The role of dentists in diagnosing osteogenesis imperfecta in patients with dentinogenesis imperfecta.
BACKGROUND
Osteogenesis imperfecta (OI), also known as "brittle bone disease," can be difficult to diagnose in its mild form. The authors describe a clinical case of a diagnosis of dentinogenesis imperfecta (DI), in which a literature review combined with an analysis of dental alterations led to indications of OI involvement.


METHODS
Since DI can be associated with OI, the authors reviewed correlated studies and obtained a new medical history from the patient. They then conducted a radiographic and clinical examination of the dentition and submitted an affected third molar to scanning electron microscopy analysis. They compared their findings with descriptions of OI type I dental alterations in the literature and confirmed their diagnosis by means of a medical evaluation.


CONCLUSIONS
In cases in which DI is diagnosed, patients should be examined carefully and the occurrence of OI should be considered since, in its mild form, it might be misdiagnosed.
Teixeira
Cleonice Silveira
CS
School of Dentistry, University of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil.
Santos Felippe
Mara Cristina
MC
Tadeu Felippe
Wilson
W
Silva-Sousa
Yara Teresinha Corrêa
YT
Sousa-Neto
Manoel Damião
MD
D003804:Dentin / Q000473:pathology / Q000648:ultrastructure; D003811:Dentinogenesis Imperfecta / Q000175:diagnosis*; D003815:Dentists; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008855:Microscopy, Electron, Scanning; D008964:Molar, Third / Q000473:pathology; D010013:Osteogenesis Imperfecta / Q000175:diagnosis*; D024382:Professional Role; D019217:Tooth Attrition / Q000175:diagnosis; D014075:Tooth Discoloration / Q000175:diagnosis; D014094:Tooth, Deciduous / Q000473:pathology