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Hersberger-Zurfluh MA, Motro M, Kantarci A, Will LA, Eliades T, Papageorgiou SN. Genetic and environmental impact on mandibular growth in mono- and dizygotic twins during adolescence: A retrospective cohort study. Int Orthod 2024; 22:100842. [PMID: 38217936 DOI: 10.1016/j.ortho.2023.100842] [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: 10/07/2023] [Revised: 12/04/2023] [Accepted: 12/17/2023] [Indexed: 01/15/2024]
Abstract
INTRODUCTION This study aimed to discover the genetic and environmental factors that contribute to the mandibular development of untreated monozygotic and dizygotic twins. MATERIAL AND METHODS The sample, taken from the Forsyth Moorrees Twin Study, included 52 untreated monozygotic twins (36 male, 16 female) and 46 untreated dizygotic twins (23 male, 23 female). At the ages of 12 and 17, lateral cephalograms were collected and traced to assess total mandibular length, mandibular ramus length, mandibular corpus length, gonial angle, SNB, and bony chin prominence. The genetic and environmental components of variation were assessed using multilevel mixed-effects structural equation modelling. RESULTS At 12 years of age, high additive genetic influences were observed for total mandibular length (74%), gonial angle (76%), SNB (41%), and bony chin prominence (64%), whereas strong dominant genetic components were observed for corpus length (72%), and mandibular ramus length was under unique environment influence (54%). At 17 years of age, only total mandibular length (45%), ramus length (53%), gonial angle (76%), and bony chin prominence (68%) were under strong additive genetic control, while the remainder were under strong dominant genetic control. CONCLUSIONS Although monozygotic and dizygotic twins share at least a portion of their DNA, additive, dominant, or environmental components were discovered during adolescence. Nonetheless, by the age of 17, the majority of the mandibular traits are under either additive or dominant genetic impact.
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Affiliation(s)
- Monika A Hersberger-Zurfluh
- Clinic of Orthodontics and Pediatric Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Melih Motro
- Department of Orthodontics and Dentofacial Orthopedics, Goldman School of Dental Medicine, Boston University, Boston, Mass, USA
| | - Alpdogan Kantarci
- Forsyth Institute, Cambridge, Mass; Goldman School of Dental Medicine, Boston University, Boston, Mass, USA
| | - Leslie A Will
- Department of Orthodontics and Dentofacial Orthopedics, Goldman School of Dental Medicine, Boston University, Boston, Mass, USA
| | - Theodore Eliades
- Clinic of Orthodontics and Pediatric Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Spyridon N Papageorgiou
- Clinic of Orthodontics and Pediatric Dentistry, Center for Dental Medicine, University of Zurich, Zurich, Switzerland.
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Onem Ozbilen E, Basal E, Yilmaz HN, Biren S. Facial morphology differences in monozygotic twins: a retrospective stereophotogrammetric study. Angle Orthod 2023; 93:706-711. [PMID: 37407504 PMCID: PMC10633807 DOI: 10.2319/120722-840.1] [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: 12/01/2022] [Accepted: 05/01/2023] [Indexed: 07/07/2023] Open
Abstract
OBJECTIVE To assess soft tissue differences between monozygotic twins (MZ) for the total face and between facial regions using three-dimensional (3D) stereophotogrammetry and quantitative surface-based 3D deviation analyses. MATERIALS AND METHODS The study sample consisted of 14 untreated MZ twins (6 males, 8 females, mean age: 14.75 years) from the archive of Marmara University, Department of Orthodontics. The images were taken by the 3dMDface system, and 3dMDvultus software was used for removal of undesired areas and approximation of the images. Then, stereolithography (.stl) format images were superimposed using the best-fit algorithm using 3-matic software. The face was divided into facial thirds, and upper lip and lower lip + chin regions were created. For the comparison, 3D deviation analyses were performed, and a color map and histogram were created. The data were presented as mean deviation, root mean square (RMS), median, and interquartile range. RESULTS Between the facial thirds, there was no significant difference in soft tissue differences for mean deviation. A statistically significant difference was found between the upper and lower face for the RMS value. For the comparison of upper lip and lower lip + chin region, the only significant difference was for the RMS. When the data were presented as median and interquartile range, there were no statistically significant differences between any facial regions. CONCLUSIONS Lower facial third and lower lip + chin regions had the greatest differences within MZ twin pairs. The genetic and environmental influences might not be the same for different parts of the face.
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Affiliation(s)
- Elvan Onem Ozbilen
- Corresponding author: Elvan Onem Ozbilen, Department of Orthodontics, Faculty of Dentistry, Marmara University, Basibuyuk Saglik Kampusu 9/3, Basibuyuk Maltepe, Istanbul 34854, Turkey (e-mail: )
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Chaaban M, AlSulaiman A, Kantarci A, Stashenko P, Will LA, Motro M. Longitudinal changes in the dental arch width and symmetry in identical and fraternal twins. Am J Orthod Dentofacial Orthop 2022; 162:704-713. [PMID: 36137854 DOI: 10.1016/j.ajodo.2021.06.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 06/07/2021] [Accepted: 06/27/2021] [Indexed: 11/29/2022]
Abstract
INTRODUCTION This study aimed to assess growth-related dental and symmetry changes in the dental arch within and between identical and fraternal twins in mixed and permanent dentition. METHODS Three-dimensional scanned dental models of eligible subjects were selected from the Forsyth-Moorrees Twin Study sample. This retrospective cohort study was carried out on 36 identical (18 pairs) and 28 fraternal (14 pairs) twins in mixed dentition and 36 identical (18 pairs) and 38 fraternal (19 pairs) twins in permanent dentition stages on the basis of the availability of the dental casts scanned each year from each group (Table I). Linear measurements from dental casts were performed in patients aged 8-16 years. Student t test and Pearson's correlation were used to compare the symmetry between and within the identical and fraternal twins. The resemblance and heritability patterns were retrospectively obtained from the Pearson correlation coefficient and Falconer's heritability test (H2 = 2 × b). Adjusted mixed-effects estimates and 95% confidence intervals were calculated to test the association between age and dental parameters for both mixed and permanent dentition groups. RESULTS Intercanine and intermolar widths significantly increased (P <0.05) during the mixed dentition but became stable after 13 years old. No statistically significant differences were found in arch symmetry between the 2 groups (ie, identical and fraternal) in any of the included measurements. Evaluation of the resemblance and heritability pattern showed nonsignificant results for all variables measured (H2 range, -0.67 to 0.56). CONCLUSIONS The dental arch becomes wider at a higher rate in the canine region than the molar region in both the mixed and early permanent dentition. The dental arches of twins develop symmetrically, and their growth is not mainly affected by genetics. Asymmetrical teeth will maintain their relative position to reference planes throughout growth.
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Affiliation(s)
| | - Ahmed AlSulaiman
- Imam Abdulrahman Bin Faisal University, College of Dentistry, Dammam, Saudi Arabia
| | | | | | - Leslie A Will
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, Mass
| | - Melih Motro
- Henry M. Goldman School of Dental Medicine, Boston University, Boston, Mass.
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Kang GW, Kim YH, Hong C, Woo S, Sung J, Song YM, Shin JW, Chae HS. Heritability of maxillary dental cephalometric variables among monozygotic twins, dizygotic twins and their siblings. Clin Oral Investig 2022; 26:6275-6281. [PMID: 35695936 DOI: 10.1007/s00784-022-04579-7] [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: 12/23/2021] [Accepted: 06/07/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The purpose of this study was to investigate the heritability of dental cephalometric variables by analyzing vertical linear measurements and angular measurements of the upper incisor, canine, and first molar. MATERIALS AND METHODS Among the 553 Korean patients who participated in twin studies conducted at Samsung Medical Center, 150 patients had their lateral cephalometric radiograph data included in this study. The group was comprised of 36 monozygotic (MZ) twins (males, 16 pairs; females, 20 pairs), 13 dizygotic (DZ) twins (males, 7 pairs; females, 6 pairs), and 26 same-sex sibling pairs (males, 11 pairs; females, 15 pairs). All patients were over 20 years old with a mean age of 39.75 years. Lateral cephalometric diagrams and linear measurements (6 vertical factors, 6 horizontal factors) were taken. Three axial planes were measured for each tooth; intraclass correlation coefficients (ICCs) were obtained for each group and heritability was calculated using Falconer's method. RESULTS ICCs of vertical linear measurements (average 0.837, P < 0.01) and the tooth axis of the central incisor and canine (average 0.679, P < 0.001) were higher in the MZ group compared to the DZ and sibling groups; thus, these variables showed high heritability. CONCLUSIONS Orthodontic treatment aiming to alter the tooth axis of the maxillary central incisor or canine or other vertical factors with greater heritability can be difficult, requiring strategic treatment planning to achieve desired treatment outcome and stability. CLINICAL RELEVANCE The active early treatment to gain tooth eruption space can lead to normal tooth position.
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Affiliation(s)
- Geon Woo Kang
- Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea
| | - Young Ho Kim
- Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea
| | - Christine Hong
- Division of Orthodontics, Department of Orofacial Sciences, School of Dentistry, University of California, San Francisco, San Francisco, CA, USA
| | - Sunghae Woo
- Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea
| | - Joohon Sung
- Department of Epidemiology, School of Public Health, Seoul National University, Seoul, South Korea
| | - Yun-Mi Song
- Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
| | - Jeong Won Shin
- Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea
| | - Hwa Sung Chae
- Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea.
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Hersberger-Zurfluh MA, Papageorgiou SN, Motro M, Kantarci A, Will LA, Eliades T. Heritability of facial soft tissue growth in mono- and dizygotic twins at 12 and 17 years of age: A retrospective cohort study. Orthod Craniofac Res 2022; 25:530-540. [PMID: 35014186 DOI: 10.1111/ocr.12565] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 12/21/2021] [Accepted: 01/05/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The purpose of this investigation of untreated monozygotic and dizygotic twins was to identify the genetic and environmental components to the facial soft tissue growth. SETTINGS AND SAMPLE POPULATION The sample consisted of 52 untreated monozygotic twins (36 male and 16 female) and 46 untreated dizygotic twins (23 male and 23 female) from the Forsyth Moorrees Twin Study (1959-1975). MATERIALS AND METHODS Lateral cephalograms were taken at 12 and 17 years of age and traced to analyse facial convexity, nasolabial angle, upper and lower lip thickness, upper and lower lip profile and nose prominence. The genetic and environmental components of variance were analysed with structural equation modelling for multilevel mixed-effects model. RESULTS At 12 years of age, strong additive genetic influence was seen for facial convexity (70%), upper lip profile (66%) and nose prominence (65%), whereas strong dominant genetic components were found for upper lip thickness (56%). Nevertheless, under unique environment influence were nasolabial angle (58%), lower lip profile (51%) and lower lip thickness (64%). At 17 years of age, only upper lip thickness (55%) and nose prominence (84%) were under strong additive genetic control, while the rest of the variables were under strong dominant genetic control. The only exception was lower lip thickness (61%), which is still influenced by the unique environment. CONCLUSION Although monozygotic/dizygotic twins share at least part of their genome, at both times either additive, dominant or environmental components were found. Nevertheless, at 17 years of age most of the variables are either under additive or dominant genetic influence.
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Affiliation(s)
- Monika A Hersberger-Zurfluh
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Spyridon N Papageorgiou
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Melih Motro
- Department of Orthodontics and Dentofacial Orthopedics, Goldman School of Dental Medicine, Boston University, Boston, Massachusetts, USA
| | | | - Leslie A Will
- Department of Orthodontics and Dentofacial Orthopedics, Goldman School of Dental Medicine, Boston University, Boston, Massachusetts, USA
| | - Theodore Eliades
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
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Papageorgiou SN, Cassina C, Vandevska-Radunovic V, Eliades T. Incisor and profile alterations in extraction cases treated with standard Edgewise and pre-adjusted appliances: A controlled before-and-after study. J World Fed Orthod 2021; 10:105-111. [PMID: 34006493 DOI: 10.1016/j.ejwf.2021.04.001] [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: 02/08/2021] [Revised: 03/29/2021] [Accepted: 04/01/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Even though treatment of Class II malocclusion with premolar extractions and incisor retraction might affect incisor inclination and soft tissue profile, the effects of bracket prescription on this have not been thoroughly assessed. METHODS Fifty patients (mean age: 13.6 years; 34% male) receiving extraction-based treatment with either standard Edgewise or pre-adjusted appliances were included. Between-group differences in the incisor inclination assessed with lateral cephalograms were analyzed statistically with linear/logistic regression at 5%. RESULTS Treatment-induced changes included retroclination of the upper/lower incisors (-3.0° and -2.0°, respectively), retraction of the upper/lower incisors (-3.4 mm and -1.5 mm, respectively), retraction of the upper/lower lip (-2.1 mm and -2.0 mm, respectively), and enlargement of the nasolabial angle (+1.6°). Analysis of the data adjusting for confounders indicated that the pre-adjusted group, after treatment, had larger inclination of the upper or lower incisors (+3.2° and +4.5°, respectively), more prominent upper incisors relative to the facial plane (+1.3 mm), and smaller interincisal angle (-7.3 or -7.7°). Post-treatment upper incisor inclination fell within the cephalometric norm significantly more in the pre-adjusted than in the standard Edgewise group (odds ratio 4.3; 95% confidence interval 1.1-16.6). No differences were found in lower incisor prominence, upper/lower lip prominence, or nasolabial angle. CONCLUSIONS Pre-adjusted appliances were associated with increased inclination of the upper and lower incisors, with more prominent upper incisors, and with more acute interincisal angle after retraction compared with standard Edgewise appliances. However, such differences did not translate in greater retraction of the upper/lower lips and greater nasolabial angle.
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Affiliation(s)
- Spyridon N Papageorgiou
- Senior Teaching and Research Assistant, Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.
| | - Chiara Cassina
- Resident, Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | | | - Theodore Eliades
- Professor, Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
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Hersberger-Zurfluh MA, Papageorgiou SN, Motro M, Kantarci A, Will LA, Eliades T. Genetic and environmental components of vertical growth in mono- and dizygotic twins up to 15-18 years of age. Angle Orthod 2021; 91:384-390. [PMID: 33523142 DOI: 10.2319/060520-515.1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 12/01/2020] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To determine the additive genetic and environmental contributions to the vertical growth of craniofacial structures. MATERIALS AND METHODS The sample consisted of 64 untreated monozygotic (44 male, 20 female) and 61 untreated dizygotic twins (32 male, 29 female). Lateral cephalograms taken at 15 and 18 years of age were traced to analyze the sella-nasion-nasal line angle (SN-NL), nasal line-mandibular line angle (ML-NL), sella-nasion-mandibular line angle (SN-ML), sella-nasion-sella-gnathion angle (Y-axis), posterior face height/anterior face height (PFH/AFH), and lower anterior face height/anterior face height (LAFH/AFH). The genetic and environmental components of variance were analyzed with structural equation modeling for multilevel mixed effects. RESULTS At 15 years of age, strong dominant genetic control was seen for NL-ML (81%), LAFH/AFH (73%), and Y-axis (57%), whereas strong additive genetic components were found for PFH/AFH (78%), SN-NL (58%), and SN-ML (57%). Unique environmental factors accounted for 18-42% of observed variance, with SN-NL being affected the most (42%). At 18 years of age, only LAFH/AFH (86%) was under strong dominant genetic control, whereas the remainder were under additive genetic influence. The sole exception was SN-NL, which changed from additive to unique environmental influence. CONCLUSIONS Either additive or dominant genetic components were found at 15 or 18 years of age for most vertical variables. Environmental factors accounted for about 10-40%, with SN-NL being mostly affected.
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de Frutos-Valle L, Martin C, Alarcón JA, Palma-Fernández JC, Ortega R, Iglesias-Linares A. Sub-clustering in skeletal class III malocclusion phenotypes via principal component analysis in a southern European population. Sci Rep 2020; 10:17882. [PMID: 33087764 PMCID: PMC7578100 DOI: 10.1038/s41598-020-74488-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Accepted: 09/28/2020] [Indexed: 02/08/2023] Open
Abstract
The main aim of this study was to generate an adequate sub-phenotypic clustering model of class III skeletal malocclusion in an adult population of southern European origin. The study design was conducted in two phases, a preliminary cross-sectional study and a subsequent discriminatory evaluation by main component and cluster analysis to identify differentiated skeletal sub-groups with differentiated phenotypic characteristics. Radiometric data from 699 adult patients of southern European origin were analyzed in 212 selected subjects affected by class III skeletal malocclusion. The varimax rotation was used with Kaiser normalization, to prevent variables with more explanatory capacity from affecting the rotation. A total of 21,624 radiographic measurements were obtained as part of the cluster model generation, using a total set of 55 skeletal variables for the subsequent analysis of the major component and cluster analyses. Ten main axes were generated representing 92.7% of the total variation. Three main components represented 58.5%, with particular sagittal and vertical variables acting as major descriptors. Post hoc phenotypic clustering retrieved six clusters: C1:9.9%, C2:18.9%, C3:33%, C4:3.77%, C5:16%, and C6:16%. In conclusion, phenotypic variation was found in the southern European skeletal class III population, demonstrating the existence of phenotypic variations between identified clusters in different ethnic groups.
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Affiliation(s)
- L de Frutos-Valle
- Section of Orthodontics, Faculty of Odontology, Complutense University, Madrid, Spain
| | - C Martin
- Section of Orthodontics, Faculty of Odontology, Complutense University, Madrid, Spain.,Craniofacial Biology Research Group, BIOCRAN, Complutense University, Plaza Ramón y Cajal, s/n, 28040, Madrid, Spain
| | - J A Alarcón
- Section of Orthodontics, Faculty of Odontology, University of Granada, Campus Universitario de Cartuja, Granada, Spain
| | - J C Palma-Fernández
- Section of Orthodontics, Faculty of Odontology, Complutense University, Madrid, Spain
| | - R Ortega
- Faculty of Odontology, Complutense University, Madrid, Spain
| | - A Iglesias-Linares
- Section of Orthodontics, Faculty of Odontology, Complutense University, Madrid, Spain. .,Craniofacial Biology Research Group, BIOCRAN, Complutense University, Plaza Ramón y Cajal, s/n, 28040, Madrid, Spain.
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Hersberger-Zurfluh MA, Papageorgiou SN, Motro M, Kantarci A, Will LA, Eliades T. Vertical growth in mono-and dizygotic twins: A longitudinal cephalometric cohort study. Orthod Craniofac Res 2019; 23:192-201. [PMID: 31746097 DOI: 10.1111/ocr.12358] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Revised: 11/13/2019] [Accepted: 11/14/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aims of this longitudinal analysis of untreated monozygotic and dizygotic twins were to investigate vertical changes of the craniofacial structures during growth, to determine the concordance between genetically twins and to assess the genetic component for the various aspects of vertical growth. SETTINGS AND SAMPLE POPULATION The sample consisted of 34 pairs of untreated monozygotic twins (23 male, 11 female) and 30 untreated dizygotic siblings of multiple birth (8 male, 8 female and 14 mixed) from the Forsyth Moorrees Twin Study (1959-1975); lateral cephalograms taken from 6 to 18 years of age were analysed at 3-year intervals. MATERIALS AND METHODS Cephalograms were traced, and longitudinal changes between twins in six angular and proportional vertical cephalometric variables (SN-NL, ML-NL, SN-ML, y-axis, PFH/AFH and LAFH/AFH) were analysed with intraclass correlation coefficients and linear regression modelling. RESULTS The concordance between monozygotic/dizygotic twins at 18 years of age was moderate to high with intraclass correlation coefficient values between 0.51 and 0.66. Additionally, sex differences in concordance at 18 years of age were found for three variables. High heritability (66%-79%) was observed for 5 of the 6 variables (LAFH/AFH, ML-NL, y-axis, SN-ML, PFH/AFH), while SN-NL showed limited heritability (34%). CONCLUSIONS Although monozygotic/dizygotic twins share at least part of their genetic material, differences in the vertical dimension were found. This supports the complex developmental mechanism of the human face and the varying influence of genetic and environmental factors.
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Affiliation(s)
- Monika A Hersberger-Zurfluh
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Spyridon N Papageorgiou
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
| | - Melih Motro
- Department of Orthodontics and Dentofacial Orthopedics, Goldman School of Dental Medicine, Boston University, Boston, Massachusetts.,Forsyth Institute, Cambridge, Massachusetts
| | - Alpdogan Kantarci
- Department of Orthodontics and Dentofacial Orthopedics, Goldman School of Dental Medicine, Boston University, Boston, Massachusetts.,Forsyth Institute, Cambridge, Massachusetts
| | - Leslie A Will
- Department of Orthodontics and Dentofacial Orthopedics, Goldman School of Dental Medicine, Boston University, Boston, Massachusetts
| | - Theodore Eliades
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Zurich, Switzerland
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Aliaga-Del Castillo A, Arriola-Guillén LE, Janson G. Authors' response. Am J Orthod Dentofacial Orthop 2019; 155:614-615. [PMID: 31053269 DOI: 10.1016/j.ajodo.2019.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2019] [Revised: 02/07/2019] [Accepted: 02/07/2019] [Indexed: 10/26/2022]
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