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Amelogenesis imperfecta, hypocalcification type(AI3A)

MedGen UID:
140773
Concept ID:
C0399376
Disease or Syndrome
Synonyms: AI3A; AMELOGENESIS IMPERFECTA, HYPOCALCIFICATION TYPE, AUTOSOMAL DOMINANT; AMELOGENESIS IMPERFECTA, HYPOMINERALIZATION TYPE; Amelogenesis Imperfecta, Type III; AMELOGENESIS IMPERFECTA, TYPE IIIA
SNOMED CT: Amelogenesis imperfecta - hypomineralization (109471001); Amelogenesis imperfecta - hypocalcified (109471001); Amelogenesis imperfecta, hypocalcification type (109471001)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
Autosomal dominant inheritance
MedGen UID:
141047
Concept ID:
C0443147
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.
 
Gene (location): FAM83H (8q24.3)
 
Monarch Initiative: MONDO:0007538
OMIM®: 130900
Orphanet: ORPHA100032

Definition

Hypocalcified amelogenesis imperfecta is characterized by enamel of normal thickness on newly erupted and unerupted and unresolved teeth. The enamel is soft and may be lost soon after eruption leaving the crown composed only of dentin. The enamel has a cheesy consistency and can be scraped from the dentin. An anterior open bite has been recorded in over 60% of the cases observed. The hypocalcification type is the most frequent type of enamel dysplasia, occurring in about 1 in 20,000 individuals (Witkop and Sauk, 1976). Large masses of supragingival calculus become deposited on the teeth, and this is frequently associated with severe gingivitis or periodontitis (Winter and Brook, 1975). [from OMIM]

Additional description

From MedlinePlus Genetics
Amelogenesis imperfecta is a disorder of tooth development. This condition causes teeth to be unusually small, discolored, pitted or grooved, and prone to rapid wear and breakage. Other dental abnormalities are also possible. These defects, which vary among affected individuals, can affect both primary (baby) teeth and permanent (adult) teeth.

Researchers have described at least 14 forms of amelogenesis imperfecta. These types are distinguished by their specific dental abnormalities and by their pattern of inheritance. Additionally, amelogenesis imperfecta can occur alone without any other signs and symptoms or it can occur as part of a syndrome that affects multiple parts of the body.  https://medlineplus.gov/genetics/condition/amelogenesis-imperfecta

Clinical features

From HPO
Amelogenesis imperfecta
MedGen UID:
240
Concept ID:
C0002452
Congenital Abnormality
A developmental dysplasia of the dental enamel.
Dental malocclusion
MedGen UID:
9869
Concept ID:
C0024636
Anatomical Abnormality
Dental malocclusion refers to an abnormality of the occlusion, or alignment, of the teeth and the way the upper and lower teeth fit together, resulting in overcrowding of teeth or in abnormal bite patterns.
Anterior open-bite malocclusion
MedGen UID:
120566
Concept ID:
C0266060
Finding
Anterior open bite is a malocclusion characterized by a gap between the anterior teeth (incisors), that is, by a deficiency in the normal vertical overlap between antagonist incisal edges when the posterior teeth are in occlusion.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAmelogenesis imperfecta, hypocalcification type
Follow this link to review classifications for Amelogenesis imperfecta, hypocalcification type in Orphanet.

Recent clinical studies

Etiology

Chamarthi V, Varma BR, Jayanthi M
J Indian Soc Pedod Prev Dent 2012 Jan-Mar;30(1):70-3. doi: 10.4103/0970-4388.95587. PMID: 22565521
Sholapurkar AA, Joseph RM, Varghese JM, Neelagiri K, Acharya SR, Hegde V, Pai KM, Bhat M
J Contemp Dent Pract 2008 May 1;9(4):92-8. PMID: 18473032

Diagnosis

Chamarthi V, Varma BR, Jayanthi M
J Indian Soc Pedod Prev Dent 2012 Jan-Mar;30(1):70-3. doi: 10.4103/0970-4388.95587. PMID: 22565521
Sholapurkar AA, Joseph RM, Varghese JM, Neelagiri K, Acharya SR, Hegde V, Pai KM, Bhat M
J Contemp Dent Pract 2008 May 1;9(4):92-8. PMID: 18473032

Prognosis

Chamarthi V, Varma BR, Jayanthi M
J Indian Soc Pedod Prev Dent 2012 Jan-Mar;30(1):70-3. doi: 10.4103/0970-4388.95587. PMID: 22565521
Sholapurkar AA, Joseph RM, Varghese JM, Neelagiri K, Acharya SR, Hegde V, Pai KM, Bhat M
J Contemp Dent Pract 2008 May 1;9(4):92-8. PMID: 18473032

Clinical prediction guides

Wang SK, Zhang H, Hu CY, Liu JF, Chadha S, Kim JW, Simmer JP, Hu JCC
J Dent Res 2021 Mar;100(3):293-301. Epub 2020 Oct 9 doi: 10.1177/0022034520962731. PMID: 33034243Free PMC Article
Zheng Y, Lu T, Chen J, Li M, Xiong J, He F, Gan Z, Guo Y, Zhang L, Xiong F
Clin Oral Investig 2021 May;25(5):2915-2923. Epub 2020 Oct 2 doi: 10.1007/s00784-020-03609-6. PMID: 33009625

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