Department of Orthodontics, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany.
School of Dentistry, Tuiuti University of Paraná, Rua Sydnei Antonio Rangel Santos, 238-Santo Inacio, Curitiba 82010-330, PR, Brazil.
Int J Environ Res Public Health. 2022 Aug 15;19(16):10047. doi: 10.3390/ijerph191610047.
Persistent primary tooth (PPT) is a prevalent clinical condition that occurs when a primary tooth is over-retained beyond the established period of its normal exfoliation time, remaining in the oral cavity. Many factors could be involved in the risk of PPT; therefore, the aim of this study was to evaluate if single nucleotide polymorphisms (SNPs) in the gene are associated with PPT. Children undergoing orthodontic treatment were screened. Orthopantomographs were assessed to evaluate PPT according to the Nolla stage of its permanent successor. The primary tooth was considered retained when its successor permanent tooth was in Nolla stage 8 and below the alveolar crypt, Nolla stage 9, or Nolla stage 10. A saliva sample from each child was collected and used for DNA extraction. A real-time PCR of two SNPs, rs689466 (-1195 G/A) and rs5275 (+665 T/C), was performed. A chi-square test was used to compare the allele and genotype distribution. Haplotype analysis was also performed. A total of 100 children were included in the study. Fifty-one had at least one PPT, while 49 children were classified as a control. The number of teeth persistent in the oral cavity ranged from 1 to 8. The genotype distribution was associated with PPT in the co-dominant model ( = 0.006) for SNP rs5275. The individuals that carry two T alleles (TT) compared with the individuals that carry at least one C allele (C + TC) had an almost three times higher chance of presenting with PPT ( = 0.012; OR = 2.99, CI95% 1.28 to 6.95-recessive model). The haplotype C-A for the SNPs rs5275 and rs689466, respectively, was significantly associated ( = 0.042). In conclusion, single nucleotide polymorphisms in the gene encoding for are associated with persistent primary tooth and may delay permanent tooth eruption.
滞留的乳牙(PPT)是一种常见的临床病症,发生在乳牙超过正常脱落时间而仍然保留在口腔中。许多因素可能与 PPT 的风险有关;因此,本研究旨在评估基因中的单核苷酸多态性(SNPs)是否与 PPT 相关。对接受正畸治疗的儿童进行筛查。通过全口曲面断层片评估 PPT,根据其恒牙的 Nolla 分期来评估。当恒牙的 Nolla 分期为 8 期及以下、牙槽嵴 Nolla 分期为 9 期或 Nolla 分期为 10 期时,认为乳牙保留。从每个孩子采集唾液样本,用于 DNA 提取。对两个 SNPs(rs689466-1195G/A 和 rs5275+665T/C)进行实时 PCR。采用卡方检验比较等位基因和基因型分布。还进行了单体型分析。本研究共纳入 100 名儿童。其中 51 名儿童至少有一颗 PPT,49 名儿童被归类为对照组。口腔中保留的牙齿数量从 1 颗到 8 颗不等。在共显性模型中,SNP rs5275 的基因型分布与 PPT 相关(=0.006)。与至少携带一个 C 等位基因(C+TC)的个体相比,携带两个 T 等位基因(TT)的个体发生 PPT 的可能性几乎高出三倍(=0.012;OR=2.99,95%CI1.28 至 6.95-隐性模型)。SNP rs5275 和 rs689466 的单体型 C-A 分别与 PPT 显著相关(=0.042)。总之,编码的基因中的单核苷酸多态性与滞留的乳牙有关,可能会延迟恒牙的萌出。