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Successful bleaching of teeth with dentinogenesis imperfecta discoloration: a case report.
[dentinogenesis imperfecta]
Dentinogenesis
imperfecta
(
DI
)
is
a
hereditary
condition
that
can
cause
discoloration
of
teeth
in
addition
to
other
dental
abnormalities
.
Patients
often
present
to
the
dentist
with
a
main
goal
of
improving
their
esthetics
.
A
myriad
of
treatment
options
have
been
described
for
this
condition
.
This
clinical
report
describes
the
management
of
a
young
adult
with
DI
who
desired
improvement
in
dental
esthetics
after
orthodontic
treatment
.
As
a
result
of
his
condition
,
the
patient
's
dentition
exhibited
the
classic
generalized
dark
amber
opalescence
.
A
14
%
hydrogen
peroxide
gel
was
used
for
bleaching
of
the
maxillary
and
mandibular
teeth
,
performed
by
the
patient
at
home
.
The
patient
was
followed
at
different
intervals
,
and
the
improvement
in
teeth
shade
was
significant
and
remained
stable
at
3
.
5
years
.
No
adverse
effects
were
observed
.
This
article
is
the
first
case
report
in
the
literature
describing
the
long
-term
follow-up
of
teeth
bleaching
in
a
patient
with
DI
.
Teeth
bleaching
may
be
considered
as
the
first
choice
of
treatment
in
dentinogenesis
imperfecta
patients
.
If
successful
,
it
offers
a
simple
,
conservative
,
and
economical
solution
to
satisfy
the
esthetic
requirements
of
these
patients
.
Diseases
Validation
Diseases presenting
"first choice"
symptom
acute rheumatic fever
adrenal incidentaloma
benign recurrent intrahepatic cholestasis
dentinogenesis imperfecta
lymphangioleiomyomatosis
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
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