Cláudio Rodrigues Rezende Costa1,2, Shélida Vasconcelos Braz1,3, Isabela Porto de Toledo1, Hercilio Martelli-Júnior4,5, Juliana Forte Mazzeu3, Eliete Neves Silva Guerra1, Ricardo D Coletta6, Ana Carolina Acevedo1,7. 1. Laboratory of Oral Histopathology, Health Sciences Faculty, University of Brasília, Brasília, Brazil. 2. Faculty of Dentistry, University of Rio Verde, Rio Verde, Brazil. 3. Laboratory of Medical Genetics, Faculty of Medicine, University of Brasília, Brasília, Brazil. 4. Dental School, Stomatology Clinic, State University of Montes Claros, Montes Claros, Brazil. 5. Center for Rehabilitation of Craniofacial Anomalies, Dental School, University of José Rosario Vellano, Alfenas, Brazil. 6. Department of Oral Diagnosis, School of Dentistry, University of Campinas, Piracicaba, Brazil. 7. Oral Care Center for Inherited Diseases, Health Sciences Faculty, Division of Dentistry, University Hospital of Brasilia, University of Brasilia, Brasília, Brazil.
Abstract
OBJECTIVE: The aim of systematic review was to describe the phenotypes and molecular profiles of syndromes with gingival fibromatosis (GF). METHODS: A comprehensive search of PubMed, LILACS, Livivo, Scopus, and Web of Science was conducted using key terms relevant to the research questions and supplemented by a gray literature search. The Methodological Quality and Synthesis of Case Series and Case Reports in association with the Case Series and Prevalence Studies from the Joanna Briggs Institute critical appraisal tools were used for the risk of bias. We followed the PRISMA checklist guidelines. RESULTS: Eighty-four studies reporting GF as an oral manifestation of a syndrome were identified in this review. Enamel renal syndrome was the most frequently reported syndrome with GF, represented by 54 individuals in 19 studies, followed by Zimmermann-Laband syndrome with 24 individuals in 15 studies and Costello syndrome, which was presented in a case series study with 41 individuals. Among reported cases, other clinical manifestations such as hypertrichosis, ectopic gingival calcification, and cherubism were described. CONCLUSIONS: The results emphasize the need of systematic oro-dental-facial phenotyping for future descriptions as well as further molecular analysis in order to better understand the occurrence of syndromic GF.
OBJECTIVE: The aim of systematic review was to describe the phenotypes and molecular profiles of syndromes with gingival fibromatosis (GF). METHODS: A comprehensive search of PubMed, LILACS, Livivo, Scopus, and Web of Science was conducted using key terms relevant to the research questions and supplemented by a gray literature search. The Methodological Quality and Synthesis of Case Series and Case Reports in association with the Case Series and Prevalence Studies from the Joanna Briggs Institute critical appraisal tools were used for the risk of bias. We followed the PRISMA checklist guidelines. RESULTS: Eighty-four studies reporting GF as an oral manifestation of a syndrome were identified in this review. Enamel renal syndrome was the most frequently reported syndrome with GF, represented by 54 individuals in 19 studies, followed by Zimmermann-Laband syndrome with 24 individuals in 15 studies and Costello syndrome, which was presented in a case series study with 41 individuals. Among reported cases, other clinical manifestations such as hypertrichosis, ectopic gingival calcification, and cherubism were described. CONCLUSIONS: The results emphasize the need of systematic oro-dental-facial phenotyping for future descriptions as well as further molecular analysis in order to better understand the occurrence of syndromic GF.