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Oral phenotype and scoring of vascular Ehlers–Danlos syndrome: a case–control study
OBJECTIVE: Vascular Ehlers–Danlos syndrome (vEDS) is a rare genetic condition related to mutations in the COL3A1 gene, responsible of vascular, digestive and uterine accidents. Difficulty of clinical diagnosis has led to the design of diagnostic criteria, summarised in the Villefranche classificatio...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Group
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3323826/ https://www.ncbi.nlm.nih.gov/pubmed/22492385 http://dx.doi.org/10.1136/bmjopen-2011-000705 |
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author | Ferré, François Côme Frank, Michael Gogly, Bruno Golmard, Lisa Naveau, Adrien Chérifi, Hafida Emmerich, Joseph Gaultier, Frédérick Berdal, Ariane Jeunemaitre, Xavier Fournier, Benjamin P J |
author_facet | Ferré, François Côme Frank, Michael Gogly, Bruno Golmard, Lisa Naveau, Adrien Chérifi, Hafida Emmerich, Joseph Gaultier, Frédérick Berdal, Ariane Jeunemaitre, Xavier Fournier, Benjamin P J |
author_sort | Ferré, François Côme |
collection | PubMed |
description | OBJECTIVE: Vascular Ehlers–Danlos syndrome (vEDS) is a rare genetic condition related to mutations in the COL3A1 gene, responsible of vascular, digestive and uterine accidents. Difficulty of clinical diagnosis has led to the design of diagnostic criteria, summarised in the Villefranche classification. The goal was to assess oral features of vEDS. Gingival recession is the only oral sign recognised as a minor diagnostic criterion. The authors aimed to check this assumption since bibliographical search related to gingival recession in vEDS proved scarce. DESIGN: Prospective case–control study. SETTING: Dental surgery department in a French tertiary hospital. PARTICIPANTS: 17 consecutive patients with genetically proven vEDS, aged 19–55 years, were compared with 46 age- and sex-matched controls. OBSERVATIONS: Complete oral examination (clinical and radiological) with standardised assessment of periodontal structure, temporomandibular joint function and dental characteristics were performed. COL3A1 mutations were identified by direct sequencing of genomic or complementary DNA. RESULTS: Prevalence of gingival recession was low among patients with vEDS, as for periodontitis. Conversely, patients showed marked gingival fragility, temporomandibular disorders, dentin formation defects, molar root fusion and increased root length. After logistic regression, three variables remained significantly associated to vEDS. These variables were integrated in a diagnostic oral score with 87.5% and 97% sensitivity and specificity, respectively. CONCLUSIONS: Gingival recession is an inappropriate diagnostic criterion for vEDS. Several new specific oral signs of the disease were identified, whose combination may be of greater value in diagnosing vEDS. |
format | Online Article Text |
id | pubmed-3323826 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BMJ Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-33238262012-04-18 Oral phenotype and scoring of vascular Ehlers–Danlos syndrome: a case–control study Ferré, François Côme Frank, Michael Gogly, Bruno Golmard, Lisa Naveau, Adrien Chérifi, Hafida Emmerich, Joseph Gaultier, Frédérick Berdal, Ariane Jeunemaitre, Xavier Fournier, Benjamin P J BMJ Open Dentistry and Oral Medicine OBJECTIVE: Vascular Ehlers–Danlos syndrome (vEDS) is a rare genetic condition related to mutations in the COL3A1 gene, responsible of vascular, digestive and uterine accidents. Difficulty of clinical diagnosis has led to the design of diagnostic criteria, summarised in the Villefranche classification. The goal was to assess oral features of vEDS. Gingival recession is the only oral sign recognised as a minor diagnostic criterion. The authors aimed to check this assumption since bibliographical search related to gingival recession in vEDS proved scarce. DESIGN: Prospective case–control study. SETTING: Dental surgery department in a French tertiary hospital. PARTICIPANTS: 17 consecutive patients with genetically proven vEDS, aged 19–55 years, were compared with 46 age- and sex-matched controls. OBSERVATIONS: Complete oral examination (clinical and radiological) with standardised assessment of periodontal structure, temporomandibular joint function and dental characteristics were performed. COL3A1 mutations were identified by direct sequencing of genomic or complementary DNA. RESULTS: Prevalence of gingival recession was low among patients with vEDS, as for periodontitis. Conversely, patients showed marked gingival fragility, temporomandibular disorders, dentin formation defects, molar root fusion and increased root length. After logistic regression, three variables remained significantly associated to vEDS. These variables were integrated in a diagnostic oral score with 87.5% and 97% sensitivity and specificity, respectively. CONCLUSIONS: Gingival recession is an inappropriate diagnostic criterion for vEDS. Several new specific oral signs of the disease were identified, whose combination may be of greater value in diagnosing vEDS. BMJ Group 2012-04-05 /pmc/articles/PMC3323826/ /pubmed/22492385 http://dx.doi.org/10.1136/bmjopen-2011-000705 Text en © 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode. |
spellingShingle | Dentistry and Oral Medicine Ferré, François Côme Frank, Michael Gogly, Bruno Golmard, Lisa Naveau, Adrien Chérifi, Hafida Emmerich, Joseph Gaultier, Frédérick Berdal, Ariane Jeunemaitre, Xavier Fournier, Benjamin P J Oral phenotype and scoring of vascular Ehlers–Danlos syndrome: a case–control study |
title | Oral phenotype and scoring of vascular Ehlers–Danlos syndrome: a case–control study |
title_full | Oral phenotype and scoring of vascular Ehlers–Danlos syndrome: a case–control study |
title_fullStr | Oral phenotype and scoring of vascular Ehlers–Danlos syndrome: a case–control study |
title_full_unstemmed | Oral phenotype and scoring of vascular Ehlers–Danlos syndrome: a case–control study |
title_short | Oral phenotype and scoring of vascular Ehlers–Danlos syndrome: a case–control study |
title_sort | oral phenotype and scoring of vascular ehlers–danlos syndrome: a case–control study |
topic | Dentistry and Oral Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3323826/ https://www.ncbi.nlm.nih.gov/pubmed/22492385 http://dx.doi.org/10.1136/bmjopen-2011-000705 |
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