Pentinpuro Raija Helena, Lähdesmäki Raija Eliisa, Niinimaa Ahti Olavi, Pesonen Paula Ritva Orvokki, Alvesalo Lassi Juhani
Oral Development and Orthodontics, Institute of Dentistry, University of Oulu.
Acta Odontol Scand. 2014 Nov;72(8):908-16. doi: 10.3109/00016357.2014.921327. Epub 2014 Jun 2.
Previous results regarding human sex chromosome aneuploidies have shown that the X and Y chromosomes affect tooth size and morphology. This study looked for the effect of sex chromosome deficiency on permanent tooth crown heights.
The material, from the Finnish KVANTTI Research Project, consisted of 97 45,X females and 15 45,X/46,XX females. The controls were 32 sisters and 28 mothers of the 45,X females, eight sisters and two mothers of the 45,X/46,XX females and 35 female population controls. Crown heights of all the available teeth except third molars on both sides of the jaws were measured from panoramic radiographs with a digital calliper according to the defined procedure.
The tooth crown heights were significantly smaller in the 45,X females than in the female population controls, except for the incisors and one canine in the maxilla, whereas the tooth crown heights of the 45,X/46,XX females were close to those of the normal control females. The differences between the 45,X and 45,X/46,XX females were statistically significant, excluding the upper incisor area and a few teeth in the mandible.
The effect of the sex chromosome deficiency on permanent tooth crown height is due to the magnitude of lacking sex chromosome material. The present results regarding the 45,X females are parallel to previous findings in Turner patients regarding reduced mesiodistal and labiolingual dimensions and tooth crown heights in the permanent dentition.
先前有关人类性染色体非整倍体的研究结果表明,X和Y染色体影响牙齿大小和形态。本研究旨在探寻性染色体缺失对恒牙冠高度的影响。
研究材料来自芬兰KVANTTI研究项目,包括97名45,X女性和15名45,X/46,XX女性。对照组为45,X女性的32名姐妹和28名母亲、45,X/46,XX女性的8名姐妹和2名母亲以及35名女性群体对照。根据既定程序,使用数字卡尺从全景X光片上测量双侧颌骨除第三磨牙外所有可用牙齿的冠高。
45,X女性的牙冠高度显著小于女性群体对照组,但上颌的门牙和一颗尖牙除外;而45,X/46,XX女性的牙冠高度接近正常对照女性。45,X和45,X/46,XX女性之间的差异具有统计学意义,不包括上颌门牙区域和下颌的少数牙齿。
性染色体缺失对恒牙冠高度的影响归因于缺失性染色体物质的数量。目前关于45,X女性的研究结果与之前对特纳综合征患者恒牙列近远中径和唇舌径减小以及牙冠高度降低的研究结果一致。