[Is there more to hypodontia then missing teeth?]

J N Ross, L C Ruigrok, W M M Fennis, M S Cune, A J W P Rosenberg, A B van Nunen, M A Créton, H K Ploos van Amstel, M J J H van den Boogaard
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Abstract

Dental care professionals regularly see patients with hypodontia. Hypodontia can be acquired, for example through chemotherapy or radiation at a young age, but is hereditary in most patients. Due to an error (pathogenic variant) in one of the many genes that control odontogenesis, the formation of the tooth germ is disrupted at an early stage. The genes involved are not only crucial for tooth development, but they also play an important role in other physical processes. This article provides background information on hypodontia. Based on an inventory of gastrointestinal complaints in patients with hypodontia and a case description of the simultaneous occurrence of a coagulation disorder and hypodontia, the importance of a broad view of this patient group is illustrated. It is concluded that, in addition to a dental assessment, examination of these patients should include a limited physical examination and the medical history of the patient and his close relatives.

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除了缺牙,牙下畸形还有其他问题吗?]
牙科保健专业人员经常看到患有牙缺失症的患者。下颌畸形可以在年轻时通过化疗或放疗获得,但大多数患者是遗传性的。由于控制牙齿形成的众多基因之一的错误(致病变异),牙齿胚芽的形成在早期阶段就被破坏了。所涉及的基因不仅对牙齿发育至关重要,而且在其他物理过程中也起着重要作用。这篇文章提供了关于下颌畸形的背景资料。基于对下颌畸形患者的胃肠道疾病的调查和同时发生凝血障碍和下颌畸形的病例描述,说明了对这一患者群体进行广泛观察的重要性。结论是,除牙科评估外,对这些病人的检查应包括有限的体格检查和病人及其近亲属的病史。
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