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Dentinogenesis imperfecta: an early treatment strategy.
1Department of Pediatric Dentistry, the Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
Pediatric Dentistry
|July 13, 2001
Summary
Dentinogenesis imperfecta (DI) type 2, an inherited dental disorder, requires early pediatric dental intervention. This study details a two-stage treatment approach for toddlers to preserve tooth structure and improve aesthetics.
Area of Science:
- Pediatric Dentistry
- Genetics
- Dental Public Health
Background:
- Dentinogenesis imperfecta (DI) type 2 is an autosomal dominant inherited condition affecting dentin formation.
- Early eruption of teeth reveals the condition, necessitating prompt pediatric dental consultation.
- Timely diagnosis and intervention are crucial to prevent further tooth deterioration and improve dental aesthetics.
Observation:
- DI type 2 presents challenges in early primary dentition management.
- A two-stage treatment protocol under general anesthesia is proposed for severe cases.
- Treatment involves composite restorations for incisors and canines, and preformed crowns for primary molars.
Findings:
- The described two-stage treatment aims to protect primary teeth from attrition and improve function.
- Stage 1 (18-20 months) focuses on incisors and first primary molars.
- Stage 2 (28-30 months) addresses second primary molars and canines.
Implications:
- This treatment strategy can intercept progressive dental damage in young children with DI type 2.
- Esthetic and functional rehabilitation of primary dentition is achievable through this phased approach.
- Early intervention can positively impact a child's overall oral health and development.