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Periodontal manifestations of Ehlers-Danlos syndromes: a systematic review
Umeå University, Faculty of Medicine, Department of Odontology.ORCID iD: 0000-0002-8244-5200
2017 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 44, no 11, p. 1088-1100Article, review/survey (Refereed) Published
Abstract [en]

Aim: Ehlers-Danlos syndromes (EDS) are a group of inherited connective tissue disorders, characterized by joint hypermobility, skin hyperextensibility, and tissue fragility. Periodontal EDS (pEDS) is a specific EDS subtype caused by heterozygous mutations in complement 1 subunit genes C1R and C1S, with early severe periodontitis as predominant clinical feature. We aimed to systematically assess the spectrum of periodontal abnormalities in all EDS subtypes.

Materials and Methods: An electronic and manual search was conducted in three databases (Medline, LIVIVO, CENTRAL). Publications of all study designs written in English/German without date restriction evaluating periodontal features in EDS were included.

Results: Thirty articles on pEDS and thirteen articles on other EDS subtypes were analysed. In pEDS, early severe periodontitis (98.4%) and gingival recession (87.1%) are the predominant features. Reports on periodontal manifestations in other EDS subtypes are rare. Described were severe gingival enlargement in dermatosparaxis EDS, and localized periodontal breakdown related to teeth with shortened roots in classical EDS (n=3, respectively).

Conclusion: Early severe periodontitis is the hallmark of pEDS; there is no evidence that it is part of the clinical phenotype of other EDS subtypes. Stringent analyses of periodontal manifestations in most EDS subtypes are missing. Prospero registration number CRD42017056889.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017. Vol. 44, no 11, p. 1088-1100
Keywords [en]
Ehlers-Danlos, gingiva, hypermobility, oral manifestations, periodontitis
National Category
Dentistry
Identifiers
URN: urn:nbn:se:umu:diva-141474DOI: 10.1111/jcpe.12807ISI: 000413310700003PubMedID: 28836281OAI: oai:DiVA.org:umu-141474DiVA, id: diva2:1158837
Available from: 2017-11-21 Created: 2017-11-21 Last updated: 2018-06-09Bibliographically approved

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Lundberg, Pernilla

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