Region Jnkpings ln Odontologiska Institutionen
plus.rjl.se/oi

Genetic counselling in dentistry - report from a multiprofessional workshop

Norderyd J
 

Aim

Oral symptoms as part of an inherited syndrome are relatively common and the dentist may be the first professional to make the diagnosis. A few of these syndromes involve increased risk for malignancy and genetic counselling may be strongly indicated, which is not often an issue in dentistry. The aim was to present recommendations for genetic counselling in syndromes with oral manifestations and a risk for malignant complications.

Method

A workshop with dental specialists (paediatric dentistry, oral and maxillofacial surgery, prosthodontics, dentomaxillofacial radiology, and orthodontics), geneticists, and genetic counsellors was arranged by the National Oral Disability Centre in Jönköping, Sweden, in order to discuss and formulate strategies about genetic counselling for dental patients, with special reference to syndromes with increased risk for malignancy. The diagnoses chosen to exemplify were Gorlin syndrome (nevoid basal cell carcinoma), familial adenomatous polyposis with occult radiopaque jaw lesions, and mutations in AXIN2 with hypodontia and predisposition for colorectal cancer.

Result

The workshop delegates agreed on strategies concerning genetic counselling in dentistry, involving referrals to appropriate care givers and counsellors.

Conclusion

A multiprofessional workshop can be useful when discussing areas where different specialists in the medical and dental field are represented. The need for genetic counselling in dentistry is rare but crucial for the few patients involved. Dentists therefore ought to have strategies at hand when needed.

 

Uppdaterad: 2013-04-03
Anna Thofelt, Avdelningen för odontologisk radiologi Jönköping, Folktandvården