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Castilho NL, Resende KKM, dos Santos JA, Machado RA, Coletta RD, Guerra ENS, Acevedo AC, Martelli-Junior H. Oligodontia in the Clinical Spectrum of Syndromes: A Systematic Review. Dent J (Basel) 2023; 11:279. [PMID: 38132417 PMCID: PMC10742796 DOI: 10.3390/dj11120279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 11/11/2023] [Accepted: 11/17/2023] [Indexed: 12/23/2023] Open
Abstract
The aim of this systematic review was to describe the clinical and genetic features of syndromes showing oligodontia as a sign. The review was performed according to the PRISMA 2020 checklist guidelines, and the search was conducted using PubMed, Scopus, Lilacs, Web of science, Livivo, and EMBASE and supplemented by a gray literature search on Google Scholar and ProQuest, applying key terms relevant to the research questions. The systematic review identified 47 types of syndromes in 83 studies, and the most common was hypohidrotic ectodermal dysplasia, which was reported in 24 patients in 22 studies. Other common syndromes that reported oligodontia included Axenfeld-Rieger syndrome, Witkop's syndrome, Ellis-van Creveld syndrome, blepharocheilodontic syndrome, and oculofaciocardiodental syndrome. The X-linked mode of inheritance was the most reported (n = 13 studies), followed by the autosomal dominant (n = 13 studies). The review describes the main syndromes that may have oligodontia as a clinical sign and reinforces the need for orodental-facial examining for adequate diagnosis and treatment of the affected patients. Molecular analysis in order to better understand the occurrence of oligodontia is imperative.
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Affiliation(s)
- Natália Lopes Castilho
- Health Science Postgraduate Program, State University of Montes Claros, Montes Claros 39400-000, Brazil;
| | - Kêmelly Karolliny Moreira Resende
- Laboratory of Oral Histopathology, Oral Care Center for Inherited Diseases, Health Sciences Faculty, University of Brasilia, Brasilia 70040-010, Brazil; (K.K.M.R.); (E.N.S.G.); (A.C.A.)
| | - Juliana Amorim dos Santos
- Laboratory of Oral Histopathology, Health Sciences Faculty, University of Brasilia, Brasilia 70040-010, Brazil;
| | - Renato Assis Machado
- Department of Oral Diagnosis and Graduate Program in Oral Biology, School of Dentistry, University of Campinas, Piracicaba 13414-018, Brazil; (R.A.M.); (R.D.C.)
| | - Ricardo D. Coletta
- Department of Oral Diagnosis and Graduate Program in Oral Biology, School of Dentistry, University of Campinas, Piracicaba 13414-018, Brazil; (R.A.M.); (R.D.C.)
| | - Eliete Neves Silva Guerra
- Laboratory of Oral Histopathology, Oral Care Center for Inherited Diseases, Health Sciences Faculty, University of Brasilia, Brasilia 70040-010, Brazil; (K.K.M.R.); (E.N.S.G.); (A.C.A.)
| | - Ana Carolina Acevedo
- Laboratory of Oral Histopathology, Oral Care Center for Inherited Diseases, Health Sciences Faculty, University of Brasilia, Brasilia 70040-010, Brazil; (K.K.M.R.); (E.N.S.G.); (A.C.A.)
| | - Hercílio Martelli-Junior
- Health Science Postgraduate Program, State University of Montes Claros, Montes Claros 39400-000, Brazil;
- Oral Medicine and Oral Pathology, School of Dentistry, State University of Montes Claros, Unimontes, Montes Claros 39400-000, Brazil
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Schnabl D, Grunert I, Schmuth M, Kapferer-Seebacher I. Prosthetic rehabilitation of patients with hypohidrotic ectodermal dysplasia: A systematic review. J Oral Rehabil 2018; 45:555-570. [PMID: 29679503 DOI: 10.1111/joor.12638] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/16/2018] [Indexed: 11/26/2022]
Abstract
Hypohidrotic ectodermal dysplasia (HED) comprises a large group of inherited disorders of ectodermal structures, characterised by hypo- or anhidrosis, hypotrichosis and hypo- or oligo- or anodontia. We aimed to systematically assess the spectrum of prosthodontic approaches with regard to the patients' age and to provide clinical implications for practicing dentists. An electronic and manual search was conducted in four databases (Medline, LIVIVO, Cochrane Library, Web of Science Core Collection). Publications of multiple study designs written in English or German without data restrictions, reporting on prosthodontic treatment of patients diagnosed with HED and afflicted with oligo- or anodontia, were included. In total, 75 articles on 146 patients were analysed according to the patients' age. In children aged 2-17 years, removable full or partial (over)dentures represented standard treatment. In the mandible, implant-supported removable dentures on two interforaminal implants presented an alternative, already in young childhood. In cases with more than six teeth per jaw, also fixed (resin) bridges were used, frequently after orthodontic treatment. In adults, fixed or removable reconstructions with the help of up to eight implants per jaw, usually placed after bone augmentation procedures, were standard. Ten case reports/series with long-term follow-up illustrated the need for consistent maintenance including denture renewals. Prosthodontic rehabilitation should start in early childhood and needs to be revised in accordance with the patients' growth. Treatment should be carried out by a multidisciplinary team addressing variable demands in different age groups.
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Affiliation(s)
- D Schnabl
- University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, Innsbruck, Austria
| | - I Grunert
- University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, Innsbruck, Austria
| | - M Schmuth
- Department of Dermatology, Venereology and Allergology, Medical University of Innsbruck, Innsbruck, Austria
| | - I Kapferer-Seebacher
- University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, Innsbruck, Austria
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Renahan N, Raj R, Varma RB, Kumar JS. Christ Siemens Touraine syndrome: Two case reports and felicitous approaches to prosthetic management. Contemp Clin Dent 2015; 6:274-6. [PMID: 26097372 PMCID: PMC4456759 DOI: 10.4103/0976-237x.156066] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Ectodermal dysplasia is a heterogeneous group of inherited disorders, which exhibit a classic triad of hypohydrosis, hypotrichosis, and hypodontia. Hypohidrotic or anhidrotic ectodermal dysplasia or Christ Siemens Touraine syndrome is the most common condition among ectodermal dysplasia patients. This is a case report on two Christ Siemens Touraine syndrome cases and two different approaches to prosthetic management.
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Affiliation(s)
- Navanith Renahan
- Department of Pedodontics and Preventive Dentistry, Amrita School of Dentistry, Kochi, Kerala, India
| | - Renju Raj
- Department of Pedodontics and Preventive Dentistry, Amrita School of Dentistry, Kochi, Kerala, India
| | - R Balagopal Varma
- Department of Pedodontics and Preventive Dentistry, Amrita School of Dentistry, Kochi, Kerala, India
| | - J Suresh Kumar
- Department of Pedodontics and Preventive Dentistry, Amrita School of Dentistry, Kochi, Kerala, India
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Joseph S, Cherackal GJ, Jacob J, Varghese AK. Multidisciplinary management of hypohydrotic ectodermal dysplasia - a case report. Clin Case Rep 2015; 3:280-6. [PMID: 25984305 PMCID: PMC4427368 DOI: 10.1002/ccr3.209] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2014] [Revised: 10/21/2014] [Accepted: 12/07/2014] [Indexed: 11/11/2022] Open
Abstract
Hypohydrotic ectodermal dysplasia is a hereditary disorder, which affects ectodermal derivatives. It manifests several abnormalities of the teeth, and is commonly inherited through female carriers. This case report presents a patient with compromised esthetics and function. A multidisciplinary approach was planned involving an oral pathologist, endodontist, orthodontist and a prosthodontist.
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Affiliation(s)
- Suja Joseph
- Department of Prosthodontics, Pushpagiri College of Dental Sciences, Kerala University of Health Sciences Perumthuruthy P.O., Thiruvalla, 689107, Kerala, India
| | - George J Cherackal
- Department of Orthodontics, Pushpagiri College of Dental Sciences, Kerala University of Health Sciences Perumthuruthy P.O., Thiruvalla, 689107, Kerala, India
| | - Jose Jacob
- Departmnet of Conservative Dentistry, Pushpagiri College of Dental Sciences, Kerala University of Health Sciences Perumthuruthy P.O., Thiruvalla, 689107, Kerala, India
| | - Alex K Varghese
- Department of Oral Pathology, Pushpagiri College of Dental Sciences, Kerala University of Health Sciences Perumthuruthy P.O., Thiruvalla, 689107, Kerala, India
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