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Colorectal cancer and self-reported tooth agenesis.
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Germline
mutations
in
APC
and
AXIN
2
are
both
associated
with
colon
neoplasia
as
well
as
anomalous
dental
development
.
We
tested
the
hypothesis
that
congenitally
missing
teeth
may
occur
more
commonly
in
individuals
diagnosed
with
colorectal
cancer
than
in
individuals
without
this
diagnosis
.
Via
a
survey
conducted
on
1636
individuals
with
colorectal
cancer
(
CRC
)
and
2788
individuals
with
no
colorectal
cancer
from
the
Colon
Cancer
Family
Registry
,
self-reported
information
on
congenitally
missing
teeth
was
collected
.
The
frequency
of
missing
teeth
between
cases
and
controls
was
compared
using
Pearson
's
chi
-squared
test
or
Fisher
's
exact
test
.
4
.
8
%
of
cases
and
5
.
7
%
of
controls
reported
having
at
least
one
missing
tooth
(
p
 
=
 
0
.
20
)
.
When
we
stratified
by
recruitment
site
,
gender
,
and
mutation
status
where
available
,
frequency
of
missing
teeth
was
not
statistically
significantly
different
between
cases
and
controls
.
This
study
did
not
provide
support
for
there
being
a
general
predisposition
to
missing
teeth
among
a
large
cohort
of
CRC
patients
.
The
study
neither
addresses
nor
excludes
the
possibility
,
however
,
that
individuals
presenting
with
notable
hypodontia
/
oligodontia
might
still
have
an
increased
risk
for
colorectal
neoplasia
.