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      Heritability of Craniofacial Characteristics in Twins - Cephalometric Study

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          Abstract

          Introduction:

          The growth and development of the craniofacial complex are under the influence of genetic and environmental factors, which determine its morphological and functional characteristics. Twin studies provide significant insight into how many genetic and environmental factors determine dental and craniofacial characteristics.

          Aim:

          The aim of the study was to determine the genetic influence on craniofacial complex using a twin study model.

          Methods:

          The study sample comprised 52 pairs of twins who were referred to the Orthodontic Department, School of Dental medicine, University of Sarajevo. Informed consent was obtained by the parents of the children included in the study. Twenty pairs of twins were diagnosed as monozygotic while 32 pairs were diagnosed as dizygotic. Zygosity was diagnosed by physical characteristics similarity. Nineteen variables were measured: 10 dental variables, 9 cephalometric.

          Results:

          Based on the findings of this study, t-test showed significant genetic effect on the length of cranial base (p = 0.03), corpus of maxilla (p = 0.02) and mandibular length (p = 0.03), and also for B-angle (p = 0.04). Environmental factors are more involved in determining dental traits (e.g., the inclination of the incisors).

          Conclusion:

          There is a significant genetic effect on the linear cephalometric variables: the length of the cranial base, maxillary length and mandibular length.

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          Most cited references33

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          StaTips Part IV: Selection, interpretation and reporting of the intraclass correlation coefficient

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            Genetic and environmental influences on human dental variation: A critical evaluation of studies involving twins☆

            Utilising data derived from twins and their families, different approaches can be applied to study genetic and environmental influences on human dental variation. The different methods have advantages and limitations and special features of the twinning process are important to consider. Model-fitting approaches have shown that different combinations of additive genetic variance (A), non-additive genetic variance (D), common environmental variance (C), and unique environmental variance (E) contribute to phenotypic variation within the dentition, reflecting different ontogenetic and phylogenetic influences. Epigenetic factors are also proposed as important in explaining differences in the dentitions of monozygotic co-twins. Heritability estimates are high for most tooth size variables, for Carabelli trait and for dental arch dimensions, moderate for intercuspal distances, and low for some occlusal traits. In addition to estimating the contributions of unmeasured genetic and environmental influences to phenotypic variation, structural equation models can also be used to test the effects of measured genetic and environmental factors. Whole-genome linkage analysis, association analysis of putative candidate genes, and whole genome association approaches, now offer exciting opportunities to locate key genes involved in human dental development.
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              Characteristics of incisor-premolar hypodontia in families.

              Nonsyndromic tooth agenesis is a genetically and phenotypically heterogenous condition. It is generally assumed that different phenotypic forms are caused by different mutated genes. We analyzed inheritance and phenotype of hypodontia and dental anomalies in 214 family members in three generations of 11 probands collected for genetic linkage study on incisor-premolar hypodontia (IPH). Our analysis confirms the autosomal-dominant transmission with reduced penetrance of IPH. The prevalence of hypodontia and/or peg-shaped teeth was over 40% in first- and second-degree relatives and 18% in first cousins of the probands. Four of nine noted obligate carriers of hypodontia gene had dental anomalies, including small upper lateral incisors, ectopic canines, taurodontism, and rotated premolars. These anomalies were also observed at higher than normal frequency in relatives affected with hypodontia. We conclude that incisor-premolar hypodontia is a genetic condition with autosomal-dominant transmission and that it is associated with several other dental abnormalities.
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                Author and article information

                Journal
                Med Arch
                Med Arch
                Medical Archives
                Medical Archives
                Academy of Medical Sciences of Bosnia and Herzegovina
                0350-199X
                1986-5961
                June 2019
                : 73
                : 3
                : 205-208
                Affiliations
                [1 ]Department of Orthodontics, School of Dental Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
                [2 ]Private clinic, Bern, Switzerland
                [3 ]Department of Public Health, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
                Author notes
                Corresponding author:Enita Nakas, Department of Orthodontics, School of Dental Medicine, University of Sarajevo, SarajevoBosnia and Herzegovina++387 33 214 249 enakas@ 123456sf.unsa.ba ORCID ID: http:/www.orcid.org: 0000-0003-0239-6566
                Article
                10.5455/medarh.2019.73.205-208
                6643326
                3a68265b-87e0-400f-82e4-2055f202234d
                © 2019 Alisa Tiro, Vildana Demidzic, Samra Salaga-Nefic, Ismeta Redzic, Enita Nakas

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 03 March 2019
                : 28 April 2019
                Categories
                Original Paper

                heritability,twins,cephalometric
                heritability, twins, cephalometric

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