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Osteogenesis imperfecta/lobstein syndrome associated with dentinogenesis imperfecta
Naresh Lingaraju1, P J Nagarathna, R Vijayalakshmi
1Department of Oral Medicine and Radiology, Farooqia Dental College, RGUHS, Mysore, Karnataka, India. nareshlingaraju@gmail.com
Osteogenesis imperfecta, a brittle bone disorder, often presents with dentinogenesis imperfecta, affecting teeth opalescence. This case highlights the oral and skeletal manifestations in a child with Type IV B Osteogenesis imperfecta.
Area of Science:
- Genetics and Molecular Biology
- Orthopedics
- Dentistry
Background:
- Osteogenesis imperfecta (OI) is a group of inherited connective tissue disorders.
- Characterized by bone fragility and low bone mass due to collagen defects.
- Dentinogenesis imperfecta (DI) is a common oral manifestation of OI.
Observation:
- A 7-year-old girl with Type IV B Osteogenesis imperfecta presented with significant clinical features.
- Observed were opalascence primary teeth, severe bone deformity, scoliosis, barrel-shaped rib cage, and short stature.
- Comprehensive clinical, radiographic, and histologic assessments were performed.
Findings:
- The case confirmed the association between Osteogenesis imperfecta Type IV B and Dentinogenesis imperfecta.
- Detailed clinical and radiographic evidence supported the diagnosis.
- Histologic examination provided further insight into the dental anomalies.
Implications:
- Early identification of oral findings like DI is crucial in OI patients.
- Multidisciplinary management is essential for addressing the complex skeletal and dental issues in OI.
- Understanding these associations aids in better patient care and prognosis.
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