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Dentistry · Tooth development and dental anatomy: dentinogenesis imperfecta with osteogenesis imperfecta
Sample itemA child has blue sclerae, multiple long bone fractures after minor falls, and grey-brown opalescent primary teeth with bulbous crowns. Which dental condition is associated with this systemic disease?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Dentinogenesis imperfecta type I
Shields type I dentinogenesis imperfecta occurs together with osteogenesis imperfecta, a collagen I disorder. Types II and III occur without bone disease. The teeth show opalescence, bulbous crowns and pulp obliteration.
Option by option
A. Dentinogenesis imperfecta type I (correct)
Correct. Type I dentinogenesis imperfecta accompanies osteogenesis imperfecta.
B. Regional odontodysplasia
Regional odontodysplasia is localised to one quadrant and is not linked to fractures.
C. Amelogenesis imperfecta hypoplastic type
Amelogenesis imperfecta affects enamel and is not part of a bone fragility disorder.
D. Dentine dysplasia type I
Dentine dysplasia type I has rootless teeth with normal colour and no bone fragility.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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