Dentinogenesis imperfecta type II: Case report of two patients from the same family group

Abstract

Introduction: Dentinogenesis imperfecta (DI) has been defined as a hereditary alteration of autosomal dominant
character, which originates during the stage of histodifferentiation in dental development, is a type of dysplasia of
dentinal tissue that affects the dentine structure of one or both dentitions.
The complications of ID have a strong impact on the quality of life of patients since the functional, aesthetic
and phonetic part are usually affected and represent an important challenge for the trafficker. Early diagnosis
and adequate treatment are necessary to achieve better functional and aesthetic results, minimize nutritional
deficiencies and psychosocial disorders, thus improving the quality of life of the person. Objective: To determine
the type of dentinogenesis, the family relationship, and the clinical characteristics of each patient. Methods:
Two brothers coming from the city of Cuenca-Ecuador, ages 5 and 6 years old, come to the Odontology clinic of
the Catholic University of Cuenca, respectively, for presenting multiple carious lesions. Generalized destruction of the coronary remnant and premature loss of teeth. After performing the clinical and radiographic diagnosis,
family history, the diagnosis of dentinogenesis imperfecta type II was established. Conclusion: the timely and
early diagnosis of dentinogenesisimperfecta is of great importance for an adequate treatment, because the ID,
affected mainly by the primary dentition, is fundamental visits to the dentist, since this will be able to diagnose the
pathology at an early stage. Avoid big damages.