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 cartography

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

agnes.bloch-zupan@unistra.fr

Muriel DE LA DURE-MOLLA

muriel.deladure-molla@aphp.fr

Benjamin FOURNIER

benjamin.fournier2@aphp.fr

Marie-Cécile MANIERE

Marie-Cecile.MANIERE@chru-strasbourg.fr

It is also possible to issue a prescription for this indication via the local Genomic MDM-FMG-RD

Local