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Hereditary opalescent dentin: a report of two cases.
[dentinogenesis imperfecta]
The
aim
of
this
case
report
is
to
present
the
clinical
and
radiographic
findings
of
hereditary
opalescent
dentin
to
facilitate
an
early
diagnosis
.
Hereditary
opalescent
dentin
(
or
dentinogenesis
imperfecta
)
may
manifest
itself
in
three
variations
:
i
.
e
.
,
Shields
type
I
,
Shields
type
II
,
and
Shields
type
III
.
Dentinogenesis
imperfecta
occurs
as
an
autosomal
dominant
trait
with
variable
expressivity
,
either
in
presence
with
osteogenesis
imperfecta
or
as
a
separate
clinical
entity
in
persons
who
have
none
of
the
features
of
osteogenesis
imperfecta
.
A
seven
-
year
old
boy
and
his
mother
were
both
diagnosed
with
hereditary
opalescent
dentin
.
A
review
of
the
family
dental
history
revealed
that
this
condition
affected
not
only
the
child
's
mother
but
his
maternal
grandfather
and
great
grandfather
.
Both
the
son
and
the
mother
exhibited
the
same
clinical
and
radiologic
features
as
those
reported
previously
with
no
evidence
of
osteogenesis
imperfecta
.
Being
an
autosomal
disease
,
hereditary
opalescent
dentin
runs
in
the
family
and
can
affect
both
the
deciduous
and
permanent
dentitions
as
a
dominant
trait
.
Once
a
patient
is
diagnosed
with
hereditary
opalescent
dentin
,
other
family
members
should
be
evaluated
given
the
condition
is
hereditary
.
Diseases
Validation
Diseases presenting
"maternal grandfather"
symptom
dentinogenesis imperfecta
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