased knowledge of this condition and different severities of the condition are managed differently. This case series represents a family of three generations, the grandmother, her children (son and daughter) and her granddaughter (son’s daughter), who all have been affected by DI. This paper summarizes the restorative rehabilitation of each family member, spanning over the last 40 years.

Clinical relevance: These generational cases show how dental care has progressed over time, highlighting the need for early identification of DI. Sharing information and strategies on the management of rare dental conditions will improve patient care and outcomes.

Author notes: Claire Forbes-Haley, Consultant in Restorative Dentistry, S Nandra, Dental Core Trainee, Restorative and Paediatric Dentistry, Surina Bhola, Dental Core Trainee, Restorative and Oral and Maxillofacial Surgery, A Najran, Dental Core Trainee, Restorative and Paediatric Dentistry, Bristol Dental Hospital, Lower Maudlin Street, BS1 2LY, UK. email: surina.bhola@nhs.net

Objective: To understand the clinical implications of dentinogenesis imperfecta (DI), and be able to diagnose DI based on clinical and radiographic examination, and to understand the implications of treatment.