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So I guess you could technically reach Dogma before getting the post-heart endings (besides Hush of course).
Not sure if it's really a problem though. I mean, technically you can kill the Lamb before Mom's foot if you know what you're doing...
edit: added a extra number because i forgot about a ending/boss in the chest/dark room
Edit:
Confirmed. The Faded Polaroid can be used to open the door, even before fighting Mom (and like the Polaroid or Negative, it is consumed in the process).