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tooth agenesis
ICD-10 Codes
Related ICD-10:
Description
Tooth agenesis, also known as hypodontia, is a developmental anomaly characterized by the absence of one or more permanent teeth (excluding third molars) due to failure at the early stages of tooth development [13]. This condition can range from the absence of a single tooth to the failure of development of an entire dentition [3].
The dental lamina, a band of tissue under the gums where teeth form, is usually responsible for most cases of tooth agenesis. However, other factors such as genetic mutations can also cause this condition [1]. Tooth agenesis can be associated with significant functional, aesthetic, and psycho-social problems [2].
According to various studies, the reported prevalence of hypodontia ranges from 1.6 to 6.9%, depending on the population studied [15]. This condition is often diagnosed by dental professionals and can be caused by a heterozygous mutation in the MSX1 gene (142983) on chromosome 4p16 [9].
Tooth agenesis can be classified into
Additional Characteristics
- tooth
- teeth
Signs and Symptoms
Tooth agenesis, also known as hypodontia, can manifest in various ways, depending on the severity and type of condition. Here are some common signs and symptoms associated with tooth agenesis:
- Missing teeth: The most obvious sign of tooth agenesis is the absence of one or more permanent teeth, including incisors, canines, premolars, and molars [1].
- Small teeth: In some cases, teeth may be present but are smaller than usual, which can affect their shape and function [4].
- Peg-shaped teeth: Teeth that are peg-shaped or conical in appearance can also be a sign of tooth agenesis [4].
- Spacing between teeth: The absence of one or more teeth can cause unusual spacing between the remaining teeth, which can lead to orthodontic issues [7].
- Other associated signs: Tooth agenesis can sometimes occur alongside other conditions, such as cleft lip and palate, Down syndrome, Van der Woude syndrome, and ectodermal dysplasia, which may present additional symptoms like thinning hair, poor vision, or hearing impairment [2-3].
It's essential to note that the signs and symptoms of tooth agenesis can vary in severity and may not always be immediately apparent. A dentist or orthodontist can diagnose tooth agenesis through a thorough examination and medical history.
References: [1] Context result 5 [2] Context result 3 [3] Context result 8 [4] Context result 4 [7] Context result 7
Additional Symptoms
- Missing teeth
- Small teeth
- Peg-shaped teeth
- Spacing between teeth
Diagnostic Tests
Tooth agenesis, also known as hypodontia or oligodontia, can be diagnosed through various diagnostic tests.
- Clinical examination: A thorough clinical examination by a dentist is the first step in diagnosing tooth agenesis. The dentist will look for missing teeth and assess the overall dental health.
- Radiographic examination: Dental X-rays are used to confirm the diagnosis of tooth agenesis. Panoramic radiographs (X-rays that show all teeth at once) and intra-oral X-rays can help identify missing teeth.
- Genetic testing: In some cases, genetic testing may be recommended to determine if the tooth agenesis is caused by a genetic mutation.
According to [result 7], dental X-rays can confirm the diagnosis of hypodontia. A dentist will look for missing teeth during an exam and use X-rays to confirm the diagnosis.
The oligodontia - selective tooth agenesis NGS panel, which consists of nine genes (AXIN2, EDA, LRP6, LTBP3, MSX1, PAX9, PTH1R, WNT10A, and WNT10B), can be used to identify genetic mutations that may cause tooth agenesis [result 6].
It's worth noting that a medical examination is usually the first step in diagnosing tooth agenesis [result 8]. A healthcare provider will assess the overall health of an individual and determine if further testing is necessary.
In addition, diagnostic imaging services such as X-rays, CT scans, MRI scans, and ultrasounds are available at various facilities, including Quest Diagnostics [result 10], Novant Health Imaging Museum [result 12], and CIS [result 13]. These services can be used to diagnose and monitor tooth agenesis.
References: [7] - How is hyp
Additional Diagnostic Tests
- MRI scans
- Genetic testing
- X-rays
- CT scans
- Clinical examination
- Ultrasounds
- Radiographic examination (Dental X-rays)
- Medical examination
- Oligodontia - selective tooth agenesis NGS panel
Treatment
Tooth agenesis, also known as congenital tooth absence, is a condition where one or more teeth fail to develop during embryonic development. While there are various treatment options available for tooth agenesis, the use of drugs in treating this condition is still an emerging area of research.
Current Research and Findings
Recent studies have explored the potential of using antibodies and cell-free molecular therapy to treat congenital tooth agenesis [1][2]. These treatments aim to stimulate tooth growth and regeneration by targeting specific genes involved in tooth development. For example, a study published in 2021 demonstrated that an antibody for a single gene can stimulate tooth growth and regenerate lost teeth in mice suffering from tooth agenesis [3].
Another study revealed that inactivating the USAG-1 gene can successfully ameliorate congenital tooth agenesis during early tooth development [4]. This finding suggests that targeting specific genes involved in tooth development may be a promising approach for treating tooth agenesis.
New Developments and Clinical Trials
In 2024, a new drug is set to enter human trials later in the year, after a year of clinical trials, which aims to regrow human teeth [5]. This development marks an exciting step forward in the treatment of tooth agenesis and may offer hope for individuals affected by this condition.
Conclusion
While there are various treatment options available for tooth agenesis, the use of drugs in treating this condition is still an emerging area of research. Recent studies have explored the potential of using antibodies and cell-free molecular therapy to stimulate tooth growth and regeneration. The development of new drugs and clinical trials offers promise for individuals affected by tooth agenesis.
References
[1] Takahashi, K. (2024). Production of anti-USAG-1 neutralizing antibodies as potential therapeutic agents for the treatment of congenital tooth agenesis.
[2] Ravi, V. (2023). Inactivation of USAG-1 gene can successfully ameliorate congenital tooth agenesis during early tooth development.
[3] Murashima-Suginami, A. (2021). Our results demonstrate that USAG-1 controls the number of teeth by inhibiting development of potential tooth germs in wild-type or mutant mice missing teeth.
[4] Sugai, M. (2021). Our study shows that cell-free molecular therapy is effective for a wide range of congenital
Recommended Medications
- antibodies
- cell-free molecular therapy
- targeting specific genes involved in tooth development
- USAG-1 gene inactivation
- new drug set to enter human trials (2024)
- regrowing human teeth
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Tooth agenesis, also known as hypodontia or anodontia, refers to the congenital absence of one or more teeth. The differential diagnosis for tooth agenesis involves ruling out other possible causes of missing teeth, such as:
- Impacted teeth: Teeth that are stuck in the jawbone and do not erupt into the mouth.
- Tooth decay (caries): Cavities can cause teeth to appear missing or partially absent.
- Dental trauma: Injuries to the teeth or jaw can result in tooth loss or absence.
- Genetic conditions: Certain genetic syndromes, such as anodontia, hypodontia, and oligodontia, can be associated with tooth agenesis.
According to search results [3], diagnosis requires thorough clinical and radiographic examination to exclude impacted teeth and missing teeth due to caries or dental trauma. Additionally, a detailed medical history is essential to identify any underlying genetic conditions that may contribute to tooth agenesis.
Types of tooth agenesis:
- Hypodontia: Refers to the absence of one to six teeth [5].
- Oligodontia: Diagnosed when more than six teeth are absent [9].
It's essential to distinguish between isolated oligodontia and other conditions that may present with missing teeth. A thorough examination, including radiographic imaging and a detailed medical history, is necessary to establish an accurate diagnosis.
References:
- Search result 3: "Diagnosis requires thorough clinical and radiographic examination to exclude impacted teeth and missing teeth due to caries or dental trauma."
- Search result 5: "Hypodontia specifically refers to one to six missing teeth."
- Search result 9: "When more than six teeth are absent then a diagnosis of oligodontia is given."
Additional Differential Diagnoses
- * Impacted teeth
- * Tooth decay (caries)
- * Dental trauma
- * Genetic conditions
Additional Information
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