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Identification of the DSPP mutation in a new kindred and phenotype-genotype correlation.
[dentinogenesis imperfecta]
Hereditary
dentin
defects
can
be
grouped
into
three
types
of
dentinogenesis
imperfecta
(
DGI
)
and
two
types
of
dentin
dysplasia
.
Tooth
enamel
is
considered
normal
in
patients
with
hereditary
dentin
defects
,
but
is
easily
worn
down
and
fractured
due
to
DSPP
mutation
-induced
altered
dentin
properties
.
The
purposes
of
this
study
were
to
identify
genetic
cause
of
a
family
with
type
II
DGI
and
enamel
defects
.
We
identified
a
family
with
type
II
DGI
and
a
unique
form
of
hypoplastic
enamel
defect
affecting
occlusal
third
of
the
crown
.
Family
members
were
recruited
for
the
genetic
analysis
and
DNA
was
obtained
from
peripheral
whole
blood
.
Mutational
analysis
revealed
a
T
to
A
transversion
in
exon
3
of
the
DSPP
(
c
.
53
T
>
A
,
p
.
V
18
D
)
.
Haplotype
analysis
showed
that
the
same
mutation
arose
separately
in
two
different
families
having
DGI
with
similar
enamel
defects
,
indicating
that
this
phenotype
is
associated
with
this
specific
DSPP
mutation
.
Clinical
features
suggest
that
enamel
formation
was
affected
in
the
affected
individuals
during
early
amelogenesis
,
in
addition
to
the
dentin
defect
.
We
observed
that
a
DSPP
gene
mutation
not
only
influences
dentinogenesis
but
also
affects
early
stage
amelogenesis
.
Diseases
Validation
Diseases presenting
"similar enamel defects"
symptom
dentin dysplasia
dentinogenesis imperfecta
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