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Disease Profile
Dentinogenesis imperfecta
Prevalence estimates on Rare Medical Network websites are calculated based on data available from numerous sources, including US and European government statistics, the NIH, Orphanet, and published epidemiologic studies. Rare disease population data is recognized to be highly variable, and based on a wide variety of source data and methodologies, so the prevalence data on this site should be assumed to be estimated and cannot be considered to be absolutely correct.
1-5 / 10 000
Age of onset
Childhood
ICD-10
K00.5
Inheritance
Autosomal dominant A pathogenic variant in only one gene copy in each cell is sufficient to cause an autosomal dominant disease.
Autosomal recessive Pathogenic variants in both copies of each gene of the chromosome are needed to cause an autosomal recessive disease and observe the mutant phenotype.
X-linked
dominant X-linked dominant inheritance, sometimes referred to as X-linked dominance, is a mode of genetic inheritance by which a dominant gene is carried on the X chromosome.
dominant X-linked dominant inheritance, sometimes referred to as X-linked dominance, is a mode of genetic inheritance by which a dominant gene is carried on the X chromosome.
X-linked
recessive Pathogenic variants in both copies of a gene on the X chromosome cause an X-linked recessive disorder.
recessive Pathogenic variants in both copies of a gene on the X chromosome cause an X-linked recessive disorder.
Mitochondrial or multigenic Mitochondrial genetic disorders can be caused by changes (mutations) in either the mitochondrial DNA or nuclear DNA that lead to dysfunction of the mitochondria and inadequate production of energy.
Multigenic or multifactor Inheritance involving many factors, of which at least one is genetic but none is of overwhelming importance, as in the causation of a disease by multiple genetic and environmental factors.
Not applicable
Other names (AKA)
Dentinogenesis imperfecta without osteogenesis imperfecta; Capdepont teeth
Categories
Congenital and Genetic Diseases; Mouth Diseases
Summary
Dentinogenesis imperfecta is a condition characterized by teeth that are translucent and discolored (most often blue-grey or yellow-brown in color). Individuals with this disorder tend to have teeth that are weaker than normal, which leads to wear, breakage, and loss of teeth. This damage can include teeth fractures or small holes (pitting) in the enamel. Dentinogenesis imperfecta can affect both primary (baby) teeth and permanent teeth. People with this condition may also have speech problems or teeth that are not placed correctly in the mouth.[1] Dentinogenesis imperfecta is caused by
According to the original classification, there are three types of dentinogenesis imperfecta:
Type I: occurs in people who have osteogenesis imperfecta, a genetic condition in which bones are brittle, causing them to break easily. People with this type of dentinogenesis imperfecta have mutations in COL1A1 or COL1A2.[2]
Type II: usually occurs in people without another inherited disorder. Some families with type II also have progressive
Type III: usually occurs in people without another inherited disorder. Type III was first identified in a group of families in southern Maryland and has also been seen in individuals of Ashkenazi Jewish descent.[3]
Some researchers believe that dentinogenesis imperfecta type II and type III, along with a similar condition called dentin dysplasia type II, are actually just different forms of a single disorder.[4]
Symptoms
This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.
Medical Terms | Other Names |
Learn More:
HPO ID
|
---|---|---|
80%-99% of people have these symptoms | ||
Obliteration of the pulp chamber | 0006350 | |
30%-79% of people have these symptoms | ||
Fragile teeth | 0025124 | |
Generalized hypoplasia of dental enamel | 0006282 | |
Grayish enamel |
Gray colored tooth enamel
Greyish enamel
[ more ] |
0000683 |
Hypocalcification of dental enamel |
Decreased enamel calcification
Poorly calcified tooth enamel
[ more ] |
0011084 |
Shell teeth | 0000694 | |
Yellow-brown discoloration of the teeth |
Yellow-brown discolored teeth
|
0006286 |
5%-29% of people have these symptoms | ||
Bruising |
Bruise easily
Easy bruisability
Easy bruising
[ more ] |
0000978 |
Finger joint hypermobility |
Increased mobility in finger joint
|
0006094 |
Hyperextensibility at elbow | 0010485 | |
Knee joint hypermobility |
Knee joint over-flexibility
|
0045086 |
Persistence of primary teeth |
Delayed loss of baby teeth
Failure to lose baby teeth
Retained baby teeth
[ more ] |
0006335 |
Selective tooth agenesis | 0001592 | |
Short dental roots |
Decreased length of dental roots
Decreased length of tooth roots
Short tooth roots
Underdeveloped dental roots
[ more ] |
0006336 |
1%-4% of people have these symptoms | ||
Blue sclerae |
Whites of eyes are a bluish-gray color
|
0000592 |
Hearing impairment |
Deafness
Hearing defect
[ more ] |
0000365 |
Prolonged bleeding time | 0003010 |
Cause
Diagnosis
Type I: people who have type I dentinogenesis imperfecta also have osteogenesis imperfecta. This will cause them to have other health concerns, so they will typically not be diagnosed by dental X-ray.[5]
Type II: people who have type II dentinogenesis imperfecta will be expected to show signs such as amber or multicolored (opalescent) dentin, short roots, and missing pulp chambers of the teeth. The pulp chamber is the innermost layer of the tooth.[5]
Type III: people who have type III dentinogenesis imperfecta will be expected to show signs such as multicolored (opalescent) primary and permanent teeth and large pulp chambers.[5]
Testing Resources
- The Genetic Testing Registry (GTR) provides information about the genetic tests for this condition. The intended audience for the GTR is health care providers and researchers. Patients and consumers with specific questions about a genetic test should contact a health care provider or a genetics professional.
Treatment
https://www.dentistry.unc.edu/dentalprofessionals/resources/defects/di/
https://www.ojrd.com/content/3/1/31
Organizations
Support and advocacy groups can help you connect with other patients and families, and they can provide valuable services. Many develop patient-centered information and are the driving force behind research for better treatments and possible cures. They can direct you to research, resources, and services. Many organizations also have experts who serve as medical advisors or provide lists of doctors/clinics. Visit the group’s website or contact them to learn about the services they offer. Inclusion on this list is not an endorsement by GARD.
Organizations Supporting this Disease
-
Healthy Smiles, Healthy Children
211 E. Chicago Ave., Suite 1700
Chicago, IL 60611-2637
Telephone: (312) 337-2169
Fax: (312) 337-6329
E-mail: [email protected]
Website: https://www.aapd.org/foundation/ -
Osteogenesis Imperfecta Foundation
804 W. Diamond Ave, Suite 210
Gaithersburg, MD 20878
Toll-free: (844) 889-7579
Telephone: (301) 947-0083
E-mail: [email protected]
Website: https://www.oif.org/site/PageServer
Learn more
These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.
Where to Start
- Genetics Home Reference (GHR) contains information on Dentinogenesis imperfecta . This website is maintained by the National Library of Medicine.
In-Depth Information
- The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Monarch’s tools are designed to make it easier to compare the signs and symptoms (phenotypes) of different diseases and discover common features. This initiative is a collaboration between several academic institutions across the world and is funded by the National Institutes of Health. Visit the website to explore the biology of this condition.
- Orphanet is a European reference portal for information on rare diseases and orphan drugs. Access to this database is free of charge.
- PubMed is a searchable database of medical literature and lists journal articles that discuss Dentinogenesis imperfecta . Click on the link to view a sample search on this topic.
References
- Ubaldini AL, Giorgi MC, Carvalho AB, Pascon FM, Lima DA, Baron GM, Paulillo LA, Aguiar FH. Adhesive Restorations as an Esthetic Solution to Dentinogenesis Imperfecta. Journal of Dentistry for Children. September-December 2015; 82(3):171-175. https://www.ncbi.nlm.nih.gov/pubmed/26731255.
- Dentinogenesis imperfecta. Genetics Home Reference (GHR). November 2009; https://ghr.nlm.nih.gov/condition=dentinogenesisimperfecta. Accessed 9/29/2015.
- Dentinogenesis Imperfecta Type III. National Organization for Rare Disorders (NORD). 2006; https://www.rarediseases.org/search/rdbdetail_abstract.html?disname=Dentinogenesis%20Imperfecta%20Type%20III. Accessed 2/19/2009.
- de la Dure-Molla M, Philippe Fournier B, and Berdel A. Isolated dentinogenesis imperfecta and dentin dysplasia: revision of the classification. European Journal of Human Genetics. April 2015; 23(4):445-451. https://www.ncbi.nlm.nih.gov/pubmed/25118030.
- Bloch-Zupan A. Dentinogenesis imperfecta. Orphanet. September 2012; https://www.orpha.net//consor/cgi-bin/OC_Exp.php?Lng=EN&Expert=49042.
- Rafeek RN, Paryag A, Al-Bayaty H. Management of dentinogenesis imperfecta: a review of two case reports. General Dentistry. May-June 2013; 61(3):72-76. https://www.ncbi.nlm.nih.gov/pubmed/23649579.
- Bidra AS and Uribe F. Successful bleaching of teeth with dentinogenesis imperfecta discoloration: a case report. Journal of Esthetic and Restorative Dentistry. February 2011; 23(1):3-10. https://www.ncbi.nlm.nih.gov/pubmed/21323831.
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