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Iwata E, Sah SK, Chen IP, Reichenberger E. Dental abnormalities in rare genetic bone diseases: Literature review. Clin Anat 2024; 37:304-320. [PMID: 37737444 PMCID: PMC11068025 DOI: 10.1002/ca.24117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 08/11/2023] [Accepted: 08/26/2023] [Indexed: 09/23/2023]
Abstract
Currently, over 500 rare genetic bone disorders are identified. These diseases are often accompanied by dental abnormalities, which are sometimes the first clue for an early diagnosis. However, not many dentists are sufficiently familiar with phenotypic abnormalities and treatment approaches when they encounter patients with rare diseases. Such patients often need dental treatment but have difficulties in finding a dentist who can treat them appropriately. Herein we focus on major dental phenotypes and summarize their potential causes and mechanisms, if known. We discuss representative diseases, dental treatments, and their effect on the oral health of patients and on oral health-related quality of life. This review can serve as a starting point for dentists to contribute to early diagnosis and further investigate the best treatment options for patients with rare disorders, with the goal of optimizing treatment outcomes.
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Affiliation(s)
- Eiji Iwata
- Department of Oral and Maxillofacial Surgery, Kakogawa Central City Hospital, Kakogawa, Japan
- Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan
| | - Shyam Kishor Sah
- Department of Oral Health and Diagnostic Sciences, School of Dental Medicine, University of Connecticut Health, Farmington, Connecticut, USA
| | - I-Ping Chen
- Department of Oral Health and Diagnostic Sciences, School of Dental Medicine, University of Connecticut Health, Farmington, Connecticut, USA
| | - Ernst Reichenberger
- Department of Reconstructive Sciences, School of Dental Medicine, University of Connecticut Health, Farmington, Connecticut, USA
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2
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Kunz F, Kayserili H, Midro A, Silva D, Basnayake S, Güven Y, Borys J, Schanze D, Stellzig‐Eisenhauer A, Bloch‐Zupan A, Zenker M. Characteristic dental pattern with hypodontia and short roots in Fraser syndrome. Am J Med Genet A 2020; 182:1681-1689. [DOI: 10.1002/ajmg.a.61610] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 04/08/2020] [Accepted: 04/09/2020] [Indexed: 11/09/2022]
Affiliation(s)
- Felix Kunz
- Department of Orthodontics University Hospital of Würzburg Würzburg Germany
| | - Hülya Kayserili
- KOÇ University School of Medicine (KUSoM) Medical Genetics Department Topkapi Zeytinburnu Istanbul Turkey
| | - Alina Midro
- Department of Clinical Genetics Medical University Białystok Poland
| | - Deepthi Silva
- Department of Physiology, Faculty of Medicine University of Kelaniya Ragama Sri Lanka
| | | | - Yeliz Güven
- Department of Pedodontics, Faculty of Dentistry Istanbul University Istanbul Turkey
| | - Jan Borys
- Department of Maxillofacial and Plastic Surgery Medical University of Bialystok Poland
| | - Denny Schanze
- Institute of Human Genetics, University Hospital Magdeburg Germany
| | | | - Agnes Bloch‐Zupan
- Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC), INSERM U1258, CNRS‐UMR7104, Université de Strasbourg Illkirch‐Graffenstaden France
- Hôpitaux Universitaires de Strasbourg (HUS), Pôle de Médecine et Chirurgie Bucco‐Dentaires, Hôpital Civil, Centre de référence des maladies rares orales et dentaires, O‐Rares, Filière Santé Maladies rares TETE COU, European Reference Network ERN CRANIO Strasbourg France
- Faculté de Chirurgie Dentaire Université de Strasbourg Strasbourg France
| | - Martin Zenker
- Institute of Human Genetics, University Hospital Magdeburg Germany
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3
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Midro AT, Stasiewicz-Jarocka B, Borys J, Hubert E, Skotnicka B, Hassmann-Poznańska E, Sierpińska T, Panasiuk B, Schanze D, Zenker M. Two unrelated families with variable expression of Fraser syndrome due to the same pathogenic variant in the FRAS1 gene. Am J Med Genet A 2020; 182:773-779. [PMID: 31999076 DOI: 10.1002/ajmg.a.61495] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 11/29/2019] [Accepted: 01/03/2020] [Indexed: 11/08/2022]
Abstract
We report on two unrelated families of Polish origin with variable expression of Fraser syndrome (FS; MIM#219000) due to homozygosity for the same pathogenic variant, c.6963_6964dup, of FRAS1. In one family, the disorder presented with perinatal and prenatal lethality. One affected female from family 2 who was followed-up for 32 years, represented a relatively favorable long-term outcome. She displayed the typical craniofacial dysmorphism, including right cryptophthalmos, cutaneous syndactyly, abnormalities of the stomathognatic system, bilateral atresia of the external ear canals resulting in conductive hearing loss, and malformations of the larynx, spleen, kidney, and genitourinary tract. Her intellectual capacities were normal. Our observations illustrate that expression and severity of FS, even when caused by the same pathogenic variant, may be quite different ranging from a lethal disorder to a condition with multiple physical malformations but normal psychomotor development. In addition, we propose that the FRAS1 c.6963_6964dup variant may be a founder mutation in the Polish population. Therefore, it would be reasonable to test specifically for this variant first in any FS1 patient of Polish ancestry.
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Affiliation(s)
- Alina T Midro
- Department of Clinical Genetics, Medical University of Bialystok, Bialystok, Poland
| | | | - Jan Borys
- Department of Maxillo-Facial Surgery, Medical University of Bialystok, Bialystok, Poland
| | - Ewa Hubert
- Department of Maxillo-Facial Surgery, Medical University of Bialystok, Bialystok, Poland
| | - Bożena Skotnicka
- Paediatric Otolaryngology of Clinic, Medical University of Bialystok, Bialystok, Poland
| | | | - Teresa Sierpińska
- Department of Prosthetic Dentistry, Medical University of Bialystok, Bialystok, Poland
| | - Barbara Panasiuk
- Department of Clinical Genetics, Medical University of Bialystok, Bialystok, Poland
| | - Denny Schanze
- Institute of Human Genetics, University Hospital Magdeburg, Magdeburg, Germany
| | - Martin Zenker
- Institute of Human Genetics, University Hospital Magdeburg, Magdeburg, Germany
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Bouaoud J, Olivetto M, Testelin S, Dakpe S, Bettoni J, Devauchelle B. Fraser syndrome: review of the literature illustrated by a historical adult case. Int J Oral Maxillofac Surg 2020; 49:1245-1253. [PMID: 31982235 DOI: 10.1016/j.ijom.2020.01.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 11/11/2019] [Accepted: 01/09/2020] [Indexed: 11/26/2022]
Abstract
Fraser syndrome (cryptophthalmos-syndactyly syndrome) is a rare autosomal recessive malformation disorder. The first description of the syndrome was reported by George Fraser in 1962. Diagnosis is based on the major and minor criteria established by van Haelst et al. in 2007. Unilateral or bilateral cryptophthalmos, syndactyly, unilateral renal agenesis, and genital anomalies are the most frequent anomalies. Several maxillofacial, oro-dental, ear-nose-throat, hormonal, and anorectal disorders are reported. Cardiac malformations and musculoskeletal anomalies are uncommon. The syndrome is related to mutations in three different genes (FRAS1, FREM2, and GRIP1) resulting in failure of the apoptosis program and disruption of the epithelial-mesenchymal interactions during embryonic development. Prenatal diagnosis is based on the detection of renal agenesis and laryngeal atresia, together with a family history. Most foetuses with severe anomalies are terminated or are stillborn. All patients or pregnancies with a diagnosis of Fraser syndrome should be referred to expert centres. A collaborative approach including anaesthetists, ENT specialists, maxillofacial surgeons, and geneticists is necessary for the management of this syndrome. In vivo and in vitro research models are available to better understand the underlying aetiology.
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Affiliation(s)
- J Bouaoud
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France; Department of Maxillofacial Surgery and Stomatology, Pitié-Salpétrière Hospital, Pierre et Marie Curie University Paris 6, Sorbonne Paris Cite University, AP-HP, Paris, France.
| | - M Olivetto
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
| | - S Testelin
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
| | - S Dakpe
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
| | - J Bettoni
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
| | - B Devauchelle
- Department of Maxillofacial Surgery, University Hospital of Amiens, Amiens, France
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De Santis D, Sinigaglia S, Faccioni P, Pancera P, Luciano U, Bertossi D, Lucchese A, Albanese M, Nocini PF. Syndromes associated with dental agenesis. ACTA ACUST UNITED AC 2019; 68:42-56. [PMID: 30667203 DOI: 10.23736/s0026-4970.18.04129-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
INTRODUCTION Dental agenesis is the congenital absence of a variable number of teeth due to the lack of formation of the corresponding tooth germ. The aim of this work was to investigate the syndromic conditions characterized by dental agenesis. EVIDENCE ACQUISITION Based on the research conducted through the OMIM® (Online Mendelian Inheritance in Man) and PubMed online databases, more than ninety syndromes associated with severe or moderate agenesis have been found. EVIDENCE SYNTHESIS The main clinical features of these syndromes are described, especially those concerning the stomatognathic apparatus, referring to the most recent literature. Among these syndromes there are three clinical conditions associated with dental agenesis that are common for the clinician: Down Syndrome, ectodermal dysplasia and labio-palatal cleft. CONCLUSIONS It must be kept in mind that the success of the treatment of these patients is based on the compliance of the patient as well as on the collaboration among specialists.
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Affiliation(s)
- Daniele De Santis
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy
| | - Stefano Sinigaglia
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy -
| | - Paolo Faccioni
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy
| | - Paola Pancera
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy
| | - Umberto Luciano
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy
| | - Dario Bertossi
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy
| | - Alessandra Lucchese
- Department of Orthodontics, Vita Salute San Raffaele University, Milan, Italy.,Unit of Dentistry, Division of Orthodontics, Research Area in Dentofacial Orthopedics and Orthodontics, IRCCS San Raffaele Scientific Institute, Milan, Italy
| | - Massimo Albanese
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy
| | - Pier Francesco Nocini
- Section of Oral and Maxillofacial Surgery, Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, Verona, Italy
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Gallottini M, Llanos AH, Romito GA, Romano MM, de Oliveira FB, de Rezende NPM. Oral manifestations and rehabilitation in Fraser syndrome: A case report. SPECIAL CARE IN DENTISTRY 2018; 38:249-254. [DOI: 10.1111/scd.12297] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Marina Gallottini
- Department of Stomatology, Special Care Dentistry Center, Dental School; University of São Paulo; São Paulo Brazil
| | - Alexandre Hugo Llanos
- Department of Periodontology, Dental School; University of São Paulo; São Paulo Brazil
| | | | - Marcelo Munhóes Romano
- Discipline of Integrated Clinic, Department of Stomatology, Dental School; University of São Paulo; São Paulo Brazil
| | - Felipe Beraldo de Oliveira
- Discipline of Integrated Clinic, Department of Stomatology, Dental School; University of São Paulo; São Paulo Brazil
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Hassona Y, Kharoub H, Scully C. Oral healthcare in Fraser syndrome. SPECIAL CARE IN DENTISTRY 2017; 37:263-266. [DOI: 10.1111/scd.12247] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Y. Hassona
- Associate Professor/Consultant, Department of Oral and Maxillofacial Surgery; Oral Medicine and Periodontics-School of Dentistry; The University of Jordan; Amman Jordan
- Dentist, Department of Dentistry; The University of Jordan Hospital; Amman Jordan
| | - H. Kharoub
- Dentist, Department of Dentistry; The University of Jordan Hospital; Amman Jordan
| | - C. Scully
- Professor Emeritus; University College London; London UK
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