Carried by: TETECOU
References:
Clinician(s): Pr Agnès BLOCH-ZUPAN
Biologist(s): Pr Caroline SCHLUTH BOLARD
Presentation
900 rare diseases have a dental/oral/facial component. The teeth and oral cavity are a gateway to the diagnosis of complex, severe, multisystemic rare diseases, facilitated by the mineralisation and fixation in time and space of developmental abnormalities.
Criteria before considering a discussion in MDM-FMG
Inclusion criteria:
- Rare diseases with abnormalities in the development of the mouth and/or teeth associated with other symptoms as part of a syndrome.
- Not suggestive of a known syndrome at first glance.
- Detailed phenotypic examination of the oral cavity in consultation with the O-Rares network and the National TETECOU Network.
- Data available for affected subjects (family history: family tree, medical, biological, etc., preferably a trio approach).
- Intraoral photographs
- Panoramic radiography
- Negative diagnostic panel if option chosen
- Depending on the malformation concerned, a whole-genome analysis could be discussed, in the absence of a syndromic form, when the probability of a monogenic pathology is high, after agreement by the RCP.
- Possible inclusion in the RCPs of the CRMRs, CCMRs of the O-Rares network of the national TETECOU sector or, depending on the region, in local genomic RCPs.
Exclusion criteria:
- Exclusion of situations that could suggest abnormalities of the mouth and teeth due to a teratogenic cause or acquired origin.
Genome Sequencing in diagnostic strategy

MDM
Type of the MDM
City of the coordinator
Name, first name, and email of the contact
MDM CRMR O-RARES
National
Strasbourg
Agnès BLOCH-ZUPAN
Muriel DE LA DURE-MOLLA
Benjamin FOURNIER
Marie-Cécile MANIERE
It is also possible to issue a prescription for this indication via the local Genomic MDM-FMG-RD
Local
