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Genetics or environment? A twin-method study of malocclusions
Beata Kawala1, Joanna Antoszewska, Agnieszka Necka
1Department of Maxillofacial Orthopedics and Orthodontics, Wroclaw Medical University, Wroclaw, Poland.
Environmental factors significantly influence malocclusions more than previously thought. This finding supports early orthodontic interventions to mitigate malocclusion development and severity.
Area of Science:
- Orthodontics
- Twin studies
- Genetics
Background:
- Malocclusions are common dental issues with complex etiologies.
- Understanding the interplay of genetic and environmental factors is crucial for effective prevention and treatment.
Purpose of the Study:
- To evaluate the influence of genetic and environmental factors on malocclusions using a twin study.
- To identify malocclusions that may benefit from early orthodontic prophylaxis.
Main Methods:
- Comparative analysis of malocclusion in 164 monozygotic and dizygotic twin pairs.
- Utilized serologic, morphologic, and dermatoglyphic criteria for zygotic status determination.
- Applied the Allen equation to calculate the hereditary coefficient for malocclusions.
Main Results:
- High within-pair malocclusion similarity (80-94%) observed in most groups, except dizygotic males.
- Monzygotic twins showed 100% similarity, while dizygotic females had 57% similarity.
- Hereditary coefficients were generally low, indicating a significant role for environmental factors, particularly in males.
Conclusions:
- Environmental factors play a more substantial role in malocclusion development than previously recognized.
- Early orthodontic intervention is recommended to intercept, disrupt, and reduce the impact of malocclusions.
- Findings support proactive management strategies for malocclusions.
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