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Lopes-Fatturi A, Fonseca-Souza G, Wambier LM, Brancher JA, Küchler EC, Feltrin-Souza J. Genetic polymorphisms associated with developmental defects of enamel: A systematic review. Int J Paediatr Dent 2024. [PMID: 38949474 DOI: 10.1111/ipd.13233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 05/20/2024] [Accepted: 06/15/2024] [Indexed: 07/02/2024]
Abstract
BACKGROUND Polymorphisms in genes related to enamel formation and mineralization may increase the risk of developmental defects of enamel (DDE). AIM To evaluate the existing literature on genetic polymorphisms associated with DDE. DESIGN This systematic review was registered in the PROSPERO (CRD42018115270). The literature search was performed in PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library, and in the gray literature. Observational studies assessing the association between DDE and genetic polymorphism were included. The Newcastle-Ottawa Scale was used to assess the risk of bias. RESULTS One thousand one hundred and forty-six articles were identified, and 28 met the inclusion criteria. Five studies presented a low risk of bias. Ninety-two genes related to enamel development, craniofacial patterning morphogenesis, immune response, and hormone transcription/reception were included. Molar-incisor hypomineralization (MIH) and/or hypomineralization of primary second molars (HPSM) were associated with 80 polymorphisms of genes responsible for enamel development, immune response, morphogenesis, and xenobiotic detoxication. A significant association was found between the different clinical manifestations of dental fluorosis (DF) with nine polymorphisms of genes responsible for enamel development, craniofacial development, hormonal transcription/reception, and oxidative stress. Hypoplasia was associated with polymorphisms located in intronic regions. CONCLUSION MIH, HPSM, DF, and hypoplasia reported as having a complex etiology are significantly associated with genetic polymorphisms of several genes.
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Zhang K, Lu Z, Guo X. Advances in epidemiological status and pathogenesis of dental fluorosis. Front Cell Dev Biol 2023; 11:1168215. [PMID: 37215086 PMCID: PMC10196443 DOI: 10.3389/fcell.2023.1168215] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 04/21/2023] [Indexed: 05/24/2023] Open
Abstract
Fluoride is commonly consider as a "double-edged sword" because low consumption of fluoride can effectively prevent dental caries, but excessive consumption of fluoride can cause fluorosis. Dental fluorosis (DF) is a characteristic feature of fluorosis in the oral cavity that is manifested as tooth color changes and evident enamel defect. Presently, the pathogenesis of DF remains unclear. Herein, we have summarized the research progress in the pathogenesis and mechanism of DF in the past 5 years.
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Affiliation(s)
- Kaiqiang Zhang
- Department of Preventive Dentistry, School of Stomatology, China Medical University, Shenyang, Liaoning, China
| | - Zhenfu Lu
- Department of Preventive Dentistry, School of Stomatology, China Medical University, Shenyang, Liaoning, China
| | - Xiaoying Guo
- Department of Environmental Health, School of Public Health, China Medical University, Shenyang, Liaoning, China
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Zhou J, Sun D, Wei W. Necessity to Pay Attention to the Effects of Low Fluoride on Human Health: an Overview of Skeletal and Non-skeletal Damages in Epidemiologic Investigations and Laboratory Studies. Biol Trace Elem Res 2023; 201:1627-1638. [PMID: 35661326 DOI: 10.1007/s12011-022-03302-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 05/26/2022] [Indexed: 12/15/2022]
Abstract
Due to the implementation of water improvement and fluoride reduction plans supported by central and local governments in recent years, areas with high fluoride exposure are being gradually decreased. Therefore, it is of practical importance to study the effect of low fluoride on human health. Epidemiologic investigations and in vivo and in vitro studies based on low fluoride have also confirmed that fluoride not only causes skeletal damage, such as dental fluorosis, but also causes non-skeletal damage involving the cardiovascular system, nervous system, hepatic and renal function, reproductive system, thyroid function, blood glucose homeostasis, and the immune system. This article summarizes the effects of low fluoride on human and animal skeletal and non-skeletal systems. A preliminary exploration of corresponding mechanisms that will help to fully understand the harm of low fluoride on human health was undertaken to provide the basis for establishing new water fluoride standards and help to implement individual guidance.
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Affiliation(s)
- Jing Zhou
- Center for Endemic Disease Control, Chinese Center for Disease Control and Prevention, Harbin Medical University, Harbin, 150081, Heilongjiang Province, China
- National Health Commission, Key Laboratory of Etiology and Epidemiology, Harbin Medical University (23618504), Harbin, 150081, Heilongjiang Province, China
- Heilongjiang Provincial Key Laboratory of Trace Elements and Human Health, Harbin Medical University, 150081, Harbin, Heilongjiang Province, China
| | - Dianjun Sun
- Center for Endemic Disease Control, Chinese Center for Disease Control and Prevention, Harbin Medical University, Harbin, 150081, Heilongjiang Province, China
- National Health Commission, Key Laboratory of Etiology and Epidemiology, Harbin Medical University (23618504), Harbin, 150081, Heilongjiang Province, China
- Heilongjiang Provincial Key Laboratory of Trace Elements and Human Health, Harbin Medical University, 150081, Harbin, Heilongjiang Province, China
| | - Wei Wei
- Center for Endemic Disease Control, Chinese Center for Disease Control and Prevention, Harbin Medical University, Harbin, 150081, Heilongjiang Province, China.
- National Health Commission, Key Laboratory of Etiology and Epidemiology, Harbin Medical University (23618504), Harbin, 150081, Heilongjiang Province, China.
- Heilongjiang Provincial Key Laboratory of Trace Elements and Human Health, Harbin Medical University, 150081, Harbin, Heilongjiang Province, China.
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González-Casamada C, Nevarez-Rascón M, Nevarez-Rascón A, González-Galván M, Isiordia-Espinoza MA, Bologna-Molina R, Sánchez-Pérez L, Molina-Frechero N. Single Nucleotide Polymorphisms and Dental Fluorosis: A Systematic Review. Dent J (Basel) 2022; 10:211. [PMID: 36354656 PMCID: PMC9689045 DOI: 10.3390/dj10110211] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 10/29/2022] [Accepted: 11/01/2022] [Indexed: 12/01/2023] Open
Abstract
Genetic factors contribute to susceptibility and resistance to fluoride exposure. The aim of this systematic review was to identify alleles/genotypes of single nucleotide polymorphisms (SNPs) associated with dental fluorosis (DF) and to identify them as protective or risk factors. PubMed, ScienceDirect, Cochrane Library, Scopus and Web of Science were searched for articles; the last search was performed in August 2022. Human studies that analyzed the relationship between SNPs and DF published in English were included; systematic reviews and meta-analyses were excluded. Methodological quality was graded using the Joanna Briggs Institute checklist and risk of bias was assessed using the Cochrane Collaboration's tool. Eighteen articles were included, 44% of which showed high methodological quality and data from 5,625 participants aged 6 to 75 years were analyzed. The SNPs COL1A2, ESR2, DLX1, DLX2, AMBN, TUFT1, TFIP11, miRNA17, and SOD2 were considered risk factors, and ESR1, MMP20, and ENAM were considered protective factors. In conclusion, there are alleles and genotypes of different single nucleotide polymorphisms involved in increasing or decreasing the risk of developing dental fluorosis.
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Affiliation(s)
- Carlos González-Casamada
- Health Care Department, Autonomous Metropolitan University Xochimilco, Mexico City 04960, Mexico
| | | | | | | | - Mario Alberto Isiordia-Espinoza
- Institute of Research in Medical Sciences, Department of Clinics, Los Altos University Center, University of Guadalajara, Tepatitlan de Morelos 47650, Jalisco, Mexico
| | - Ronell Bologna-Molina
- Research Department, School of Dentistry, Juarez University of the Durango State, Durango 34000, Mexico
- Molecular Pathology Area, School of Dentistry, University of the Republic, Montevideo 11200, Uruguay
| | - Leonor Sánchez-Pérez
- Division of Biological and Health Sciences, Autonomous Metropolitan University Xochimilco, Mexico City 04960, Mexico
| | - Nelly Molina-Frechero
- Division of Biological and Health Sciences, Autonomous Metropolitan University Xochimilco, Mexico City 04960, Mexico
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Chakraborty A, Pramanik S, Datta K, Goswami R, Saha D, Majumdar KK, Sikdar N. Possible Association Between Polymorphisms in ESR1, COL1A2, BGLAP, SPARC, VDR, and MMP2 Genes and Dental Fluorosis in a Population from an Endemic Region of West Bengal. Biol Trace Elem Res 2022; 200:4641-4653. [PMID: 35066749 DOI: 10.1007/s12011-021-03072-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 12/15/2021] [Indexed: 12/01/2022]
Abstract
Dental fluorosis (DF) is the most prevalent form of fluorosis in India affecting millions of people all over the country. As estrogen receptor 1 (ESR1), collagen type 1 alpha 2 (COL1A2), bone γ-carboxyglutamic acid protein (BGLAP), secreted protein acidic and cysteine-rich (SPARC), vitamin D receptor (VDR), and matrix metallopeptidase 2 (MMP2) genes play critical roles in bone metabolism, bone formation, mineral metabolism, and mineralization, variants in these genes could influence susceptibility to DF. The present study was aimed at evaluating the association between 15 single-nucleotide polymorphisms (SNPs) in the six candidate genes (namely, ESR1, COL1A2, BGLAP, SPARC, VDR, and MMP2) and DF among 132 individuals (case = 71 and control = 61) living in a fluoride endemic region of West Bengal, India. No statistically significant association with disease risk was found when the genotypes and allele frequencies of each of the 15 SNPs was analyzed individually using odd's ratio with 95% confidence interval. "CC" and "AG" haplotypes of the COL1A2 gene showed a borderline association with DF. The present study is the first in India to use multifactor dimensionality reduction (MDR) analysis for identifying gene-gene and gene-environment interactions in fluorosis. The biomarker of serum fluoride showed a significant association with the disease state among the 17 attributes (15 SNPs and 2 biomarkers of urine fluoride and serum fluoride) (P value = 0.011). The best model of MDR analysis with maximized testing accuracy involved two SNPs from the ESR1 gene (rs9340799 and rs2077647) and one SNP from BGLAP gene (rs1543294) (P value < 0.0001).
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Affiliation(s)
- Arijit Chakraborty
- Kolkata Zonal Centre, CSIR-National Environmental Engineering Research Institute, i-8 Sector-C, East Kolkata Township, Kolkata, 700107, India
| | - Sreemanta Pramanik
- Kolkata Zonal Centre, CSIR-National Environmental Engineering Research Institute, i-8 Sector-C, East Kolkata Township, Kolkata, 700107, India.
| | - Kallol Datta
- National Institute of Biomedical Genomics, P.O. N.S.S., Kalyani, 741251, West Bengal, India
| | - Rakesh Goswami
- Kolkata Zonal Centre, CSIR-National Environmental Engineering Research Institute, i-8 Sector-C, East Kolkata Township, Kolkata, 700107, India
| | - Depanwita Saha
- Kolkata Zonal Centre, CSIR-National Environmental Engineering Research Institute, i-8 Sector-C, East Kolkata Township, Kolkata, 700107, India
| | - Kunal Kanti Majumdar
- Department of Community Medicine, KPC Medical College and Hospital, 1F Raja S. C. Mullick Road, Jadavpur, Kolkata, 700032, India
| | - Nilabja Sikdar
- Human Genetics Unit, Indian Statistical Institute, 203 B. T. Road, Baranagar, Kolkata, 700108, India
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García-Escobar TM, Valdivia-Gandur I, Astudillo-Rozas W, Aceituno-Antezana O, Yamadala B, Lozano de Luaces V, Chimenos-Küstner E, Manzanares-Céspedes MC. Moderate and Severe Dental Fluorosis in the Rural Population of Anantapur, India: Change in Their Biological Susceptibility? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11293. [PMID: 36141562 PMCID: PMC9517481 DOI: 10.3390/ijerph191811293] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 09/02/2022] [Accepted: 09/04/2022] [Indexed: 06/16/2023]
Abstract
Dental fluorosis affects the quality of life. A cross-sectional, observational study was conducted in a community affected by endemic fluorosis for several generations with a conserved biological and social environment. The study included patients from the rural population of Anantapur, India. The Dean index (DI) and the Thylstrup and Fejerskov Index (TFI) were used for fluorosis classification. Additionally, water samples were collected for fluoride analysis, taken from the patients' living areas. The statistical association between the variables was analyzed. In total, 785 patients between 10 and 60 years old were included in the study (58.7% women and 41.3% men). Fluorosis signs were found in 94.6% of patients examined using the DI and 94.4% using the TFI. Moderate-severe dental fluorosis was observed in 62.8% by DI and 73.1% by TFI consuming untreated water with up to 2.9 ppm of fluoride. Furthermore, moderate-severe dental fluorosis was observed in 33.2% by DI and 39.9% by TFI consuming water with ≤1.5 ppm of fluoride. The high prevalence of moderate-severe dental fluorosis in patients consuming water with a low fluoride concentration suggests that other factors are involved. Biological susceptibility change could play an essential role in the severity of dental fluorosis in populations exposed for several generations, affecting its actual and future quality of life.
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Affiliation(s)
- Trina Mylena García-Escobar
- Department of Odonto-Stomatology, Faculty of Medicine and Health Sciences, Universitat de Barcelona, 08007 Barcelona, Spain
| | | | - Wilson Astudillo-Rozas
- Biomedical Department, Universidad de Antofagasta, Antofagasta 1270300, Chile
- Dentistry Department, Universidad de Antofagasta, Antofagasta 1270300, Chile
- Biomedical Master of Science, Health Science Faculty, Universidad de Antofagasta, Antofagasta 1270300, Chile
| | - Oscar Aceituno-Antezana
- Biomedical Department, Universidad de Antofagasta, Antofagasta 1270300, Chile
- Dentistry Department, Universidad de Antofagasta, Antofagasta 1270300, Chile
- Biomedical Master of Science, Health Science Faculty, Universidad de Antofagasta, Antofagasta 1270300, Chile
| | | | - Vicente Lozano de Luaces
- Department of Odonto-Stomatology, Faculty of Medicine and Health Sciences, Universitat de Barcelona, 08007 Barcelona, Spain
- Rural Development Trust, Vicente Ferrer Foundation, 08029 Barcelona, Spain
| | - Eduardo Chimenos-Küstner
- Department of Odonto-Stomatology, Faculty of Medicine and Health Sciences, Universitat de Barcelona, 08007 Barcelona, Spain
| | - María Cristina Manzanares-Céspedes
- Human Anatomy and Embryology Unit, Faculty of Medicine and Health Sciences, Universitat de Barcelona, 08007 Barcelona, Spain
- UNIPRO—Unidade de Investigação em Patologia e Reabilitação Oral, Instituto Universitário de Ciências da Saúde (IUCS), CESPU, 4585-116 Gandra, Portugal
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Feltrin-Souza J, Costa SAD, Bussaneli DG, Santos-Pinto L, Cerri PS, Cury J, Tenuta L, Cordeiro RDCL. In vivo effect of fluoride combined with amoxicillin on enamel development in rats. J Appl Oral Sci 2021; 29:e20210171. [PMID: 34852156 PMCID: PMC8653805 DOI: 10.1590/1678-7757-2021-0171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Accepted: 09/23/2021] [Indexed: 11/22/2022] Open
Abstract
Some evidence in vitro suggested that amoxicillin and fluoride could disturb the enamel mineralization. Objective: To assess the effect of amoxicillin and of the combination of amoxicillin and fluoride on enamel mineralization in rats. Methodology: In total, 40 rats were randomly assigned to four groups: control group (CG); amoxicillin group (AG - amoxicillin (500 mg/kg/day), fluoride group (FG - fluoridated water (100 ppm -221 mg F/L), and amoxicillin + fluoride group (AFG). After 60 days, the samples were collected from plasma and tibiae and analyzed for fluoride (F) concentration. The incisors were also collected to determine the severity of fluorosis using the Dental Fluorosis by Image Analysis (DFIA) software, concentration of F, measurements of enamel thickness, and hardness. The data were analyzed by ANOVA, Tukey’s post-hoc test, or Games-Howell post-hoc test (α=0.05). Results: Enamel thickness of the incisors did not differ statistically among the groups (p=0.228). Groups exposed to fluoride (AFG and FG) have higher F concentrations in plasma, bone and teeth than those not exposed to fluoride (CG and AG). The groups showed a similar behavior in the DFIA and hardness test, with the FG and AFG groups showing more severe fluorosis defects and significant lower hardness when compared with the AG and CG groups, with no difference from each other. Conclusion: The rats exposed to fluoride or fluoride + amoxicillin developed dental fluorosis, while exposure to amoxicillin alone did not lead to enamel defects.
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Affiliation(s)
- Juliana Feltrin-Souza
- Universidade Federal do Paraná, Departamento de Estomatologia, Curitiba, Paraná, Brasil
| | - Silas Alves da Costa
- Universidade Estadual Paulista, Faculdade de Odontologia de Araraquara, Departamento de Morfologia e Clínica Infantil, Araraquara, São Paulo, Brasil
| | - Diego Girotto Bussaneli
- Universidade Estadual Paulista, Faculdade de Odontologia de Araraquara, Departamento de Morfologia e Clínica Infantil, Araraquara, São Paulo, Brasil
| | - Lourdes Santos-Pinto
- Universidade Estadual Paulista, Faculdade de Odontologia de Araraquara, Departamento de Morfologia e Clínica Infantil, Araraquara, São Paulo, Brasil
| | - Paulo Sérgio Cerri
- Universidade Estadual Paulista, Faculdade de Odontologia de Araraquara, Departamento de Morfologia e Clínica Infantil, Araraquara, São Paulo, Brasil
| | - Jaime Cury
- Universidade de Campinas, Faculdade de Odontologia de Piracicaba, Piracicaba, Departamento de Biociências, São Paulo, Brasil
| | - Livia Tenuta
- University of Michigan School of Dentistry, Restorative Sciences and Endodontics, Department of Cariology, Ann Arbor, MI, United States
| | - Rita de Cássia Loiola Cordeiro
- Universidade Estadual Paulista, Faculdade de Odontologia de Araraquara, Departamento de Morfologia e Clínica Infantil, Araraquara, São Paulo, Brasil
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Effects of SNPs in SOD2 and SOD3 interacted with fluoride exposure on the susceptibility of dental fluorosis. Int J Hyg Environ Health 2021; 239:113879. [PMID: 34758947 DOI: 10.1016/j.ijheh.2021.113879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Revised: 10/11/2021] [Accepted: 10/28/2021] [Indexed: 11/21/2022]
Abstract
A total of 649 children aged 7-13 years of age were recruited in a cross-sectional study in Tongxu County, China (2017) to assess the effects of interaction between single nucleotide polymorphisms (SNPs) in SOD2 and SOD3 gene and fluoride exposure on dental fluorosis (DF) status. Associations between biomarkers and DF status were evaluated. Logistic regression suggested that the risk of DF in children with rs10370 GG genotype and rs5746136 TT genotype was 1.89-fold and 1.72-fold than that in children with TT/CC genotype, respectively. Increased T-SOD activity was associated with a lower risk of DF (OR = 0.99). The rs2855262*rs10370*UF model was regarded as the optimal interaction model in generalized multifactor dimensionality reduction analyses. Our findings suggested that rs4880 and rs10370 might be useful genetic markers for DF, and there might be interactions among rs10370 in SOD2, rs2855262 in SOD3, and fluoride exposure on DF status.
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Liu JZ, Bao R, Chen C, Wang R. The occurrence, severity degree, and associated risk factors of dental fluorosis among the 12-year-old schoolchildren in Jilin, China. Medicine (Baltimore) 2021; 100:e23820. [PMID: 34087818 PMCID: PMC8183705 DOI: 10.1097/md.0000000000023820] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Accepted: 11/23/2020] [Indexed: 01/04/2023] Open
Abstract
This study aims to describe the occurrence, severity degree, and correlated risk factors of dental fluorosis among the 12-year-old schoolchildren of Jilin, China.We conducted a cross-sectional, observational, and descriptive study among 960 12-year-old schoolchildren in Jilin. The Dean index was utilized to evaluate the severity degree of dental fluorosis. A questionnaire was sent to the guardians of children. Community fluorosis index was measured to estimate the importance of enamel fluorosis for the whole population's public health. The logistic regression analysis was also utilized to identify the correlation between fluorotic teeth and the independent variables.Nine hundred sixty children were assessed. Among them, 480 (50%) were female. 30.5% of subjects had dental fluorosis, 7.19% had very mild dental fluorosis, 10.73% experienced mild dental fluorosis, 9.58% suffered moderate dental fluorosis, and 3.02% encountered severe dental fluorosis. The overall community fluorosis index was 0.73. The results of logistic regression showed that schoolchildren who brushed teeth more frequently (OR: 2.012, 95% CI 1.767-2.342), deficiency of parental supervision (OR: 4.219, 95% CI 3.887-4.573), and lived in rural areas (OR: 2.776, 95% CI 2.163-3.489) were more correlated with enamel fluorosis. Moreover, schoolchildren whose mothers or fathers were of high education level (OR: 0.336, 95% CI 0.217-0.413 and 0.346, 95% CI 0.113-0.512) and only child (OR: 0.378, 95% CI 0.213-0.415) were protective factors for dental fluorosis.In the Jilin province of China, the risk indicators for dental fluorosis include rural areas, more frequency of brushing, low educational background of parents, and deficiency of parental supervision.
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Küchler EC, de Lara RM, Omori MA, Schröder A, Teodoro VB, Baratto-Filho F, Léon JE, Proff P, Madalena IR, Kirschneck C. Estrogen deficiency affects tooth formation and gene expression in the odontogenic region of female rats. Ann Anat 2021; 236:151702. [PMID: 33607226 DOI: 10.1016/j.aanat.2021.151702] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 01/13/2021] [Accepted: 01/25/2021] [Indexed: 12/13/2022]
Abstract
BACKGROUND There is some evidence that estrogen regulates the expression of several genes in different cells, including dental cells. Therefore, the aim of this study was to investigate the role of estrogen deficiency during tooth development regarding tooth structure morphology and its impact on the expression of odontogenesis-related genes. METHODS A total of 40 female Wistar rats was divided into OVX (estrogen deficiency) and Sham (control) groups. Bilateral ovariectomy was performed in the OVX group, while Sham surgery was performed in the control group at the age of 21 days. At an age of 56 days, 16 rats were euthanized for gene expression analyses of Bmp4, Smad6, Tgfb1 and Runx2. At the age of 63 days, the remaining rats were euthanized for histological and morphometric analyses of teeth. The mandibles of the rats were submitted to μCT analysis. Tooth structures (enamel, dentin and dental pulp) were analyzed. T test was used to compare the mean differences between groups (p<0.05). RESULTS In the μCT analysis, enamel and dentin thickness were significantly increased in the control group (p<0.0001). Pulp dimensions were significantly larger in the OVX group (p<0.0001). A reduction of tooth structures in the OVX group was confirmed in HE staining. Smad6 was differentially expressed in the OVX group (p=0.04). CONCLUSION Estrogen deficiency affects gene expression in the odontogenic region and tooth structure morphology.
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Affiliation(s)
- Erika Calvano Küchler
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany; Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP 14040-904, Brazil
| | | | - Marjorie Ayumi Omori
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP 14040-904, Brazil
| | - Agnes Schröder
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
| | | | - Flares Baratto-Filho
- School of Dentistry, Univille University, R. Paulo Malschitzki, Joinville, SC 89219-710, Brazil
| | - Jorge Esquiche Léon
- Department of Pathology and Forensic Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Peter Proff
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany
| | - Isabela Ribeiro Madalena
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Avenida do Café, Ribeirão Preto, SP 14040-904, Brazil
| | - Christian Kirschneck
- Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany.
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Cunha AS, Vertuan Dos Santos L, Schaffer Pugsley Baratto S, Abbasoglu Z, Gerber JT, Paza A, Matsumoto MAN, Scariot R, Stuani MB, Küchler EC. Human permanent tooth sizes are associated with genes encoding oestrogen receptors. J Orthod 2020; 48:24-32. [PMID: 32985343 DOI: 10.1177/1465312520958710] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To evaluate if genetic polymorphisms in the oestrogen receptor 1 (ESR1) and oestrogen receptor 2 (ESR2) genes encoded for oestrogen receptors alpha (ERα) and beta (ERβ) are involved in permanent tooth size. DESIGN Cross-sectional study. SETTING Orthodontic Clinic at School of Dentistry of Ribeirão Preto, University of São Paulo. PARTICIPANTS A total of 108 orthodontic patients. MATERIALS AND METHODS Pre-treatment orthodontic records were evaluated. Dental casts were used to determine the maximum crown measurements of fully erupted permanent teeth in the mesiodistal dimensions. Second and third molars were not included in the analysis. Genomic DNA samples were used for the genotyping of four genetic polymorphisms: ESR1 (rs9340799 and rs2234693) and ESR2 (rs1256049 and rs4986938). The associations between tooth size and sex were evaluated using t test. The associations between tooth size and genotype were analysed with linear regression and adjusted by sex at an alpha of P⩽0.05. RESULTS Female patients presented smaller tooth size than male patients. A statistically significant difference was observed in almost all teeth (P<0.05). The genetic polymorphisms in rs9340799, rs2234693, rs1256049 and rs4986938 were associated with some tooth sizes in both the maxilla and mandible (P<0.05). CONCLUSION This study provides evidence that genetic polymorphisms in ESR1 and ESR2 could be associated with tooth size in permanent teeth.
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Affiliation(s)
- Arthur S Cunha
- Department of Orthodontics, School of Dentistry, State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Luiza Vertuan Dos Santos
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | - Zerrin Abbasoglu
- Department of Pediatric Dentistry, Yeditepe University, Istanbul, Turkey
| | - Jennifer Tsi Gerber
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Aleysson Paza
- School of Dentistry, Univille University, Joinville, Brazil
| | - Mírian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Rafaela Scariot
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Maria Bernadete Stuani
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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Abbasoglu Z, Dalledone M, Wambier LM, Pecharki G, Baratto-Filho F, Andrades KMR, Scariot R, Trevilatto PC, Brancher JA, Küchler EC. Single nucleotide polymorphism rs4284505 in microRNA17 and risk of dental fluorosis. Acta Odontol Scand 2020; 78:463-466. [PMID: 32619376 DOI: 10.1080/00016357.2020.1786600] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
OBJECTIVES The aim of this study is to evaluate the association between the single nucleotide polymorphism (SNP) rs4284505 within the gene that codifies microRNA17 (miRNA17) and dental fluorosis (DF) in a group of children. METHODS Children living in a city with fluoridation of public water supplies were included. DF was assessed in erupted permanent teeth by Dean's modified index. The miR-SNP rs4284505 was selected in miRNA17 and genotyping was carried out by real-time PCR. Genotype and allelic distributions between DF and control, and between DF phenotypes (mild, moderate and severe) and control were analysed. RESULTS Among a total of 527 children enrolled for the study, 383 were DF free and 144 presented DF. In the dominant model analysis (AA + AG vs. GG) the miR-SNP rs4284505 was associated with moderate DF, with carriers of the GG genotype having an increased risk of more than two times for DF (p = 0.031; Odds Ratio = 2.26, Confidence Interval 95%= 1.04-4.73). Allelic distribution showed borderline statistical significance for moderate DF with the carriers of G allele having an increased risk for DF (p = .050; Odds Ratio = 1.75, Confidence Interval 95%= 1.00-3.12). CONCLUSION The miR-SNP rs4284505 in miRNA17 was associated with an increased risk of DF.
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Affiliation(s)
- Zerrin Abbasoglu
- Department of Pediatric Dentistry, Yeditepe University, Istanbul, Turkey
| | - Mariana Dalledone
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Letícia M. Wambier
- Department of Dentistry, School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Giovana Pecharki
- Department of Community Health, Federal University of Parana, Curitiba, Brazil
| | - Flares Baratto-Filho
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
- School of Dentistry, Univille University, Joinville, Brazil
| | | | - Rafaela Scariot
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Paula C. Trevilatto
- Dental School, Pontifícia Universidade Católica do Paraná (PUC-PR), Curitiba, Brazil
| | - João A. Brancher
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
| | - Erika C. Küchler
- School of Health and Biological Sciences, Universidade Positivo, Curitiba, Brazil
- School of Dentistry, Univille University, Joinville, Brazil
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Abstract
An effective prevention policy for dental caries is absent in Jilin, China because of outdated and insufficient data. Therefore, this study aimed to investigate dental caries status and related risk indicators among 12-year-old students in Jilin Province.We conducted a cross-sectional investigation among 2324 children aged 12 years from 9 regions of Jilin in 2017. Caries was evaluated with the decayed-missing-filled teeth index and the significant caries index. The rate of pit and fissure closure, education level of patients, brushing habits, and sugar consumption were evaluated in a structured questionnaire. The associated risk indicators of caries were also assessed through logistic regression analysis.The prevalence of dental caries is 56.11%, and the value of decayed-missing-filled teeth was 1.53. More dental caries was found in students living in high-fluorine areas (P < .01). The results of logistic regression analysis show that females, poor self-assessment of oral health, toothache experience, dental visits, and education levels of parents are risk indicators for caries (P < .01).Regarding the current status of DC among 12-year-old students in Jilin Province, (1) The high-fluorine areas have lower DC prevalence than the non-high fluorine areas, (2) Female students have higher DC prevalence than male students, (3) Poor self-assessment of dental health, toothache experience, dental visits, and low education levels of parents can increase the risk of dental caries.
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Silva-Sousa AC, Mazzi-Chaves JF, Freitas JV, Salles AG, Segato RABDS, Silva LABD, Antunes LAA, Antunes LS, Baratto-Filho F, Sousa-Neto MD, Küchler EC. Association between Estrogen, Vitamin D and Microrna17 Gene Polymorphisms and Periapical Lesions. Braz Dent J 2020; 31:19-24. [DOI: 10.1590/0103-644020200] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Accepted: 12/21/2019] [Indexed: 12/20/2022] Open
Abstract
Abstract This study evaluated the association between polymorphisms in genes encoding estrogen receptors 1 (ESR1) and 2 (ESR2), vitamin D receptor (VDR) and in microRNA17 (which binds to ESR1 and VDR) with persistent apical periodontitis (PAP) after the endodontic treatment. We included 162 patients who completed endodontic treatment at least one year ago and presented apical periodontitis at the beginning of the root canal therapy. Clinical and radiographic exams were performed to evaluate the presence of PAP or healthy periradicular tissues (healed). Saliva samples were collected as a genomic DNA. The genotyping of ESR1 (rs2234693 and rs9340799), ESR2 (rs1256049 and rs4986938), VDR (rs739837 and rs2228570) and miRNA17 (rs4284505) were performed by real-time PCR. Chi-square test was used to the distribution of genotype and allele frequencies. Haplotype analysis was also performed. Eighty-nine patients were included in the “healed” group and 73 in the “PAP” group. No association was found between the allelic and genotypic polymorphisms studied and PAP (p>0.05). Haplotype analysis also did not demonstrated an association (p>0.05). In conclusion, the genetic polymorphisms in ESR1, ESR2, VDR and miRNA17 are not associated with PAP.
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Du A, Zhang H, Chen C, Zhang F, Liu X, Zhang Z, Wang R. Oral health of 12-year-old children in Jilin province, China: A population-based epidemiological survey. Medicine (Baltimore) 2019; 98:e18463. [PMID: 31861023 PMCID: PMC6940149 DOI: 10.1097/md.0000000000018463] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023] Open
Abstract
There is a lack of population-based surveys on oral health in Jilin province. Accordingly, this study aimed to understand the oral health status of 12-year-old children in Jilin province, China, to demonstrate the prevalence of oral health-related diseases, as well as to identify the associated risk factors.From February to April 2017, a cross-sectional investigation was conducted among 2324 children aged 12 years from 63 public schools of 9 regions in Jilin province, China. A questionnaire of World Health Organization (WHO) was conducted to ascertain the potential risk factors associated with oral diseases. The 3 examiners, who received theoretical and clinical training before the investigation, underwent clinical examinations to assess dental caries, dental fluorosis, presence of calculus, and gingival bleeding. Furthermore, the mean decayed-missing-filled tooth (DMFT), the rate of pit and fissure closure, education level of patients, brushing habits, and sugar consumption were also evaluated. All data analyses were conducted using SPSS version 19.0.A total of 2324 twelve-year-old children from 9 regions in Jilin-China were examined from February to April 2017. The prevalence of dental caries, dental fluorosis, calculus, and gingival bleeding reached 40.8%%, 21.8%, 47.93%, and 48.88%, respectively; the mean DMFT was 0.8787. The proportion of DMFT was 83.7% for decayed teeth, 0.2% for missing teeth, and 16.1% for filling teeth. The prevalence of pit and fissure closure was 10%.Educational level of parents was negatively correlated with the prevalence of oral diseases, whereas sugar consumption was positively associated with dental caries prevalent in children. We also found that there was no association between brushing habits and dental caries in children aged 12 years in Jilin Province.
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