Dental Treatment of Dentinogenesis Imperfecta - Atlanta, GA

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Understanding Dentinogenesis Imperfecta?

Dentinogenesis imperfecta is a genetic disorder that disrupts tooth development. Humans have a specific gene that controls the creation of three proteins that are key to normal tooth development. Namely, they contribute to the development of dentin, which is the thick middle layer of the tooth between the thin outer shell of the enamel and the innermost chamber that holds a tooth’s nerve and blood supply.

Knowing the Symptoms and Diagnosing The Condition

The bulk of each tooth is made up of a substance called “dentin.” Because patients with dentinogenesis imperfecta have defective dentin that is softer than it should be, the teeth are typically weak, discolored and more prone to breakage and decay. In some cases, there is an insufficient amount of dentin. In others, the enamel is also weak because it doesn’t have enough mineral.

Teeth affected by dentinogenesis imperfecta may appear translucent and discolored. Most often, the teeth appear blue-grey or yellow-brown in color, and may have tiny holes (known as “pits”) in the enamel. Such teeth are often positioned poorly in the mouth, and patients with the condition may have speech problems. These teeth are regularly missing their pulp, which normally fills the inner chamber that usually supplies the nerves and blood vessels that keep the teeth healthy. This can make the teeth even weaker and more brittle.Here at Georgia Prosthodontics, Dr. Carlos Castro and Dr. Nicholas Miller have the training and experience necessary to diagnose and treat dentinogenesis imperfecta in all its forms.

Types of Dentinogenesis Imperfecta

There are three types of dentinogenesis imperfecta, but all three involve a mutation of the dentin sialophosphoprotein (DSPP) gene. This mutated gene, which may manifest in other conditions along with tooth problems, is frequently carried and passed down by one or both parents, but there have been cases in which the mutation happens randomly. Genetic testing is available through healthcare providers or genetics labs to confirm the presence of this mutation, but a clinical exam with our team is a great place to start.


Type I

Dentinogenesis imperfecta happens along with osteogenesis imperfecta, which is a disorder affecting bones elsewhere in the body. These patients will have other health concerns caused by the disorder.


Type II

Most often results in amber-colored, opalescent (multicolored) or yellowish dentin, short roots, and missing pulp inside the teeth. Patients with this type may also experience hearing loss as they age.


Type III

Will result in multicolored teeth, including baby and permanent teeth. However, rather than missing the pulp of the tooth, they might have larger than normal pulp chambers. Type II and type III usually occur without other health conditions.

Bringing Your Smile Back To Life

While dentinogenesis imperfecta usually affects teeth in fairly predictable ways, no two cases are exactly the same. Your case will likely require a combination of different treatments to address the different ways that the condition is affecting the development of your teeth, or possibly causing damage such as advanced decay or lost teeth. As prosthodontists, we have the specialized training to address every possibility for how dentinogenesis imperfecta may affect your teeth. Our practice in the Atlanta, GA area has everything you could possibly need for the best treatment outcomes. From advanced imaging and 3D modeling technology to a state-of-the-art in-house prosthetics lab, we have everything your teeth need!

With the experience training regimen in cosmetic dentistry, full mouth restoration and dental implants we protect the teeth you have and replace those you have already lost. Some patients with severe dentinogenesis imperfecta your best option are to have all your teeth removed and replaced with dentures or full mouth dental implants. We will do our best to salvage as much of the structure of your own teeth as we can.

Providing Financing Treatment Stability

Treating dentinogenesis imperfecta can be expensive; however, your lifelong oral health, as well as the functionality of your teeth, depend on appropriately addressing all aspects of the condition. We understand that finances are a major concern for many of our patients, and we don’t want such constraints to keep you from accessing the excellent treatment you deserve. Therefore, we are committed to helping you maximize your dental insurance benefits whenever possible. We can also work with you to create a payment plan and financing options that will suit your budget and ensure that your teeth get healthy!

We have the power to fix your most complex dental issues!

Contact us today and to start on the road to recovery.