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Disorders of human dentin.
[dentin dysplasia]
Dentin
,
the
most
abundant
tissue
in
teeth
,
is
produced
by
odontoblasts
,
which
differentiate
from
mesenchymal
cells
of
the
dental
papilla
.
Dentinogenesis
is
a
highly
controlled
process
that
results
in
the
conversion
of
unmineralized
predentin
to
mineralized
dentin
.
By
weight
,
70
%
of
the
dentin
matrix
is
mineralized
,
while
the
organic
phase
accounts
for
20
%
and
water
constitutes
the
remaining
10
%
.
Type
I
collagen
is
the
primary
component
(
>
85
%
)
of
the
organic
portion
of
dentin
.
The
non-collagenous
part
of
the
organic
matrix
is
composed
of
various
proteins
,
with
dentin
phosphoprotein
predominating
,
accounting
for
about
50
%
of
the
non-collagenous
part
.
Dentin
defects
are
broadly
classified
into
two
major
types
:
dentinogenesis
imperfectas
(
DIs
,
types
I
-
III
)
and
dentin
dysplasias
(
DDs
,
types
I
and
II
)
.
To
date
,
mutations
in
DSPP
have
been
found
to
underlie
the
dentin
disorders
DI
types
II
and
III
and
DD
type
II
.
With
the
elucidation
of
the
underlying
genetic
mechanisms
has
come
the
realization
that
the
clinical
characteristics
associated
with
DSPP
mutations
appear
to
represent
a
continuum
of
phenotypes
.
Thus
,
these
disorders
should
likely
be
called
DSPP
-associated
dentin
defects
,
with
DD
type
II
representing
the
mild
end
of
the
phenotypic
spectrum
and
DI
type
III
representing
the
severe
end
.
Diseases
Validation
Diseases presenting
"primary component"
symptom
dentin dysplasia
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