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遗传学在人类口腔健康中的作用:一项系统叙述性综述。

The Role of Genetics in Human Oral Health: A Systematic-Narrative Review.

作者信息

Joy-Thomas Anita, Lalwani Zarna, Guajardo Leticia, Valenza John, Fakhouri Walid D

机构信息

Department of Diagnostic and Biomedical Sciences, Center for Craniofacial Research, School of Dentistry, University of Texas Health Science Center at Houston, Houston, TX 77054, USA.

Department of Endodontics, School of Dentistry, University of Texas Health Science Center at Houston, Houston, TX 77054, USA.

出版信息

Dent J (Basel). 2025 Mar 16;13(3):133. doi: 10.3390/dj13030133.

Abstract

: An individual's genetic makeup influences their organ development, orofacial structures, and overall health. Though many studies have been conducted to determine the inheritance of oral diseases and conditions, there is a lack of comprehensive research classifying these disorders based on the genetic and environmental etiology. : This systematic review aimed to analyze the existing body of literature using the PubMed and Cochrane databases and answer the following question: "What evidence exists supporting the role of genetic factors in oral conditions?" This systematic-narrative review methodically categorizes oral diseases and conditions based on their genetic or environmental linkages. Each classification is rigorously supported by the peer-reviewed articles and evidence strength, affirming the sufficient validity of the identified associations. : This study provides an overview of how genetics can influence oral health, from predisposition to susceptibility to various oral diseases, and the impact of genetic alterations on dental and oral conditions. Additionally, this study discusses the importance of understanding the interplay between genetic and environmental factors to improve oral health outcomes. An enhanced understanding of the impact of genetics on oral health will provide a better understanding of the implications of inherited or de novo genetic mutations and their potential interactions with environmental factors. : The data collection and analysis indicate 25 oral conditions with strong genetic components and 2 with moderate genetic contributions (fibrous dysplasia and impacted teeth), while 14 oral conditions seem to have weak genetic contributions. Treatment planning that includes genetic testing and counseling as an approach of precision oral healthcare is encouraged to develop appropriate preventative and timely treatment plans to provide the effective management of patients' symptoms.

摘要

个体的基因构成会影响其器官发育、口腔面部结构和整体健康。尽管已经开展了许多研究来确定口腔疾病和状况的遗传方式,但缺乏基于遗传和环境病因对这些疾病进行分类的全面研究。

本系统评价旨在利用PubMed和Cochrane数据库分析现有文献,并回答以下问题:“有哪些证据支持遗传因素在口腔疾病中的作用?” 这种系统叙述性综述根据口腔疾病与遗传或环境的联系,对其进行了系统分类。每一种分类都得到了同行评议文章和证据强度的严格支持,证实了所确定关联的充分有效性。

本研究概述了遗传学如何影响口腔健康,从对各种口腔疾病的易感性到易患性,以及基因改变对牙齿和口腔状况的影响。此外,本研究还讨论了理解遗传和环境因素之间相互作用对改善口腔健康结果的重要性。对遗传学对口腔健康影响的深入理解,将有助于更好地理解遗传或新发基因突变的影响及其与环境因素的潜在相互作用。

数据收集和分析表明,有25种口腔疾病具有较强的遗传成分,2种具有中等遗传贡献(骨纤维异常增殖症和阻生牙),而14种口腔疾病的遗传贡献似乎较弱。鼓励将基因检测和咨询纳入精准口腔医疗保健方法的治疗计划,以制定适当的预防和及时治疗方案,有效管理患者症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed3/11941287/3fe3692c6289/dentistry-13-00133-g001.jpg

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