: Background and Objectives: Type I dentin dysplasia (DD-I) is a rare genetic disorder with autosomal dominant or recessive inheritance at risk of late or long-misunderstood diagnosis because the teeth, compared to other degenerative dentin diseases, do not have coronal defects and/or alterations but only at the root level (absent, conical, pointed roots, and obliterated pulp canals). The first radiographic suspicion often occurs only in case of sudden mobility and/or abscesses of the permanent teeth. Genetic tests confirm the diagnosis. Case Presentation: This case report describes the oral and radiographic characteristics of two siblings, 12 and 10 years old, a male and a female, at an early age affected by DD-I, whose diagnosis was made for a first orthodontic visit. The father and the older child had already undergone dental and orthodontic treatments, respectively, without the disease being suspected by the dentist. Results: Genetic tests support the diagnosis of DD-I. Following the diagnosis, the patients began a process of close periodic checks every 3-4 months to monitor their situation. The male child lost upper lateral incisors, which were then replaced with a light nylon removable prosthesis. Conclusions: The ability to recognize the radiographic features characteristic of DD-I is very important to avoid prejudicial diagnostic delays and to be able to plan the long-term treatment of these patients better, especially when the pathology was primarily misrecognized in the family.

Type I dentin dysplasia: the literature review and case report of a family affected by misrecognition and late diagnosis / Putrino, Alessandra; Caputo, Martina; Galeotti, Angela; Marinelli, Enrico; Zaami, Simona. - In: MEDICINA. - ISSN 1648-9144. - 59:8(2023), pp. 1-13. [10.3390/medicina59081477]

Type I dentin dysplasia: the literature review and case report of a family affected by misrecognition and late diagnosis

Putrino, Alessandra
Primo
;
Marinelli, Enrico;Zaami, Simona
Ultimo
2023

Abstract

: Background and Objectives: Type I dentin dysplasia (DD-I) is a rare genetic disorder with autosomal dominant or recessive inheritance at risk of late or long-misunderstood diagnosis because the teeth, compared to other degenerative dentin diseases, do not have coronal defects and/or alterations but only at the root level (absent, conical, pointed roots, and obliterated pulp canals). The first radiographic suspicion often occurs only in case of sudden mobility and/or abscesses of the permanent teeth. Genetic tests confirm the diagnosis. Case Presentation: This case report describes the oral and radiographic characteristics of two siblings, 12 and 10 years old, a male and a female, at an early age affected by DD-I, whose diagnosis was made for a first orthodontic visit. The father and the older child had already undergone dental and orthodontic treatments, respectively, without the disease being suspected by the dentist. Results: Genetic tests support the diagnosis of DD-I. Following the diagnosis, the patients began a process of close periodic checks every 3-4 months to monitor their situation. The male child lost upper lateral incisors, which were then replaced with a light nylon removable prosthesis. Conclusions: The ability to recognize the radiographic features characteristic of DD-I is very important to avoid prejudicial diagnostic delays and to be able to plan the long-term treatment of these patients better, especially when the pathology was primarily misrecognized in the family.
2023
abnormalities; dentine dysplasia; late diagnosis; litigation; malpractice; rootless teeth; shortened roots
01 Pubblicazione su rivista::01i Case report
Type I dentin dysplasia: the literature review and case report of a family affected by misrecognition and late diagnosis / Putrino, Alessandra; Caputo, Martina; Galeotti, Angela; Marinelli, Enrico; Zaami, Simona. - In: MEDICINA. - ISSN 1648-9144. - 59:8(2023), pp. 1-13. [10.3390/medicina59081477]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1687698
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