Cammarata-Scalisi Francisco, Avendaño Andrea, Callea Michele
Unidad de Genética Médica, Departamento de Pediatría, Facultad de Medicina, Universidad de Los Andes, Venezuela.
Unidad de Odontología, Ospedale Pediatrico Bambino Gesù, IRCCS, Roma, Italia.
Arch Argent Pediatr. 2018 Dec 1;116(6):437-444. doi: 10.5546/aap.2018.eng.437.
Supernumerary teeth represent a common human dental anomaly, defined as presence of extra teeth-more than the normal number foreseen in primary or permanent dentition. The prevalence has been reported between 0.2 to 3%, and is more frequent in males than females. The etiology is heterogeneous, highly variable and most of the cases are idiopathic. However, the presence of multiple impacted or erupted supernumerary teeth is rare and associated with some genetic syndromes: cleidocranial displasia, familial adenomatous polyposis, trichorhinophalangeal syndrome type I, Rubinstein-Taybi syndrome, Nance-Horan syndrome, Opitz G/BBB syndrome, oculofaciocardiodental syndrome and Robinow syndrome (autosomal dominant). The supernumerary teeth should be considered in order to possibly diagnose these entities with the aim of offering an interdisciplinary management and treatment, as well as offer adequate family genetic counseling.
多生牙是一种常见的人类牙齿异常,定义为存在额外的牙齿——超过乳牙或恒牙列正常数量的牙齿。据报道,其患病率在0.2%至3%之间,男性比女性更常见。病因多种多样,变化很大,大多数病例是特发性的。然而,多个埋伏或萌出的多生牙的存在很少见,且与一些遗传综合征有关:锁骨颅骨发育不全、家族性腺瘤性息肉病、I型毛发鼻指综合征、鲁宾斯坦-泰比综合征、南斯-霍兰综合征、奥皮茨G/BBB综合征、眼面心脏牙综合征和罗宾诺综合征(常染色体显性遗传)。应考虑多生牙,以便有可能诊断这些疾病,目的是提供多学科管理和治疗,并提供充分的家庭遗传咨询。