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Correlation between genotype and supernumerary tooth formation in cleidocranial dysplasia
1Maxillofacial Orthognathics, Department of Maxillofacial Reconstruction and Function, Division of Maxillofacial/Neck Reconstruction, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan. n-suda.mort@tmd.ac.jp
Cleidocranial dysplasia (CCD) is linked to RUNX2 gene mutations. However, supernumerary tooth formation in CCD patients shows wide variation, even among those with identical mutations, suggesting other factors are involved.
Area of Science:
- Genetics
- Developmental Biology
- Oral Health
Background:
- Cleidocranial dysplasia (CCD) is a genetic disorder affecting bone development, primarily characterized by clavicular hypoplasia, patent fontanelles, and short stature.
- Dental anomalies, including supernumerary teeth and delayed eruption, are common in CCD patients.
- Previous research indicated significant intrafamilial variability in supernumerary tooth formation associated with RUNX2 mutations.
Purpose of the Study:
- To investigate the correlation between RUNX2 gene mutations and the manifestation of supernumerary tooth formation in Japanese individuals with CCD.
- To further clarify the genetic and potentially non-genetic factors influencing dental anomalies in CCD.
Main Methods:
- Genetic mutational analysis of the RUNX2 gene was performed on nine Japanese CCD patients.
- Detailed dental and skeletal examinations, including radiographic analysis, were conducted for all participants.
Main Results:
- Four distinct RUNX2 mutations were identified, including one novel mutation. Four individuals carried the R225Q mutation, and three siblings had the P224S mutation.
- Significant variability in supernumerary tooth formation was observed among individuals with the same RUNX2 mutation.
- Discordance in supernumerary tooth formation was noted even in monozygotic twins, and asymmetry was observed in over half of the participants.
Conclusions:
- The genotype (RUNX2 mutations) alone does not fully explain the variation in supernumerary tooth formation in CCD.
- Environmental factors, epigenetic influences, and copy number variations likely play a significant role in regulating supernumerary tooth development in individuals with CCD.
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