Peck Sheldon, Peck Leena, Kataja Matti
Department of Oral and Developmental Biology (Orthodontics), Harvard School of Dental Medicine, Boston, MA, USA.
Am J Orthod Dentofacial Orthop. 2002 Dec;122(6):657-60. doi: 10.1067/mod.2002.129915.
Certain discrete malpositions of the human canine tooth and agenesis of at least 1 tooth (hypodontia) are abnormalities known to occur together frequently. This study examines the specificity of tooth-agenesis sites associated with the occurrence of 3 unambiguous canine malpositions: palatally displaced canine (PDC; n = 58), mandibular lateral incisor-canine transposition (Mn.I2.C; n = 60), and maxillary canine-first premolar transposition (Mx.C.P1; n = 43). A fourth sample was formed from 4 cases of combined occurrence of PDC and Mn.I2.C, the only combination-phenotype noted among the 161 subjects. Oral panoramic radiographs were used to identify agenesis of at least 1 third molar (M3), mandibular second premolar (MnP2), and maxillary lateral incisor (MxI2)-the 3 most frequently absent tooth types among people of European descent. PDC and Mn.I2.C transposition appear to be associated with significantly increased M3 agenesis (P <.01), representing the posterior orofacial field, and Mx.C.P1 transposition appears to be associated with conspicuously elevated MxI2 agenesis (P <.001), representing the anterior orofacial field. MnP2 agenesis appears to represent an intermediate field, found in significantly elevated frequencies with all 3 canine positional anomalies. Coupling these new clinical findings with results from recent molecular studies, we suggest that transcription factors such as MSX1 and PAX9, which have been associated with agenesis of molars, might be involved in the genetic control of Mn.I2.C transposition and PDC, tooth malpositions connected here with the specific expression of posterior-field (M3) hypodontia.
人类犬齿的某些离散错位以及至少一颗牙齿的发育不全(缺牙症)是已知经常同时出现的异常情况。本研究考察了与三种明确的犬齿错位相关的缺牙部位的特异性:腭向错位犬齿(PDC;n = 58)、下颌侧切牙 - 犬齿换位(Mn.I2.C;n = 60)以及上颌犬齿 - 第一前磨牙换位(Mx.C.P1;n = 43)。第四个样本由4例PDC和Mn.I2.C联合出现的病例组成,这是161名受试者中唯一注意到的联合表型。口腔全景X线片用于确定至少一颗第三磨牙(M3)、下颌第二前磨牙(MnP2)和上颌侧切牙(MxI2)的发育不全情况,这三种是欧洲血统人群中最常缺失的牙齿类型。PDC和Mn.I2.C换位似乎与M3发育不全显著增加相关(P <.01),代表后口腔面部区域,而Mx.C.P1换位似乎与MxI2发育不全明显升高相关(P <.001),代表前口腔面部区域。MnP2发育不全似乎代表一个中间区域,在所有三种犬齿位置异常中其出现频率均显著升高。将这些新的临床发现与近期分子研究结果相结合,我们认为,诸如MSX1和PAX9等与磨牙发育不全相关的转录因子,可能参与了Mn.I2.C换位和PDC的遗传控制,这里的牙齿错位与后牙区域(M3)缺牙症的特定表达相关。
Am J Orthod Dentofacial Orthop. 2002-12
Eur J Orthod. 2005-10
Am J Orthod Dentofacial Orthop. 2010-6
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2010-6
Am J Orthod Dentofacial Orthop. 2002-1
Eur J Orthod. 2025-2-7
Diagnostics (Basel). 2023-8-25
Jpn Dent Sci Rev. 2023-12