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Developmental biology and genetics of dental malformations.
[dentin dysplasia]
The
synthesis
of
tooth
development
biology
with
human
studies
focusing
on
inherited
conditions
that
specifically
interfere
with
tooth
development
is
improving
our
understanding
of
normal
and
pathological
tooth
formation
.
The
type
of
inherited
dental
malformations
observed
in
a
given
kindred
relate
to
when
,
during
odontogenesis
,
the
defective
gene
is
critically
expressed
.
Information
about
the
protein
encoded
by
the
defective
gene
and
the
resulting
dental
phenotype
helps
us
understand
the
major
processes
underway
at
different
stages
during
tooth
development
.
Genes
affecting
early
tooth
development
(
PAX
9
,
MSX
1
,
and
AXIN
2
)
are
associated
with
familial
tooth
agenesis
or
oligodontia
.
Genes
expressed
by
odontoblasts
(
COL
1
A
1
,
COL
1
A
2
,
and
DSPP
)
,
and
ameloblasts
(
AMELX
,
ENAM
,
MMP
20
,
and
KLK
4
)
during
the
crown
formation
stage
,
are
associated
with
dentinogenesis
imperfecta
,
dentin
dysplasia
,
and
amelogenesis
imperfecta
.
Late
genes
expressed
during
root
formation
(
ALPL
and
DLX
3
)
are
associated
with
cementum
agenesis
(
hypophosphatasia
)
and
taurodontism
.
Understanding
the
relationships
between
normal
tooth
development
and
the
dental
pathologies
associated
with
inherited
diseases
improves
our
ability
to
diagnose
and
treat
patients
suffering
the
manifestations
of
inherited
dental
disorders
.
Diseases
Validation
Diseases presenting
"inherited dental malformations"
symptom
dentin dysplasia
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