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遗传因素对影响恒齿和乳牙的釉质矿化不全发生的影响:范围综述。

Influence of genetics on the occurrence of enamel hypomineralization affecting permanent and primary teeth: A scoping review.

机构信息

Department of Preventive and Community Dentistry, Faculty of Dentistry, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil.

School of Dentistry, Arthur Sá Earp Neto University, Petrópolis, Brazil.

出版信息

Int J Paediatr Dent. 2024 Jul;34(4):331-347. doi: 10.1111/ipd.13129. Epub 2023 Oct 23.

Abstract

BACKGROUND

Molar incisor hypomineralization (MIH) is prevalent worldwide and is a challenge for clinicians who provide oral care to children. Molar incisor hypomineralization has been considered a multifactorial disturbance that results from a combination of environmental and genetic factors.

AIM

This scoping review followed the Joanna Briggs Institute protocol and aimed to identify the available evidence of the genetic influence on the etiology of MIH.

DESIGN

The search strategy was conducted in multiple databases, including PubMed, BVS, Embase, Web of Science, and Scopus. Two trained reviewers, requiring a third reviewer in case of disagreements, collected evidence.

RESULTS

Of 563 retrieved studies, 17 were included in the review. From 14 studies performed in humans, 10 investigated DNA polymorphisms, one analyzed DNA methylation, one aimed model of inheritance, and two focused on the phenotype in twins or in the family. Three animal studies were based on the null expression of genes.

CONCLUSION

This scoping review, based on the studies that used different methodologies, reinforces the hypothesis of a genetic contribution to the multifactorial etiology of MIH. The available data are limited in terms of size and origin of the samples. Hence, further genetic studies are still required.

摘要

背景

磨牙牙釉质发育不全(MIH)在全球范围内普遍存在,对为儿童提供口腔护理的临床医生来说是一个挑战。磨牙牙釉质发育不全被认为是一种多因素障碍,是环境和遗传因素共同作用的结果。

目的

本范围综述遵循乔安娜·布里格斯研究所的方案,旨在确定遗传对 MIH 病因学影响的现有证据。

设计

搜索策略在多个数据库中进行,包括 PubMed、BVS、Embase、Web of Science 和 Scopus。两名经过培训的评审员进行了证据收集,如果存在分歧,则需要第三名评审员参与。

结果

在检索到的 563 项研究中,有 17 项研究纳入了综述。在 14 项针对人类进行的研究中,有 10 项研究调查了 DNA 多态性,1 项研究分析了 DNA 甲基化,1 项旨在研究遗传模式,2 项研究关注双胞胎或家族中的表型。三项动物研究基于基因的无效表达。

结论

这项基于使用不同方法学的研究的范围综述,加强了遗传对 MIH 多因素病因学的贡献的假设。现有数据在样本的大小和来源方面有限。因此,仍需要进一步的遗传研究。

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