Could fast plaque buildup on the inside of my lower teeth be due to dentinogenesis imperfecta?

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From the Guidelines

It's unlikely that fast plaque buildup on your lower teeth is due to dentinogenesis imperfecta. Dentinogenesis imperfecta is a genetic disorder affecting tooth development, primarily causing discoloration (gray, amber, or purple-brown teeth), translucent appearance, and weakened teeth prone to wear, breakage, and abscesses, as noted in a study on genetic evaluation of suspected osteogenesis imperfecta 1. It doesn't directly cause plaque accumulation. Rapid plaque buildup is more commonly related to factors like inadequate oral hygiene, diet high in sugars and carbohydrates, reduced saliva flow, or the natural anatomy of your lower teeth where salivary glands deposit minerals. According to the national guidelines for dental diagnostic imaging in the developmental age 1, dental morphology anomalies, including those caused by dentinogenesis imperfecta, are rare conditions caused by developmental defects of permanent teeth. However, these anomalies are not typically associated with rapid plaque buildup. To address plaque buildup, brush twice daily with fluoride toothpaste, floss daily, use an antiseptic mouthwash, maintain regular dental cleanings every 6 months, limit sugary foods and drinks, stay hydrated, and consider an electric toothbrush. If concerned about persistent plaque or possible dentinogenesis imperfecta, consult your dentist for proper diagnosis and personalized recommendations. Some key points to consider include:

  • Maintaining good oral hygiene habits
  • Regular dental check-ups
  • Limiting sugary and acidic foods and drinks
  • Staying hydrated to promote saliva production, which helps neutralize acids and remineralize teeth
  • Considering professional dental cleanings and personalized advice from a dentist.

From the Research

Fast Plaque Buildup and Dentinogenesis Imperfecta

  • The relationship between fast plaque buildup on the inside of lower teeth and dentinogenesis imperfecta is not directly addressed in the provided studies 2, 3, 4, 5, 6.
  • However, dentinogenesis imperfecta is a hereditary condition that affects the structure of dentin, leading to discoloration and other dental abnormalities 3, 5.
  • The condition is often associated with osteogenesis imperfecta, a genetic disorder characterized by fragile bones and skeletal deformities 2, 6.
  • While the studies do not specifically discuss plaque buildup, they do mention that teeth with dentinogenesis imperfecta can be prone to wear and may have exposed weakened dentine, which could potentially contribute to plaque accumulation 5.
  • Additionally, individuals with osteogenesis imperfecta and dentinogenesis imperfecta may have other dental abnormalities, such as malocclusions and unerupted or missing teeth, which could also affect oral hygiene and plaque buildup 6.

Dental Abnormalities in Osteogenesis Imperfecta

  • A systematic review of dental abnormalities in osteogenesis imperfecta found that individuals with the condition often have a high prevalence of dental abnormalities, including dentinogenesis imperfecta 6.
  • The review noted that the prevalence of dentinogenesis imperfecta ranged from approximately 20 to 48% in individuals with osteogenesis imperfecta, and that those with a more severe skeletal phenotype were more likely to have dental abnormalities 6.
  • The review also highlighted the need for comprehensive dental examinations in individuals with osteogenesis imperfecta due to the high prevalence of dental abnormalities 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Osteogenesis imperfecta and dentinogenesis imperfecta: associated disorders.

Quintessence international (Berlin, Germany : 1985), 2005

Research

Successful bleaching of teeth with dentinogenesis imperfecta discoloration: a case report.

Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2011

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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