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Guignardat JF, Raoul G, Ferri J, Sciote JJ, Nicot R. Systematic review of the histological and functional effects of botulinum toxin A on masticatory muscles: Consideration in dentofacial orthopedics and orthognathic surgery. Ann Anat 2024; 256:152302. [PMID: 39038690 DOI: 10.1016/j.aanat.2024.152302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 05/31/2024] [Accepted: 07/03/2024] [Indexed: 07/24/2024]
Abstract
INTRODUCTION Botulinum toxin type A causes muscle paralysis and is widely used in the masticatory muscle for stomatognathic diseases, such as temporomandibular disorder, bruxism, or masseteric hypertrophy. Nonetheless, its muscular effect remains unclear. Better understanding could aid improved use and perhaps new indications, particularly in dentofacial orthopaedics and orthognathic surgery. METHODS This systematic review explored the histologic and functional effects of botulinum toxin in animal and human masticatory muscles and was conducted in accordance with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The MEDLINE, Web of Science, and Cochrane Library electronic databases were searched for relevant articles. The inclusion criteria were human or animal masticatory muscle analysis after botulinum toxin injection(s) AND histological structural/ultrastructural analysis by optical or electronic microscopy OR functional effect analysis by bite force evaluation (occlusal force analyzer) and muscle activity (electromyography). RESULTS Of an initial 1578 articles, 44 studies were eventually included. Botulinum toxin injection in the masticatory muscle altered its histological structure and functional properties. The human and animal studies revealed ultrastructural change, atrophy, and fiber type modifications of the masticatory muscles after one injection. Botulinum toxin decreased bite force and muscle activity, but recovery was uncertain. CONCLUSIONS Muscle forces applied on the skeleton is a key feature of facial growth. Masticatory muscle paralysis changes mechanical stress on bones, which rebalances the force applied on facial bones. This new balance could benefit dental deformity or surgical relapse. Therefore, botulinum toxin could limit the orthognathic effect of the masticatory muscles in such patients. Given the uncertain recovery, multiple injections should be avoided, and usage should not deviate from established consensus.
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Affiliation(s)
| | - Gwénaël Raoul
- Univ. Lille, Inserm, CHU Lille, U1008 - Advanced Drug Delivery Systems, Department of Oral and Maxillofacial Surgery, F-59000 Lille, France
| | - Joël Ferri
- Univ. Lille, Inserm, CHU Lille, U1008 - Advanced Drug Delivery Systems, Department of Oral and Maxillofacial Surgery, F-59000 Lille, France
| | - James J Sciote
- Department of Orthodontics, Temple University, Philadelphia, Pennsylvania, USA
| | - Romain Nicot
- Univ. Lille, Inserm, CHU Lille, U1008 - Advanced Drug Delivery Systems, Department of Oral and Maxillofacial Surgery, F-59000 Lille, France.
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Burnheimer JM, Baxter DJ, Deeley KB, Vieira AR, Bezamat M. Exploring etiologic contributions to the occurrence of external apical root resorption. Am J Orthod Dentofacial Orthop 2024:S0889-5406(24)00225-7. [PMID: 39001738 DOI: 10.1016/j.ajodo.2024.05.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Revised: 05/01/2024] [Accepted: 05/01/2024] [Indexed: 07/15/2024]
Abstract
INTRODUCTION External apical root resorption (EARR) is often an undesirable sequela of orthodontic treatment. Prior studies have suggested a substantial link between EARR and certain genetic components. Single nucleotide polymorphisms (SNPs) may play a role as predisposing factors. This study aimed to investigate the potential association between EARR and various SNPs. METHODS The study included 218 orthodontic participants of all malocclusions who had available pretreatment and posttreatment panoramic radiographs. The most severely affected maxillary incisor on the radiograph was assessed for EARR using a 0-4 categorical scale. DNA was taken from the saliva samples of the participants, and the SNPs were analyzed using polymerase chain reaction and TaqMan chemistry. Statistical testing was performed to verify any associations with EARR (P <0.05). RESULTS From all genes tested, the rs678397 SNP of ACT3N (P = 0.003) and the rs1051771 SNP of TSC2 (P = 0.03) were significantly associated with EARR. No association could be established between other polymorphisms and EARR. In addition, patients with Class III malocclusion and extended treatment times were at increased risk of developing EARR. CONCLUSIONS Our results support the concept of gene polymorphisms as risk factors in EARR. In particular, a significant association was found between ACT3N and TSC2 and EARR. Clinically, predisposing risk factors for EARR should be assessed for each patient.
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Affiliation(s)
- John M Burnheimer
- Advanced Education Program in Orthodontics and Dentofacial Orthopedics, Seton Hill University, Greensburg, Pa.
| | - Dylan J Baxter
- Department of Oral and Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa
| | - Kathleen B Deeley
- Department of Oral and Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa
| | - Alexandre R Vieira
- Office of Research, School of Dental Medicine, East Carolina University, Greenville, NC
| | - Mariana Bezamat
- Department of Oral and Craniofacial Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa
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Watted N, Lone IM, Zohud O, Midlej K, Proff P, Iraqi FA. Comprehensive Deciphering the Complexity of the Deep Bite: Insight from Animal Model to Human Subjects. J Pers Med 2023; 13:1472. [PMID: 37888083 PMCID: PMC10608509 DOI: 10.3390/jpm13101472] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 09/27/2023] [Accepted: 10/06/2023] [Indexed: 10/28/2023] Open
Abstract
Deep bite is a malocclusion phenotype, defined as the misalignment in the vertical dimension of teeth and jaws and characterized by excessive overlap of the upper front teeth over the lower front teeth. Numerous factors, including genetics, environmental factors, and behavioral ones, might contribute to deep bite. In this study, we discuss the current clinical treatment strategies for deep bite, summarize the already published findings of genetic analysis associated with this complex phenotype, and their constraints. Finally, we propose a comprehensive roadmap to facilitate investigations for determining the genetic bases of this complex phenotype development. Initially, human deep bite phenotype, genetics of human deep bite, the prevalence of human deep bite, diagnosis, and treatment of human deep bite were the search terms for published publications. Here, we discuss these findings and their limitations and our view on future strategies for studying the genetic bases of this complex phenotype. New preventative and treatment methods for this widespread dental issue can be developed with the help of an understanding of the genetic and epigenetic variables that influence malocclusion. Additionally, malocclusion treatment may benefit from technological developments like 3D printing and computer-aided design and manufacture (CAD/CAM). These technologies enable the development of personalized surgical and orthodontic guidelines, enhancing the accuracy and effectiveness of treatment. Overall, the most significant results for the patient can only be achieved with a customized treatment plan created by an experienced orthodontic professional. To design a plan that meets the patient's specific requirements and expectations, open communication between the patient and the orthodontist is essential. Here, we propose to conduct a genome-wide association study (GWAS), RNAseq analysis, integrating GWAS and expression quantitative trait loci (eQTL), micro and small RNA, and long noncoding RNA analysis in tissues associated with deep bite malocclusion in human, and complement it by the same approaches in the collaborative cross (CC) mouse model which offer a novel platform for identifying genetic factors as a cause of deep bite in mice, and subsequently can then be translated to humans. An additional direct outcome of this study is discovering novel genetic elements to advance our knowledge of how this malocclusion phenotype develops and open the venue for early identification of patients carrying the susceptible genetic factors so that we can offer early prevention and treatment strategies, a step towards applying a personalized medicine approach.
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Affiliation(s)
- Nezar Watted
- Center for Dentistry Research and Aesthetics, Jatt 45911, Israel;
- Department of Orthodontics, Faculty of Dentistry, Arab America University, Jenin 919000, Palestine
- Gathering for Prosperity Initiative, Jatt 45911, Israel
| | - Iqbal M. Lone
- Department of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel; (I.M.L.); (O.Z.)
| | - Osayd Zohud
- Department of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel; (I.M.L.); (O.Z.)
| | - Kareem Midlej
- Department of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel; (I.M.L.); (O.Z.)
| | - Peter Proff
- University Hospital of Regensburg, Department of Orthodontics, University of Regensburg, 93053 Regensburg, Germany
| | - Fuad A. Iraqi
- Gathering for Prosperity Initiative, Jatt 45911, Israel
- Department of Clinical Microbiology and Immunology, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 69978, Israel; (I.M.L.); (O.Z.)
- University Hospital of Regensburg, Department of Orthodontics, University of Regensburg, 93053 Regensburg, Germany
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Telatar BC, Telatar GY, Saydam F. Association between Taql polymorphism of vitamin D receptor gene and vertical growth of the mandible: A cross-sectional study. Korean J Orthod 2023; 53:336-342. [PMID: 37746779 PMCID: PMC10547590 DOI: 10.4041/kjod23.129] [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: 06/14/2023] [Revised: 08/17/2023] [Accepted: 08/29/2023] [Indexed: 09/26/2023] Open
Abstract
Objective To determine whether the gonial angle on digital panoramic radiographs is associated with vitamin D receptor (VDR) Taql polymorphism. Methods Genomic DNA samples were collected from the buccal mucosa of patients aged 26-43 years. TaqMan assay for single nucleotide polymorphism genotyping was used to detect the genotype of Taql polymorphism. The gonial angle was measured bilaterally on panoramic radiography. The normal gonial angle was fixed as 121.8°, and it represented the cutoff value for the high gonial angle (HGA) and low gonial angle (LGA) groups. Various genetic models were analyzed, namely dominant (homozygous [AA] vs. heterozygous [AG] + polymorphic [GG]), recessive (AA + AG vs. GG), and additive (AA + GG vs. AG), using the chi-squared test. Results The reliability of the gonial angle measurement was analyzed using a random sample (26%) of the tests, with the intra-examiner correlation showing an intra-class correlation coefficient of 0.99. The frequencies of the AA, AG, and GG genotypes of rs731236 polymorphism were 40.5%, 41.9%, and 17.6% in the HGA group and 21.8%, 51.0%, and 27.2% in the LGA group, respectively (P = 0.042). A statistically significant difference was observed in the allele frequencies between the two groups (P = 0.011). Moreover, a significant correlation was observed in the dominant genetic model. Conclusions Taql polymorphism in the VDR gene plays a critical role in the vertical growth of the mandible and decreased gonial angle.
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Affiliation(s)
- Baris Can Telatar
- Department of Orthodontics, Faculty of Dentistry, Akdeniz University, Antalya, Turkey
| | - Gul Yildiz Telatar
- Department of Restorative Dentistry, Faculty of Dentistry, Recep Tayyip Erdogan University, Rize, Turkey
| | - Faruk Saydam
- Department of Medical Biology and Genetic, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
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El Ouali EM, Zouhal H, Bahije L, Ibrahimi A, Benamar B, Kartibou J, Saeidi A, Laher I, El Harane S, Granacher U, Mesfioui A. Effects of Malocclusion on Maximal Aerobic Capacity and Athletic Performance in Young Sub-Elite Athletes. Sports (Basel) 2023; 11:sports11030071. [PMID: 36976957 PMCID: PMC10051721 DOI: 10.3390/sports11030071] [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: 01/28/2023] [Revised: 03/01/2023] [Accepted: 03/14/2023] [Indexed: 03/30/2023] Open
Abstract
Oral pathologies can cause athletic underperformance. The aim of this study was to determine the effect of malocclusion on maximal aerobic capacity in young athletes with the same anthropometric data, diet, training mode, and intensity from the same athletics training center. Sub-elite track and field athletes (middle-distance runners) with malocclusion (experimental group (EG); n = 37; 21 girls; age: 15.1 ± 1.5 years) and without malocclusion (control group (CG); n = 13; 5 girls; age: 14.7 ± 1.9 years) volunteered to participate in this study. Participants received an oral diagnosis to examine malocclusion, which was defined as an overlapping of teeth that resulted in impaired contact between the teeth of the mandible and the teeth of the upper jaw. Maximal aerobic capacity was assessed using the VAMEVAL test (calculated MAS and estimated VO2max). The test consisted of baseline values that included the following parameters: maximum aerobic speed (MAS), maximal oxygen uptake (VO2max), heart rate frequency, systolic (SAP) and diastolic arterial pressure (DAP), blood lactate concentration (LBP), and post-exercise blood lactate assessment (LAP) after the performance of the VAMEVAL test. There were no statistically significant differences between the two study groups related to either anthropometric data (age: EG = 15.1 ± 1.5 vs. CC = 14.7 ± 1.9 years (p = 0.46); BMI: EG = 19.25 ± 1.9 vs. CC = 19.42 ± 1.7 kg/m2 (p = 0.76)) or for the following physical fitness parameters and biomarkers: MAS: EG = 15.5 (14.5-16.5) vs. CG = 15.5 (15-17) km/h (p = 0.47); VO2max: EG = 54.2 (52.5-58.6) vs. CG = 54.2 (53.4-59.5) mL/kg/min (p = 0.62) (IQR (Q1-Q3)); heart rate before the physical test: EG = 77.1 ± 9.9 vs. CG = 74.3 ± 14.0 bpm (p = 0.43); SAP: EG = 106.6 ± 13.4 vs. CG = 106.2 ± 14.8 mmHg (p = 0.91); DAP: EG = 66.7 ± 9.1 vs. CG = 63.9 ± 10.2 mmHg (p = 0.36); LBP: EG = 1.5 ± 0.4 vs. CG = 1.3 ± 0.4 mmol/L (p = 0.12); and LAP: EG = 4.5 ± 2.36 vs. CG = 4.06 ± 3.04 mmol/L (p = 0.60). Our study suggests that dental malocclusion does not impede maximal aerobic capacity and the athletic performance of young track and field athletes.
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Affiliation(s)
- El Mokhtar El Ouali
- Laboratory of Biology and Health, Department of Biology, Ibn Tofail University of Kenitra, Kénitra 14000, Morocco
| | - Hassane Zouhal
- Movement, Sport, Health and Sciences Laboratory (M2S), UFR-STAPS, University of Rennes 2-ENS Cachan, Av. Charles Tillon, 35044 Rennes, France
- Institut International des Sciences du Sport (2IS), 35850 Irodouer, France
| | - Loubna Bahije
- Department of Dentofacial Orthopedics, Faculty of Dental Medicine, Mohammed 5 University of Rabat, Rabat 10000, Morocco
| | - Azeddine Ibrahimi
- Medical Biotechnology Laboratory, Faculty of Medicine and Pharmacy, Mohamed 5 Rabat University, Rabat 10000, Morocco
| | - Bahae Benamar
- BENAMAR Medical Analysis Laboratory, Rabat 10000, Morocco
| | - Jihan Kartibou
- Ministry of National Education and Teaching and Sports, Rabat 10000, Morocco
| | - Ayoub Saeidi
- Department of Physical Education and Sport Sciences, Faculty of Humanities and Social Sciences, University of Kurdistan, Sanandaj 66177-15175, Iran
| | - Ismail Laher
- Department of Anesthesiology, Pharmacology, and Therapeutics, Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
| | - Sanae El Harane
- Department of Pathology and Immunology, Faculty of Medicine, University of Geneva, 1211 Geneva, Switzerland
| | - Urs Granacher
- Department of Sport and Sport Science, Exercise and Human Movement Science, University of Freiburg, 79102 Freiburg, Germany
| | - Abdelhalem Mesfioui
- Laboratory of Biology and Health, Department of Biology, Ibn Tofail University of Kenitra, Kénitra 14000, Morocco
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Nicot R, Raoul G, Vieira AR, Ferri J, Sciote JJ. ACTN3 genotype influences masseter muscle characteristics and self-reported bruxism. Oral Dis 2023; 29:232-244. [PMID: 34773324 PMCID: PMC9098697 DOI: 10.1111/odi.14075] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 10/12/2021] [Accepted: 11/10/2021] [Indexed: 01/03/2023]
Abstract
OBJECTIVES Main aim of the study was to explore the association between genetic polymorphisms in ACTN3 and bruxism. Secondary objectives included masseter muscle phenotypes assessment between bruxers and non-bruxers and according to genetic polymorphisms in ACTN3. MATERIALS AND METHODS Fifty-four patients undergoing orthognathic surgery for correction of their malocclusion were enrolled. Self-reported bruxism and temporomandibular disorders status were preoperatively recorded. Saliva samples were used for ACTN3 genotyping. Masseter muscle samples were collected bilaterally at the time of orthognathic surgery to explore the muscle fiber characteristics. RESULTS There were significant differences in genotypes for rs1815739 (R577X nonsense) (p = 0.001), rs1671064 (Q523R missense) (p = 0.005), and rs678397 (intronic variant) (p = 0.001) between bruxers and non-bruxers. Patients with self-reported bruxism presented a larger mean fiber area for types IIA (p = 0.035). The mean fiber areas in individuals with the wild-type CC genotype for rs1815739 (R577X) were significantly larger for type IIA fibers (1394.33 μm2 [572.77 μm2 ]) than in those with the TC and TT genotypes (832.61 μm2 [602.43 μm2 ] and 526.58 μm2 [432.21 μm2 ] [p = 0.014]). Similar results for Q523R missense and intronic variants. CONCLUSIONS ACTN3 genotypes influence self-reported bruxism in patients with dentofacial deformity through specific masseter muscle fiber characteristics.
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Affiliation(s)
- Romain Nicot
- Department of Oral and Maxillofacial Surgery, University of Lille, CHU Lille, INSERM U 1008: Controlled Drug Delivery Systems and Biomaterials, Lille, France
| | - Gwénaël Raoul
- Department of Oral and Maxillofacial Surgery, University of Lille, CHU Lille, INSERM U 1008: Controlled Drug Delivery Systems and Biomaterials, Lille, France
| | - Alexandre R. Vieira
- Department of Oral Biology, University of Pittsburgh School of Dental Medicine, Pittsburgh, Pennsylvania, USA
| | - Joël Ferri
- Department of Oral and Maxillofacial Surgery, University of Lille, CHU Lille, INSERM U 1008: Controlled Drug Delivery Systems and Biomaterials, Lille, France
| | - James J. Sciote
- Department of Orthodontics, Temple University, Philadelphia, Pennsylvania, USA
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El Chekie MR, Nemer G, Khalil A, Macari AT, Ghafari JG. Novel genes linked to Class II Division 1 malocclusion with mandibular micrognathism. Am J Orthod Dentofacial Orthop 2022; 163:667-676.e3. [PMID: 36581475 DOI: 10.1016/j.ajodo.2022.04.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 04/01/2022] [Accepted: 04/01/2022] [Indexed: 12/29/2022]
Abstract
INTRODUCTION Mandibular micrognathism (MM) is an underdeveloped mandible resulting from complex interactions between genetic and environmental factors. Prior research focused mainly on the genetic determinants of mandibular retrognathism, not necessarily reflecting micrognathism, thus supporting the need to study MM. This study aimed to explore the inheritance pattern and identify the candidate genes involved in the development and familial transmission of MM. METHODS Diagnosing probands with MM was based on clinical and lateral cephalometric data. The pedigrees were drawn for 11 identified families, 5 of whom accepted to undergo detailed data and biospecimen collection. These families included 15 MM and 13 non-MM subjects over 2-3 generations. The procedure involved the withdrawal of 5 mL of blood. Genomic DNA was isolated from blood cells to investigate protein-coding regions via whole exome sequencing. Standardized filtering steps were employed, and candidate genes were identified. RESULTS Most of the pedigrees suggested a Mendelian inheritance pattern and segregated in an autosomal-dominant manner. One of the families, which also underwent biospecimen, displayed an X-linked inheritance pattern of the trait. Genetic screening disclosed 8 potentially novel genes (GLUD2, ADGRG4, ARSH, TGIF1, FGFR3, ZNF181, INTS7, and WNT6). None of the recognized exonic regions were previously reported. CONCLUSIONS Eight novel genes were identified in association with MM in the largest number of families reported to date. The genes were X-linked in 1 family, a finding previously not observed in mandibular genetics.
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Affiliation(s)
- Michelle R El Chekie
- Division of Orthodontics and Dentofacial Orthopedics, American University of Beirut Medical Center, Beirut, Lebanon
| | - Georges Nemer
- Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut, Lebanon
| | - Athar Khalil
- Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut, Lebanon
| | - Anthony T Macari
- Division of Orthodontics and Dentofacial Orthopedics, American University of Beirut Medical Center, Beirut, Lebanon.
| | - Joseph G Ghafari
- Division of Orthodontics and Dentofacial Orthopedics, American University of Beirut Medical Center, Beirut, Lebanon Department of Orthodontics and Dentofacial Orthopedics, University of Pennsylvania, Philadelphia, Penn
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Hansen SE, Petrone JFA, Burnheimer JM, Vieira AR. Influence of genotype and perioral musculature on maxillary and mandibular development. Angle Orthod 2022; 92:482035. [PMID: 35608565 PMCID: PMC9374360 DOI: 10.2319/112821-868.1] [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: 11/01/2021] [Accepted: 04/01/2022] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To determine whether there is an association between skeletal jaw position and perioral musculature, and if genotypes can predict skeletal growth. MATERIALS AND METHODS A prospective study on 42 patients over 1 year was performed. The study included 22 females and 20 males with and average age of 28.5 years. Lip strength was compared to radiographic cephalometric measurements. Allelic and genotypic frequencies from polymorphisms rs678397 and rs1815739 in ACTN3 and rs10850110 in MYO1H were compared to each variable. Chi-square and Fisher exact tests were used to determine if differences were statistically significant (alpha = 0.05). RESULTS The data showed significant differences between rs678397 genotype and allele frequencies and SNA angle (P = .01; P = .003, respectively); between rs1815739 allele frequency and SNA angle (P = .01); between rs678397 allele frequency and ANB angle (P = .049); between rs678397 genotype and allele frequencies and lip strength in females (P = .045; P = .02); and between rs678397 allele frequency and overall lip strength (P = .049), after mean strength values used as cut off being customized by sex. CONCLUSIONS Polymorphisms in ACTN3 are associated with weak lips and larger SNA and ANB angles.
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Herrera-Atoche JR, Chatters JC, Cucina A. Unexpected malocclusion in a 13,000-Year-old Late Pleistocene young woman from Mexico. Sci Rep 2022; 12:3997. [PMID: 35256726 PMCID: PMC8901630 DOI: 10.1038/s41598-022-07941-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Accepted: 02/28/2022] [Indexed: 11/16/2022] Open
Abstract
To analyze the etiological factors behind the malocclusion of a Late Pleistocene woman (named Naia), who is the best-preserved of the earliest individuals of the American continent. The examination of Naia’s malocclusion was performed through cephalometric and occlusal analyses, and by measuring her mandible. Her data were then compared to published data for modern, medieval, and postmedieval samples and seven Late Pleistocene individuals. Naia presented her permanent dentition fully erupted, except for the impacted mandibular third molars. She presented a class II molar malocclusion with crowding. The dental widths and mandible measurements were similar to or smaller than modern standards. The degree of dental wear was light. The cephalometric analysis confirmed a skeletal class II relationship, with a retrusive mandible and protruded upper incisors. Naia’s mild level of dental wear is consistent with a low masticatory force, in a time when the norm was a high amount of grinding. The low masticatory forces help explain Naia’s small jaws and crowding. However, it does not clarify Angle’s class II relationship. Naia is an example that environmental factors are insufficient to explain the onset of malocclusions and emphasizes the importance of understanding hereditary factors’ role.
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Konstantonis D, Kekou K, Papaefthymiou P, Vastardis H, Konstantoni N, Athanasiou M, Svingou M, Margariti A, Panousopoulou A. Orofacial Muscle Weakening in Facioscapulohumeral Muscular Dystrophy (FSHD) Patients. CHILDREN (BASEL, SWITZERLAND) 2022; 9:96. [PMID: 35053721 PMCID: PMC8774153 DOI: 10.3390/children9010096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/20/2021] [Revised: 12/30/2021] [Accepted: 12/31/2021] [Indexed: 12/02/2022]
Abstract
BACKGROUND Facioscapulohumeral muscular dystrophy is the third most commonly found type of muscular dystrophy. The aim of this study was to correlate the D4Z4 repeat array fragment size to the orofacial muscle weakening exhibited in a group of patients with a genetically supported diagnosis of FSHD. METHODS Molecular genetic analysis was performed for 52 patients (27 female and 25 male) from a group that consisted of 36 patients with autosomal dominant pedigrees and 16 patients with either sporadic or unknown family status. The patients were tested with the southern blotting technique, using EcoRI/Avrll double digestion, and fragments were detected by a p13E-11 telomeric probe. Spearman's correlation was used to compare the fragment size with the degree of muscle weakening found in the forehead, periocular and perioral muscles. RESULTS A positive non-significant correlation between the DNA fragment size and severity of muscle weakness was found for the forehead (r = 0.27; p = 0187), the periocular (r = 0.24; p = 0.232) and the left and right perioral (r = 0.29; p = 0.122), (r = 0.32; p = 0.085) muscles. CONCLUSIONS Although FSHD patients exhibited a decrease in muscular activity related to the forehead, perioral, and periocular muscles the genotype-phenotype associations confirmed a weak to moderate non-significant correlation between repeat size and the severity of muscle weakness. Orofacial muscle weakening and its association with a D4Z4 contraction alone may not have the significance to serve as a prognostic biomarker, due to the weak to moderate association. Further studies with larger sample sizes are needed to determine the degree of genetic involvement in the facial growth in FSHD patients.
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Affiliation(s)
- Dimitrios Konstantonis
- Department of Orthodontics, School of Dentistry, National and Kapodistrian University of Athens, GR-115 27 Athens, Greece;
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, CH-8032 Zurich, Switzerland
| | - Kyriaki Kekou
- Laboratory of Medical Genetics, Children’s Hospital Agia Sophia, National and Kapodistrian University of Athens, GR-115 27 Athens, Greece; (K.K.); (M.S.)
| | - Petros Papaefthymiou
- Department of Orthodontics, Faculty of Dentistry, Marmara University, Istanbul 34854, Turkey;
| | - Heleni Vastardis
- Department of Orthodontics, School of Dentistry, National and Kapodistrian University of Athens, GR-115 27 Athens, Greece;
| | - Nikoleta Konstantoni
- ATX Braces & Smile Aligners, In Private Practice of Orthodontics, 1601 E Pflugerville Pkwy Building 2, Pflugerville, TX 78660, USA;
| | - Maria Athanasiou
- Athensbestsmiles, In Private Practice of Orthodontics, 49 Alopekis, GR-106 76 Athens, Greece;
| | - Maria Svingou
- Laboratory of Medical Genetics, Children’s Hospital Agia Sophia, National and Kapodistrian University of Athens, GR-115 27 Athens, Greece; (K.K.); (M.S.)
| | - Anastasia Margariti
- Department of Elderly Medicine, University Hospital Sussex NHS Foundation Trust, St. Richard’s Hospital, Spitalfield Ln, Chichester PO19 6SE, UK;
| | - Angeliki Panousopoulou
- Department of Neurology, Korgialenio-Benakio Hellenic Red Cross Hospital, GR-115 26 Athens, Greece;
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Genes and Pathways Associated with Skeletal Sagittal Malocclusions: A Systematic Review. Int J Mol Sci 2021; 22:ijms222313037. [PMID: 34884839 PMCID: PMC8657482 DOI: 10.3390/ijms222313037] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 11/06/2021] [Accepted: 11/30/2021] [Indexed: 12/15/2022] Open
Abstract
Skeletal class II and III malocclusions are craniofacial disorders that negatively impact people’s quality of life worldwide. Unfortunately, the growth patterns of skeletal malocclusions and their clinical correction prognoses are difficult to predict largely due to lack of knowledge of their precise etiology. Inspired by the strong inheritance pattern of a specific type of skeletal malocclusion, previous genome-wide association studies (GWAS) were reanalyzed, resulting in the identification of 19 skeletal class II malocclusion-associated and 53 skeletal class III malocclusion-associated genes. Functional enrichment of these genes created a signal pathway atlas in which most of the genes were associated with bone and cartilage growth and development, as expected, while some were characterized by functions related to skeletal muscle maturation and construction. Interestingly, several genes and enriched pathways are involved in both skeletal class II and III malocclusions, indicating the key regulatory effects of these genes and pathways in craniofacial development. There is no doubt that further investigation is necessary to validate these recognized genes’ and pathways’ specific function(s) related to maxillary and mandibular development. In summary, this systematic review provides initial insight on developing novel gene-based treatment strategies for skeletal malocclusions and paves the path for precision medicine where dental care providers can make an accurate prediction of the craniofacial growth of an individual patient based on his/her genetic profile.
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George AM, Felicita AS, Milling Tania SD, Priyadharsini JV. Systematic review on the genetic factors associated with skeletal Class II malocclusion. Indian J Dent Res 2021; 32:399-406. [PMID: 35229783 DOI: 10.4103/ijdr.ijdr_59_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIM The aim of this study is to review studies evaluating the role of genetics in skeletal class II malocclusion. OBJECTIVE To assess the scientific evidence associating the role of genes in skeletal class II malocclusion. Materials and Methods: A complete search across the electronic database through PubMed, Cochrane, LILACS, BMC and manual hand search of orthodontic journals were done till May 2019. The keywords for the search included: "Genetics", "class II malocclusion", "maxillary prognathism", "mandibular retrognathism". DATA COLLECTION AND ANALYSIS Studies were selected based on PRISMA guidelines. RESULTS Articles were selected based on the inclusion and exclusion criteria. A total of 11 cross-sectional studies satisfied the inclusion criteria and were analyzed for the role of genes in skeletal class II malocclusion. Almost all the studies except for one revealed a positive correlation of genes with skeletal class II malocclusion. CONCLUSIONS Out of the 11 studies included, a positive correlation of the genes with the skeletal II malocclusion was found in 10 studies. Genes FGFR2, MSX1, MATN1, MYOH1, ACTN3, GHR, KAT6B, HDAC4, AJUBA were found to be positively linked to skeletal class II malocclusion.
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Affiliation(s)
- Ashwin M George
- Department of Orthodontics, Saveetha Dental College and Hospital, Chennai, Tamil Nadu, India
| | - A Sumathi Felicita
- Department of Orthodontics, Saveetha Dental College and Hospital, Chennai, Tamil Nadu, India
| | - S D Milling Tania
- Department of Orthodontics, Rajas Dental College and Hospital, Tirunelveli, Tamil Nadu, India
| | - J Vijayashree Priyadharsini
- Associate Professor, (Clinical Genetics), Centre for Cellular and Molecular Research, Saveetha Dental College and Hospital, Chennai, Tamil Nadu, India
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Marañón-Vásquez GA, Vieira AR, Dos Santos LV, Cunha AS, Weiss SG, Araujo MTDS, Bolognese AM, Scariot R, Küchler EC, Stuani MBS. FGF10 and FGF13 genetic variation and tooth-size discrepancies. Angle Orthod 2021; 91:356-362. [PMID: 33492380 DOI: 10.2319/060920-531.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 11/01/2020] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To explore whether variations in odontogenesis-related genes are associated with tooth-size discrepancies. MATERIALS AND METHODS Measurements of the width of permanent teeth were obtained from dental casts of 62 orthodontic patients (age 15.65 ± 6.82 years; 29 males and 33 females). Participants were classified according to the anterior and overall Bolton ratios as without tooth-size discrepancy or with maxillary or mandibular tooth-size excess. Genomic DNA extracted from buccal cells was used, and 13 single nucleotide polymorphisms (SNPs) across nine genes were genotyped by polymerase chain reaction using TaqMan chemistry. χ2 or Fisher exact tests were applied to determine the overrepresentation of genotypes/alleles depending on the type of tooth-size discrepancy (α = .05; corrected P value: P < 5.556 × 10-3). Odds ratios (ORs) and their correspondent 95% confidence intervals (CIs) were also calculated to investigate the risk of this phenotype for the SNPs having significant association. RESULTS Individuals carrying the FGF10 rs900379 T allele were more likely to have larger mandibular teeth (OR = 3.74; 95% CI: 1.65-8.47; P = .002). This effect appeared to be stronger when two copies of the risk allele (TT) were found (recessive model, OR = 6.16; 95% CI: 1.71-22.16; P = .006). On the other hand, FGF13 rs5931572 rare homozygotes (AA, or male A hemizygotes) had increased risk of displaying tooth-size discrepancies when compared with the common homozygotes (GG, or male G hemizygotes; OR = 10.32; 95% CI: 2.20-48.26; P = .003). CONCLUSIONS The results suggest that FGF10 and FGF13 may contribute to the presence of tooth-size discrepancies.
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Masita Silviana N, Andarini S, Lyrawati D, Hidayat M. Masticatory Functional Load Increases the mRNA Expression Levels of ACTN2 and ACTN3 and the Protein Expression of α-Actinin-2 in Rat Masseter Muscle. Turk J Pharm Sci 2021; 18:28-33. [PMID: 33632512 DOI: 10.4274/tjps.galenos.2019.53323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Objectives α-actinins play structural and regulatory roles in cytoskeletal organization. They form a lattice structure that secures actin in thin filaments, which generate and transmit muscle contractile forces. The morphological and biochemical characteristics of rat masseter muscles are known to change reactions to masticatory functional loads, but their effect on α-actinins remains unknown. This study aimed to determine the response of α-actinins to masticatory functional loads. Materials and Methods Twenty-four male Wistar rats aged 3 weeks were divided randomly into 3 groups of liquid diet (LD), soft diet, and hard diet (HD). The rats were then sacrificed at the end of 8 weeks. The middle part of superficial masseter muscles was examined to investigate the masticatory effect of functional load on the mRNA expression levels of ACTN2 and ACTN3 and the protein expression levels of α-actinin-2 and α-actinin-3. Results The mRNA expression levels of ACTN2 and ACTN3 and the protein expression levels of α-actinin-2 of the HD group were significantly higher than those of the LD group, which served as the control group. Conclusion Masticatory functional load organizes the mRNA expression levels of ACTN2 and ACTN3 and the protein expression levels of α-actinin-2 in rat masseter muscles through stimuli during muscle physiological adaptation.
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Affiliation(s)
- Nur Masita Silviana
- Universitas Brawijaya Faculty of Dentistry, Department of Orthodontics, Malang, Indonesia
| | - Sri Andarini
- Universitas Brawijaya Faculty of Medicine, Department of Public Health, Malang, Indonesia
| | - Diana Lyrawati
- Universitas Brawijaya Faculty of Medicine, Department of Pharmacy, Malang, Indonesia
| | - Mohammad Hidayat
- Syaiful Anwar General Hospital Faculty of Medicine, Universitas Brawijaya, Department of Orthopaedics, Malang, Indonesia
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Nicot R, Chung K, Vieira AR, Raoul G, Ferri J, Sciote JJ. Condyle modeling stability, craniofacial asymmetry and ACTN3 genotypes: Contribution to TMD prevalence in a cohort of dentofacial deformities. PLoS One 2020; 15:e0236425. [PMID: 32726330 PMCID: PMC7390436 DOI: 10.1371/journal.pone.0236425] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Accepted: 07/06/2020] [Indexed: 01/01/2023] Open
Abstract
Craniofacial asymmetry, mandibular condylar modeling and temporomandibular joint disorders are common comorbidities of skeletally disproportionate malocclusions, but etiology of occurrence together is poorly understood. We compared asymmetry, condyle modeling stability and temporomandibular health in a cohort of 128 patients having orthodontics and orthognathic surgery to correct dentofacial deformity malocclusions. We also compared ACTN3 and ENPP1 genotypes for association to clinical conditions. Pre-surgical posterior-anterior cephalometric and panometric radiographic analyses; jaw pain and function questionnaire and clinical examination of TMD; and SNP-genotype analysis from saliva samples were compared to assess interrelationships. Almost half had asymmetries in need of surgical correction, which could be subdivided into four distinct morphological patterns. Asymmetric condyle modeling between sides was significantly greater in craniofacial asymmetry, but most commonly had an unanticipated pattern. Often, longer or larger condyles occurred on the shorter mandibular ramus side. Subjects with longer ramus but dimensionally smaller condyles were more likely to have self-reported TMD symptoms (p = 0.023) and significantly greater clinical diagnosis of TMD (p = 0 .000001), with masticatory myalgia most prominent. Genotyping found two significant genotype associations for ACTN3 rs1671064 (Q523R missense) p = 0.02; rs678397 (intronic SNP) p = 0.04 and one significant allele association rs1815739 (R577X nonsense) p = 0.00. Skeletal asymmetry, unusual condyle modeling and TMD are common and interrelated components of many dentofacial deformities. Imbalanced musculoskeletal functional adaptations and genetic or epigenetic influences contribute to the etiology, and require further investigation.
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Affiliation(s)
- Romain Nicot
- Department of Oral and Maxillofacial Surgery, Univ. Lille, Inserm, CHU Lille, U1008—Controlled Drug Delivery Systems and Biomaterials, Lille, France
- * E-mail:
| | - Kay Chung
- Department of Orthodontics, Temple University, Philadelphia, PA, United States of America
| | - Alexandre R. Vieira
- Department of Oral Biology, University of Pittsburgh School of Dental Medicine, Pittsburgh, PA, United States of America
| | - Gwénaël Raoul
- Department of Oral and Maxillofacial Surgery, Univ. Lille, Inserm, CHU Lille, U1008—Controlled Drug Delivery Systems and Biomaterials, Lille, France
| | - Joël Ferri
- Department of Oral and Maxillofacial Surgery, Univ. Lille, Inserm, CHU Lille, U1008—Controlled Drug Delivery Systems and Biomaterials, Lille, France
| | - James J. Sciote
- Department of Orthodontics, Temple University, Philadelphia, PA, United States of America
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Abstract
Introduction: Genetics has been suggested as an explanation for the etiology of malocclusions, although some questions, due to the perception that genetic inheritance is tied to a monogenic or Mendelian form of inheritance. Objective: This paper describes the inheritance of malocclusions, highlighting the areas of knowledge where research has explored mechanisms that explain deviations in patterns of craniofacial growth. Conclusion: Malocclusions have a complex or multifactorial pattern of inheritance, where more than one gene is involved in the development of the phenotype. There is also the possibility that the environment influences malocclusions.
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Affiliation(s)
- Alexandre R Vieira
- Department of Oral Biology, School of Dental Medicine, University of Pittsburgh (Pittsburgh/PA, EUA)
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Wang J, Meng J, Wang X, Zeng Y, Li L, Xin Y, Yao X, Liu W. Analysis of Equine ACTN3 Gene Polymorphisms in Yili Horses. J Equine Vet Sci 2018. [DOI: 10.1016/j.jevs.2018.08.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Cunha A, Nelson-Filho P, Marañón-Vásquez GA, Ramos AGDC, Dantas B, Sebastiani AM, Silvério F, Omori MA, Rodrigues AS, Teixeira EC, Levy SC, Araújo MCD, Matsumoto MAN, Romano FL, Antunes LAA, Costa DJD, Scariot R, Antunes LS, Vieira AR, Küchler EC. Genetic variants in ACTN3 and MYO1H are associated with sagittal and vertical craniofacial skeletal patterns. Arch Oral Biol 2018; 97:85-90. [PMID: 30366217 DOI: 10.1016/j.archoralbio.2018.09.018] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 09/27/2018] [Accepted: 09/28/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVE This study aimed to evaluate the association of genetic variants inACTN3 and MYO1H with craniofacial skeletal patterns in Brazilians. DESIGN This cross-sectional study enrolled orthodontic and orthognathic patients selected from 4 regions of Brazil. Lateral cephalograms were used and digital cephalometric tracings and analyzes were performed for craniofacial phenotype determination. Participants were classified according to the skeletal malocclusion in Class I, II or III; and according to the facial type in Mesofacial, Dolichofacial or Brachyfacial. Genomic DNA was extracted from saliva samples containing exfoliated buccal epithelial cells and analyzed for genetic variants inACTN3 (rs678397 and rs1815739) and MYO1H (rs10850110) by real-time PCR. Chi-square or Fisher's exact tests were used for statistical analysis (α = 5%). RESULTS A total of 646 patients were included in the present study. There was statistically significant association of the genotypes and/or alleles distributions with the skeletal malocclusion (sagittal skeletal pattern) and facial type (vertical pattern) for the variants assessed inACTN3 (P < 0.05). For the genetic variant evaluated in MYO1H, there was statistically significant difference between the genotypes frequencies for skeletal Class I and Class II (P < 0.05). The reported associations were different depending on the region evaluated. CONCLUSION ACTN3 and MYO1H are associated with sagittal and vertical craniofacial skeletal patterns in Brazilian populations.
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Affiliation(s)
- Arthur Cunha
- Department of Pediatric Dentistry, School of dentistry of Ribeirão Preto, University of São Paulo. Avenida do Café s/n - Campus da USP, Ribeirão Preto, SP, Brazil - CEP: 14040-904
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of dentistry of Ribeirão Preto, University of São Paulo. Avenida do Café s/n - Campus da USP, Ribeirão Preto, SP, Brazil - CEP: 14040-904
| | - Guido Artemio Marañón-Vásquez
- Department of Pediatric Dentistry, School of dentistry of Ribeirão Preto, University of São Paulo. Avenida do Café s/n - Campus da USP, Ribeirão Preto, SP, Brazil - CEP: 14040-904
| | - Alice Gomes de Carvalho Ramos
- Department of Pediatric Dentistry, School of dentistry of Ribeirão Preto, University of São Paulo. Avenida do Café s/n - Campus da USP, Ribeirão Preto, SP, Brazil - CEP: 14040-904; Amazonian Education Institute. Rua Maceió 861, Adrianópolis, Manaus, AM, Brazil - CEP: 69057-010
| | - Beatriz Dantas
- Department of Pediatric Dentistry, School of dentistry of Ribeirão Preto, University of São Paulo. Avenida do Café s/n - Campus da USP, Ribeirão Preto, SP, Brazil - CEP: 14040-904; Amazonian Education Institute. Rua Maceió 861, Adrianópolis, Manaus, AM, Brazil - CEP: 69057-010
| | - Aline Monise Sebastiani
- University. Rua Professor Pedro Viriato Parigot de Souza 5300 - Campo Comprido, Curitiba, PR, Brazil - CEP: 81200-452
| | - Felipe Silvério
- University. Rua Professor Pedro Viriato Parigot de Souza 5300 - Campo Comprido, Curitiba, PR, Brazil - CEP: 81200-452
| | - Marjorie Ayumi Omori
- Department of Pediatric Dentistry, School of dentistry of Ribeirão Preto, University of São Paulo. Avenida do Café s/n - Campus da USP, Ribeirão Preto, SP, Brazil - CEP: 14040-904
| | - Amanda Silva Rodrigues
- Professor, Department of Oral and Maxillofacial Surgery, Federal University of Paraná. Avenida Prefeito Lothário Meisser 632, Curitiba, PR, Brazil - CEP: 80210-170
| | - Ellen Cardoso Teixeira
- Program, School of Dentistry, Fluminense Federal University. Rua São Paulo 28, Campus do Valonguinho, Niterói, RJ, Brazil - CEP: 24020-150 and Rua Doutor Sílvio Henrique Braune 22, Nova Friburgo, RJ, Brazil - CEP: 28625-650
| | - Simone Carvalho Levy
- Program, School of Dentistry, Fluminense Federal University. Rua São Paulo 28, Campus do Valonguinho, Niterói, RJ, Brazil - CEP: 24020-150 and Rua Doutor Sílvio Henrique Braune 22, Nova Friburgo, RJ, Brazil - CEP: 28625-650
| | - Marcelo Calvo de Araújo
- Professor, Smile Graduate School and Clinic. Rua José Clemente 94, Centro, Niterói, RJ, Brazil. CEP: 24020-115
| | - Mírian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, School of dentistry of Ribeirão Preto, University of São Paulo. Avenida do Café s/n - Campus da USP, Ribeirão Preto, SP, Brazil - CEP: 14040-904
| | - Fábio Lourenço Romano
- Department of Pediatric Dentistry, School of dentistry of Ribeirão Preto, University of São Paulo. Avenida do Café s/n - Campus da USP, Ribeirão Preto, SP, Brazil - CEP: 14040-904
| | - Lívia Azeredo A Antunes
- Program, School of Dentistry, Fluminense Federal University. Rua São Paulo 28, Campus do Valonguinho, Niterói, RJ, Brazil - CEP: 24020-150 and Rua Doutor Sílvio Henrique Braune 22, Nova Friburgo, RJ, Brazil - CEP: 28625-650
| | - Delson João da Costa
- Professor, Department of Oral and Maxillofacial Surgery, Federal University of Paraná. Avenida Prefeito Lothário Meisser 632, Curitiba, PR, Brazil - CEP: 80210-170
| | - Rafaela Scariot
- Professor, Department of Oral and Maxillofacial Surgery, Federal University of Paraná. Avenida Prefeito Lothário Meisser 632, Curitiba, PR, Brazil - CEP: 80210-170; University. Rua Professor Pedro Viriato Parigot de Souza 5300 - Campo Comprido, Curitiba, PR, Brazil - CEP: 81200-452
| | - Leonardo Santos Antunes
- Program, School of Dentistry, Fluminense Federal University. Rua São Paulo 28, Campus do Valonguinho, Niterói, RJ, Brazil - CEP: 24020-150 and Rua Doutor Sílvio Henrique Braune 22, Nova Friburgo, RJ, Brazil - CEP: 28625-650
| | - Alexandre R Vieira
- Department of Oral Biology, School of Dental Medicine, University of Pittsburgh. 412 Salk Pavilion, 335 Sutherland Street, Pittsburgh, PA, USA. 15261
| | - Erika C Küchler
- Department of Pediatric Dentistry, School of dentistry of Ribeirão Preto, University of São Paulo. Avenida do Café s/n - Campus da USP, Ribeirão Preto, SP, Brazil - CEP: 14040-904; University. Rua Professor Pedro Viriato Parigot de Souza 5300 - Campo Comprido, Curitiba, PR, Brazil - CEP: 81200-452.
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Küchler EC, Nascimento MAD, Matsumoto MAN, Romano FL, da Silva RAB, Ayumi Omori M, Antunes LA, Antunes LS, da Silva LAB, Nelson-Filho P. Genetic polymorphism in RANK is associated with mandibular size. J Orthod 2018; 45:157-162. [DOI: 10.1080/14653125.2018.1476018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- Erika Calvano Küchler
- Department of Pediatric Dentistry, School of Dentistry of RibeirãoPreto, University of São Paulo, RibeirãoPreto, Brazil
| | - Mariele Andrade do Nascimento
- Department of Pediatric Dentistry, School of Dentistry of RibeirãoPreto, University of São Paulo, RibeirãoPreto, Brazil
| | - Mirian Aiko Nakane Matsumoto
- Department of Pediatric Dentistry, Orthodontic Clinic, School of Dentistry of RibeirãoPreto, University of São Paulo, RibeirãoPreto, Brazil
| | - Fabio Lourenço Romano
- Department of Pediatric Dentistry, Orthodontic Clinic, School of Dentistry of RibeirãoPreto, University of São Paulo, RibeirãoPreto, Brazil
| | - Raquel Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of RibeirãoPreto, University of São Paulo, RibeirãoPreto, Brazil
| | - Marjorie Ayumi Omori
- Department of Pediatric Dentistry, School of Dentistry of RibeirãoPreto, University of São Paulo, RibeirãoPreto, Brazil
| | - Lívia Azeredo Antunes
- Department of Specific Formation, School of Dentistry, Fluminense Federal University, Rio de Janeiro, Brazil
| | - Leonardo Santos Antunes
- Department of Specific Formation, School of Dentistry, Fluminense Federal University, Rio de Janeiro, Brazil
| | - Léa Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of RibeirãoPreto, University of São Paulo, RibeirãoPreto, Brazil
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of RibeirãoPreto, University of São Paulo, RibeirãoPreto, Brazil
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Hartsfield JK, Jacob GJ, Morford LA. Heredity, Genetics and Orthodontics - How Much Has This Research Really Helped? Semin Orthod 2017; 23:336-347. [PMID: 29290679 DOI: 10.1053/j.sodo.2017.07.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Uncovering the genetic factors that correlate with a clinical deviation of previously unknown etiology helps to diminish the unknown variation influencing the phenotype. Clinical studies, particularly those that consider the effects of an appliance or treatment regimen on growth, need to be a part of these types of genetic investigations in the future. While the day-to-day utilization of "testing" for genetic factors is not ready for practice yet, genetic testing for monogenic traits such as Primary Failure of Eruption (PFE) and Class III malocclusion is showing more promise as knowledge and technology advances. Although the heterogeneous complexity of such things as facial and dental development, the physiology of tooth movement, and the occurrence of External Apical Root Resorption (EARR) make their precise prediction untenable, investigations into the genetic factors that influence different phenotypes, and how these factors may relate to or impact environmental factors (including orthodontic treatment) are becoming better understood. The most important "genetic test" the practitioner can do today is to gather the patient's individual and family history. This would greatly benefit the patient, and augment the usefulness of these families in future clinical research in which clinical findings, environmental, and genetic factors can be studied.
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Affiliation(s)
- James K Hartsfield
- E. Preston Hicks Professor of Orthodontics and Oral Health Research, University of Kentucky Center for the Biologic Basis of Oral/Systemic Diseases, Hereditary Genetics/Genomics Core
| | - George Jeryn Jacob
- Craniofacial Genetics Fellow, University of Kentucky Center for the Biologic Basis of Oral/Systemic Diseases, Hereditary Genetics/Genomics Core
| | - Lorri Ann Morford
- Research Assistant Professor, University of Kentucky Center for the Biologic Basis of Oral/Systemic Diseases, Hereditary Genetics/Genomics CoreThe University of Kentucky College of Dentistry, 800 Rose Street, Lexington, Kentucky USA 40536-0297
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Chung K, Richards T, Nicot R, Vieira AR, Cruz CV, Raoul G, Ferri J, Sciote JJ. ENPP1 and ESR1 genotypes associated with subclassifications of craniofacial asymmetry and severity of temporomandibular disorders. Am J Orthod Dentofacial Orthop 2017; 152:631-645. [PMID: 29103441 DOI: 10.1016/j.ajodo.2017.03.024] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2016] [Revised: 03/01/2017] [Accepted: 03/01/2017] [Indexed: 12/13/2022]
Abstract
INTRODUCTION We investigated whether ACTN3, ENPP1, ESR1, PITX1, and PITX2 genes which contribute to sagittal and vertical malocclusions also contribute to facial asymmetries and temporomandibular disorders (TMD) before and after orthodontic and orthognathic surgery treatment. METHODS One hundred seventy-four patients with a dentofacial deformity were diagnosed as symmetric or subdivided into 4 asymmetric groups according to posteroanterior cephalometric measurements. TMD examination diagnosis and jaw pain and function (JPF) questionnaires assessed the presence and severity of TMD. RESULTS Fifty-two percent of the patients were symmetric, and 48% were asymmetric. The asymmetry classification demonstrated significant cephalometric differences between the symmetric and asymmetric groups, and across the 4 asymmetric subtypes: group 1, mandibular body asymmetry; group 2, ramus asymmetry; group 3, atypical asymmetry; and group 4, C-shaped asymmetry. ENPP1 SNP-rs6569759 was associated with group 1 (P = 0.004), and rs858339 was associated with group 3 (P = 0.002). ESR1 SNP-rs164321 was associated with group 4 (P = 0.019). These results were confirmed by principal component analysis that showed 3 principal components explaining almost 80% of the variations in the studied groups. Principal components 1 and 2 were associated with ESR1 SNP-rs3020318 (P <0.05). Diagnoses of disc displacement with reduction, masticatory muscle myalgia, and arthralgia were highly prevalent in the asymmetry groups, and all had strong statistical associations with ENPP1 rs858339. The average JPF scores for asymmetric subjects before surgery (JPF, 7) were significantly higher than for symmetric subjects (JPF, 2). Patients in group 3 had the highest preoperative JPF scores, and groups 2 and 3 were most likely to be cured of TMD 1 year after treatment. CONCLUSIONS Posteroanterior cephalometrics can classify asymmetry into distinct groups and identify the probability of TMD and genotype associations. Orthodontic and orthognathic treatments of facial asymmetry are effective at eliminating TMD in most patients.
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Affiliation(s)
- Kay Chung
- Department of Orthodontics, Temple University, Philadelphia, Pa
| | | | - Romain Nicot
- Department of Oral and Maxillofacial Surgery, Roger Salengro Hospital, Université Lille Nord de France, Lille, France
| | - Alexandre R Vieira
- Department of Oral Biology, School of Dental Medicine, University of Pittsburgh, Pittsburgh, Pa
| | - Christiane V Cruz
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Gwénaël Raoul
- Department of Oral and Maxillofacial Surgery, Roger Salengro Hospital, Université Lille Nord de France, Lille, France
| | - Joel Ferri
- Department of Oral and Maxillofacial Surgery, Roger Salengro Hospital, Université Lille Nord de France, Lille, France
| | - James J Sciote
- Department of Orthodontics, Temple University, Philadelphia, Pa.
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Gupta P, Chaturvedi TP, Sharma V. Expressional Analysis of MSX1 (Human) Revealed its Role in Sagittal Jaw Relationship. J Clin Diagn Res 2017; 11:ZC71-ZC77. [PMID: 28969278 DOI: 10.7860/jcdr/2017/26755.10441] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2017] [Accepted: 06/04/2017] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Abnormal skeletal jaw relationships is an important factor causing difficulty in speech, mastication, sleep and social interaction, thus affect the overall well being of an individual. AIM The present study was an attempt to decipher the role of human MSX1 in terms of sagittal jaw relationship by employing Polymerase Chain Reaction (PCR) based analysis. MATERIALS AND METHODS Ninety-eight case subjects belonging to North India with skeletal Class II and Class III jaw relationships were selected. Further, thirty-five control subjects of the same region having Class I skeletal and dental relationships (normal Jaw relationships) with good alignment of all teeth were enrolled. MSX1 gene sequencing was performed using the subjects' blood samples. Multiple sequence alignment was performed to find Single Nucleotide Polymorphisms (SNP's). Nine SNP's were obtained of which seven were reported and two novels. Statistical analysis was performed using Chi square test to compare genotype differences between case and control groups. RESULTS SNP rs186861426 was found to be significantly associated in Class I subjects (p-value=0.02). The sequencing results suggested that individuals having changes from G (guanosine) with A (adenine) genotype had approximately seven times low risk for developing Class II division 1 malocclusion as compared to those alleles having GG genotype and therefore, allele 'A' position on chromosome 4 (rs186861426) seems to have a protective role. CONCLUSION The study unfolds an important relationship between MSX1 gene and Class II division 1 malocclusion and Class I normal skeletal relationships. The study tried to interpret the role of human MSX1 and extend the gene pool responsible for the skeletal anomalies related to development of abnormal upper and lower jaws.
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Affiliation(s)
- Prateek Gupta
- Senior Research Fellow, Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, Delhi, India
| | - Thakur Prasad Chaturvedi
- Professor, Department of Orthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Varanasi, Uttar Pradesh, India
| | - Vipul Sharma
- Assistant Professor, Department of Orthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Varanasi, Uttar Pradesh, India
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Machado CEP, Flores MRP, Lima LNC, Tinoco RLR, Franco A, Bezerra ACB, Evison MP, Guimarães MA. A new approach for the analysis of facial growth and age estimation: Iris ratio. PLoS One 2017; 12:e0180330. [PMID: 28686631 PMCID: PMC5501545 DOI: 10.1371/journal.pone.0180330] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Accepted: 06/14/2017] [Indexed: 11/28/2022] Open
Abstract
The study of facial growth is explored in many fields of science, including anatomy, genetics, and forensics. In the field of forensics, it acts as a valuable tool for combating child pornography. The present research proposes a new method, based on relative measurements and fixed references of the human face—specifically considering measurements of the diameter of the iris (iris ratio)—for the analysis of facial growth in association with age in children and sub-adults. The experimental sample consisted of digital photographs of 1000 Brazilian subjects, aged between 6 and 22 years, distributed equally by sex and divided into five specific age groups (6, 10, 14, 18, and 22 year olds ± one month). The software package SAFF-2D® (Forensic Facial Analysis System, Brazilian Federal Police, Brazil) was used for positioning 11 landmarks on the images. Ten measurements were calculated and used as fixed references to evaluate the growth of the other measurements for each age group, as well the accumulated growth (6–22 years old). The Intraclass Correlation Coefficient (ICC) was applied for the evaluation of intra-examiner and inter-examiner reliability within a specific set of images. Pearson’s Correlation Coefficient was used to assess the association between each measurement taken and the respective age groups. ANOVA and Post-hoc Tukey tests were used to search for statistical differences between the age groups. The outcomes indicated that facial structures grow with different timing in children and adolescents. Moreover, the growth allometry expressed in this study may be used to understand what structures have more or less proportional variation in function for the age ranges studied. The diameter of the iris was found to be the most stable measurement compared to the others and represented the best cephalometric measurement as a fixed reference for facial growth ratios (or indices). The method described shows promising potential for forensic applications, especially as part of the armamentarium against crimes involving child pornography and child abuse.
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Affiliation(s)
- Carlos Eduardo Palhares Machado
- National Institute of Criminalistics, Brazilian Federal Police, Ministry of Justice, Brasília, Distrito Federal, Brazil
- Health Science College, University of Brasília, Brasília, Distrito Federal, Brazil
- Medico Legal Centre, Department of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
- * E-mail:
| | | | - Laíse Nascimento Correia Lima
- School of Dentistry, Federal University of Maranhão, São Luís, Maranhão, Brazil
- Piracicaba Dentistry School, State University of Campinas, Piracicaba, São Paulo, Brazil
| | - Rachel Lima Ribeiro Tinoco
- School of Dentistry, University Salgado de Oliveira, Niterói, Rio de Janeiro, Brazil
- Department of Anthropology, National Museum, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Ademir Franco
- Department of Oral Health Sciences, Katholieke Universiteit, Leuven, Belgium
| | | | - Martin Paul Evison
- Department of Applied Sciences, Centre for Forensic Science, Northumbria University, Newcastle, United Kingdom
| | - Marco Aurélio Guimarães
- Medico Legal Centre, Department of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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Hujoel P, Bollen AM, Yuen K, Hujoel I. Phenotypic characteristics of adolescents with concave and convex facial profiles – The National Health Examination Survey. HOMO-JOURNAL OF COMPARATIVE HUMAN BIOLOGY 2016; 67:417-432. [DOI: 10.1016/j.jchb.2016.04.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2015] [Accepted: 04/08/2016] [Indexed: 01/10/2023]
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Nicot R, Vieira AR, Raoul G, Delmotte C, Duhamel A, Ferri J, Sciote JJ. ENPP1 and ESR1 genotypes influence temporomandibular disorders development and surgical treatment response in dentofacial deformities. J Craniomaxillofac Surg 2016; 44:1226-37. [PMID: 27519661 DOI: 10.1016/j.jcms.2016.07.010] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2015] [Revised: 06/04/2016] [Accepted: 07/13/2016] [Indexed: 12/11/2022] Open
Abstract
UNLABELLED Dentofacial deformities are dys-morpho-functional disorders involving the temporomandibular joints (TMJ). Many authors have reported a TMJ improvement in dysfunctional subjects with malocclusion after orthodontic or combined orthodontic and surgical treatment particularly for the relief of pain. In particular, few studies have highlighted the demographic and clinical predictors of response to surgical treatment. To date, no genetic factor has yet been identified as a predictor of response to surgical treatment. The aim of this cohort study is therefore to identify single-nucleotide polymorphisms associated with postoperative temporomandibular disorders (TMD) or with TMJ symptoms after orthognathic surgery. Here, we found the AA genotype of SNP rs1643821 (ESR1 gene) as a risk factor for dysfunctional worsening after orthognathic surgery. In addition, we have identified TT genotype of SNP rs858339 (ENPP1 gene) as a protective factor against TMD in a population of patients with dentofacial deformities. Conversely, the heterozygous genotype AT was identified as a risk factor of TMD with respect to the rest of our population. All these elements are particularly important to bring new screening strategies and tailor future treatment. PERSPECTIVE This study allows us to identify sub-populations at high risk of developing postoperative temporomandibular disorders after orthognathic surgery procedures. Many other genes of interest could be potential factors influencing the dysfunctional response to orthognathic surgery, particularly genes of the Opera cohort.
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Affiliation(s)
- Romain Nicot
- Univ. Lille, Oral and Maxillofacial Department, Roger Salengro Hospital, CHU Lille, F-59000, Lille, France.
| | - Alexandre R Vieira
- Department of Oral Biology, University of Pittsburgh School of Dental Medicine, 3501 Terrace St, Pittsburgh, PA 15261, USA.
| | - Gwénaël Raoul
- Univ. Lille, Oral and Maxillofacial Department, Roger Salengro Hospital, CHU Lille, INSERM U 1008, Controlled Drug Delivery Systems and Biomaterials, F-59000, Lille, France.
| | - Constance Delmotte
- Univ. Lille, Oral and Maxillofacial Department, Roger Salengro Hospital, CHU Lille, F-59000, Lille, France.
| | - Alain Duhamel
- Univ. Lille, CHU Lille, EA 2694 - Santé publique: épidémiologie et qualité des soins, F-59000, Lille, France.
| | - Joël Ferri
- Univ. Lille, Oral and Maxillofacial Department, Roger Salengro Hospital, CHU Lille, INSERM U 1008, Controlled Drug Delivery Systems and Biomaterials, F-59000, Lille, France.
| | - James J Sciote
- Department of Orthodontics, Kornberg School of Dentistry, Temple University, Philadelphia, PA 19140, USA.
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Carlson DS. Evolving concepts of heredity and genetics in orthodontics. Am J Orthod Dentofacial Orthop 2016; 148:922-38. [PMID: 26672698 DOI: 10.1016/j.ajodo.2015.09.012] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Revised: 09/01/2015] [Accepted: 09/01/2015] [Indexed: 11/16/2022]
Abstract
The field of genetics emerged from the study of heredity early in the 20th century. Since that time, genetics has progressed through a series of defined eras based on a number of major conceptual and technical advances. Orthodontics also progressed through a series of conceptual stages over the past 100 years based in part on the ongoing and often circular debate about the relative importance of heredity (nature) and the local environment (nurture) in the etiology and treatment of malocclusion and dentofacial deformities. During the past 20 years, significant advancements in understanding the genomic basis of craniofacial development and the gene variants associated with dentofacial deformities have resulted in a convergence of the principles and concepts in genetics and in orthodontics that will lead to significant advancement of orthodontic treatments. Fundamental concepts from genetics and applied translational research in orthodontics provide a foundation for a new emphasis on precision orthodontics, which will establish a modern genomic basis for major improvements in the treatment of malocclusion and dentofacial deformities as well as many other areas of concern to orthodontists through the assessment of gene variants on a patient-by-patient basis.
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Affiliation(s)
- David S Carlson
- Regents Professor, Department of Biomedical Sciences, Texas A&M Baylor College of Dentistry, Texas A&M Health Science Center, Dallas, Tex.
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