Int J Stomatol ›› 2022, Vol. 49 ›› Issue (3): 332-336.doi: 10.7518/gjkq.2022030

• Reviews • Previous Articles     Next Articles

Classification and treatment of dentin dysplasia type

Lei Bin1(),Chen Ke2()   

  1. 1.School of Stomatology, Jinan University, Guangzhou 510000, China
    2.Dept. of Pediatric Dentistry, Haizhu Square, Stomatological Hospital of Southern Medical University, Guangzhou 510000, China
  • Received:2021-07-21 Revised:2021-11-06 Online:2022-05-01 Published:2022-05-09
  • Contact: Ke Chen E-mail:435186977@qq.com;dentchenke@sohu.com
  • Supported by:
    High-level Talents Project of Stomatological Hospital, Southern Medical University(PY2018022)

Abstract:

Dentin dysplasia type Ⅰ (DD-Ⅰ) is a rare genetic disorder of dentine formation that affects all deciduous and permanent teeth. In this disease, the tooth crown’s appearance, color, and lustre are normal; tooth loosening is obvious; and spontaneous tooth alveolar abscess or cyst may be present. Imaging examinations show that the pulp cavity disappeared or the residual pulp has a “crescent shape” and the root is short and blunt or the root is absent. The pathogenesis of DD-Ⅰ has been studied by most scholars, and its clinical treatment is often challenging. In this paper, the clinical classification and manifestations, pathogenic genes, histological characteristics, and treatment of DD-Ⅰ in recent years are reviewed to provide guidance for the clinical diagnosis and treatment of this disease.

Key words: dentine dysplasia type Ⅰ, classification, pathogenesis, pathogenic gene, treatment

CLC Number: 

  • R 781.2

TrendMD: 

Fig 1

Sub-classification of DD Type Ⅰ"

Tab 1

Pathogenic genes of hereditary dentin disorders"

疾病类型基因位置致病基因
DGI-Ⅰ17q21.33COL1A1
7q21.3COL1A2
DGI-Ⅱ4q22.1DSPP
DGI-Ⅲ4q22.1DSPP
DD-Ⅰ6q27SMOC2
18q21.33VPS4B
3p26.1SSUH2
DD-Ⅱ4q22.1DSPP
1 Pitak-Arnnop P, Subbalekha K, Sirintawat N, et al. Clinical approach to rhizomicry based on a case of dentine dysplasia type 1[J]. J Stomatol Oral Maxillofac Surg, 2020, 121(2): 179-185.
2 Witkop CJ Jr, Jaspers MT. Teeth with short, thin, dilacerated roots in patients with short stature: a dominantly inherited trait[J]. Oral Surg Oral Med Oral Pathol, 1982, 54(5): 553-559.
3 O Carroll MK, Duncan WK, Perkins TM. Dentin dysplasia: review of the literature and a proposed subclassification based on radiographic findings[J]. Oral Surg Oral Med Oral Pathol, 1991, 72(1): 119-125.
4 Shields ED, Bixler D, el-Kafrawy AM. A proposed classification for heritable human dentine defects with a description of a new entity[J]. Arch Oral Biol, 1973, 18(4): 543-553.
5 Krug R, Volland J, Reich S, et al. Guided endodontic treatment of multiple teeth with dentin dysplasia: a case report[J]. Head Face Med, 2020, 16(1): 27.
6 Buchanan GD, Tredoux S, Nel C, et al. Endodontic treatment of dentin dysplasia type Ⅰ D[J]. Aust Endod J, 2021, 47(2): 343-349.
7 Kim JW, Simmer JP. Hereditary dentin defects[J]. J Dent Res, 2007, 86(5): 392-399.
8 Toomarian L, Mashhadiabbas F, Mirkarimi M, et al. Dentin dysplasia type Ⅰ: a case report and review of the literature[J]. J Med Case Rep, 2010, 4: 1.
9 de La Dure-Molla M, Philippe Fournier B, Berdal A. Isolated dentinogenesis imperfecta and dentin dysplasia: revision of the classification[J]. Eur J Hum Genet, 2015, 23(4): 445-451.
10 Filippi A. Dentin dysplasia Type 1. Root dysplasia[J]. Schweiz Monatsschr Zahnmed, 2013, 123(2): 106-107.
11 Kim JW, Nam SH, Jang KT, et al. A novel splice acceptor mutation in the DSPP gene causing dentinogenesis imperfecta type Ⅱ[J]. Hum Genet, 2004, 115(3): 248-254.
12 Zhang XQ, Chen LY, Liu JY, et al. A novel DSPP mutation is associated with type Ⅱ dentinogenesis imperfecta in a Chinese family[J]. BMC Med Ge-net, 2007, 8: 52.
13 Lee SK, Hu JC, Lee KE, et al. A dentin sialophosphoprotein mutation that partially disrupts a splice acceptor site causes type Ⅱ dentin dysplasia[J]. J Endod, 2008, 34(12): 1470-1473.
14 Hart PS, Hart TC. Disorders of human dentin[J]. Cells Tissues Organs, 2007, 186(1): 70-77.
15 刘芬. 遗传性牙本质发育异常的临床及相关基础研究[D]. 西安: 第四军医大学, 2013.
Liu F. Clinical and related basic research for hereditary dentinogenesis imperfecta[D]. Xi’an: The Fourth Military Medical University, 2013.
16 Yang Q, Chen D, Xiong F, et al. A splicing mutation in VPS4B causes dentin dysplasia Ⅰ[J]. J Med Ge-net, 2016, 53(9): 624-633.
17 邓敏, 胡爱琴, 熊符. 遗传性牙本质发育异常的分子遗传学研究进展[J]. 国际遗传学杂志, 2017, 40(6): 361-367.
Deng M. Hu AQ, Xiong F. Progress in molecular genetics of inherited dentine dysplasia[J]. Int J Genet, 2017, 40(6): 361-367.
18 Chen D, Li X, Lu F, et al. Dentin dysplasia type Ⅰ-a dental disease with genetic heterogeneity[J]. Oral Dis, 2019, 25(2): 439-446.
19 Sloan AJ, Smith AJ. Stem cells and the dental pulp: potential roles in dentine regeneration and repair[J]. Oral Dis, 2007, 13(2): 151-157.
20 Pan YH, Lu T, Peng L, et al. Vacuolar protein sor-ting 4B regulates the proliferation and odontoblastic differentiation of human dental pulp stem cells through the Wnt‑β‑catenin signalling pathway[J]. Artif Cells Nanomed Biotechnol, 2019, 47(1): 2575-2584.
21 Hu AQ, Lu T, Chen DN, et al. Vps4b heterozygous mice do not develop tooth defects that replicate human dentin dysplasia Ⅰ[J]. BMC Genet, 2019, 20(1): 7.
22 Xiong F, Ji ZS, Liu YH, et al. Mutation in SSUH2 causes autosomal-dominant dentin dysplasia type Ⅰ[J]. Hum Mutat, 2017, 38(1): 95-104.
23 Vannahme C, Gösling S, Paulsson M, et al. Characterization of SMOC-2, a modular extracellular cal-cium-binding protein[J]. Biochem J, 2003, 373(Pt 3): 805-814.
24 Bloch-Zupan A, Jamet X, Etard C, et al. Homozygosity mapping and candidate prioritization identify mutations, missed by whole-exome sequencing, in SMOC2, causing major dental developmental defects[J]. Am J Hum Genet, 2011, 89(6): 773-781.
25 Alfawaz S, Fong F, Plagnol V, et al. Recessive oligodontia linked to a homozygous loss-of-function mutation in the SMOC2 gene[J]. Arch Oral Biol, 2013, 58(5): 462-466.
26 Pintor A, Alexandria A, Marques A, et al. Histological and ultrastructure analysis of dentin dysplasia type Ⅰ in primary teeth: a case report[J]. Ultrastruct Pathol, 2015, 39(4): 281-285.
27 Melnick M, Levin LS, Brady J. Dentin dysplasia type Ⅰ: a scanning electron microscopic analysis of the primary dentition[J]. Oral Surg Oral Med Oral Pathol, 1980, 50(4): 335-340.
28 Ye X, Li KY, Liu L, et al. Dentin dysplasia type Ⅰ-novel findings in deciduous and permanent teeth[J]. BMC Oral Health, 2015, 15: 163.
29 Da Rós Gonçalves L, Oliveira CA, Holanda R, et al. Periodontal status of patients with dentin dysplasia type Ⅰ: report of three cases within a family[J]. J Periodontol, 2008, 79(7): 1304-1311.
30 Depprich RA, Ommerborn MA, Handschel JG, et al. Dentin dysplasia type Ⅰ: a challenge for treatment with dental implants[J]. Head Face Med, 2007, 3: 31.
31 Muñoz-Guerra MF, Naval-Gías L, Escorial V, et al. Dentin dysplasia type Ⅰ treated with onlay bone grafting, sinus augmentation, and osseointegrated implants[J]. Implant Dent, 2006, 15(3): 248-253.
32 Khandelwal S, Gupta D, Likhyani L. A case of dentin dysplasia with full mouth rehabilitation: a 3-year longitudinal study[J]. Int J Clin Pediatr Dent, 2014, 7(2): 119-124.
33 Bespalez-Filho R, Couto Sde A, Souza PH, et al. Orthodontic treatment of a patient with dentin dysplasia type Ⅰ[J]. Am J Orthod Dentofacial Orthop, 2013, 143(3): 421-425.
[1] Wang Nannan,He Hong,Hua Fang. Research progress on the risk factors of orthodontically induced enamel demineralization [J]. Int J Stomatol, 2024, 51(1): 91-98.
[2] Han Chong,He Dongning,Yu Feiyan,Wu Dongchao. Research progress on the mechanism and treatment of pain after oral implants [J]. Int J Stomatol, 2024, 51(1): 99-106.
[3] Xia Weiyao,Jia Zhonglin. Research progress on the relationship between vitamin and oral clefts [J]. Int J Stomatol, 2023, 50(6): 632-638.
[4] Sun Xu,Deng Zhennan,Wen Cai,Zhao Ying. Implant surface micromorphological changes after Er: YAG laser irradiation observed under scanning electron microscope [J]. Int J Stomatol, 2023, 50(6): 669-673.
[5] Huang Yuanhong,Peng Xian,Zhou Xuedong.. Progress in research into the effect of Rhizoma Drynariae on the treatment of bone-related diseases in the oral cavity [J]. Int J Stomatol, 2023, 50(6): 679-685.
[6] Chai An,Lei Rongchang,Jiang Zhisheng,Qu Binbin,Guo Jincai,Li He,Shao Qi. Review of classification methods for evaluating the difficulty of mandibular third molar extraction [J]. Int J Stomatol, 2023, 50(6): 718-722.
[7] Liu Yang,Yin Deqiang. Introducing a novel digital articulation workflow with high precision [J]. Int J Stomatol, 2023, 50(5): 499-505.
[8] Ji Xiao,Zhang Lan,Huang Dingming.. Diagnosis and treatment of odontogenic and non-odontogenic maxillary sinusitis [J]. Int J Stomatol, 2023, 50(5): 566-572.
[9] Zhao Yuanxi,Su Qin.. Application and development of supplementary techniques in removing the remaining filling materials of root canal retreatment [J]. Int J Stomatol, 2023, 50(5): 581-586.
[10] Gong Meiling,Cheng Xingqun,Wu Hongkun.. Research progress on the correlation between Parkinson’s disease and periodontitis [J]. Int J Stomatol, 2023, 50(5): 587-593.
[11] Liu Ting,Wu Xiuping.. Research progress on oral-craniomaxillofacial features and treatment of Down syndrome [J]. Int J Stomatol, 2023, 50(5): 618-622.
[12] Zhang Chaoying,Li Yining,Gong Jiaxing,Wang Huiming. Interpretation of the 2022 classification of head and neck tumors by the World Health Organization: odontogenic and maxillofacial bone tumors [J]. Int J Stomatol, 2023, 50(3): 263-271.
[13] Xia Weiyao,Luo Yankun,Jia Zhonglin. Review of the precise diagnosis and genetic etiology of Pierre Robin sequence [J]. Int J Stomatol, 2023, 50(3): 287-292.
[14] Qin Yichun,Tan Xuelian,Huang Dingming.. Clinical research progress on glandular odontogenic cyst [J]. Int J Stomatol, 2023, 50(1): 100-107.
[15] Li Ting,Yang Xuecai,Wang Junwei.. Children with Williams-Beuren syndrome associated with cranial and maxillofacial deformity [J]. Int J Stomatol, 2023, 50(1): 108-113.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[7] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[8] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[9] . [J]. Foreign Med Sci: Stomatol, 2004, 31(02): 126 -128 .
[10] . [J]. Inter J Stomatol, 2008, 35(S1): .