10/25: How do Mutations Affect Health and Craniofacial... Flashcards
What are mutations an important cause of?
Poor health
What are chromosome disorders?
Aneuploidy, rearrangements/translocations, deletions, insertions, duplications
What are single gene disorders?
Dominant, recessive, codominant
What are multifactorial or complex genetic diseases?
Multiple genes, gene-environment
What is an abberration in chromosome number caused by faulty segregation of chromosomes during mitosis or meiosis?
Aneuploidy
When do most cases of aneuploidy originate in?
Female meiosis I and the risk rises with maternal age
What are examples of aneuploidy with oral manifestations?
Upslanting palpebral fissures
Low-set, small, folded ears
Short neck
Epicanthal fold
Flattened nasal bridge
Brushfield spots
What is down syndorme (trisomy 21)
Full or partial extra copy of chromosome 21
What is the most common chromosomal condition?
Downsyndrome (trisomy 21)
What is the most to least common form of down syndrome?
Nondisjunction (most)
Translocation
Mosaicism (least)
What is translocation of down syndrome?
Full or partial copy of chromosome 21 attaches to another chromosome, usually chromosome 14
What is the only factor that has been linked to an increased chance of having a baby with down syndrome resulting from nondisjunction or mosaicism
Maternal age
80% of children with down syndrome are born to women under _______ years of age
35 years
5% have been traced to the father
What is not a factor in trisomy 21 (nondisjunction) and mosaicism
Heredity
In 1/3 of cases of down syndrome resulting from tanslocation there is a ____________ component
Hereditary
What are symptoms of down syndrome?
Low muscle tone
Small stature
Cognitive delay
Transverse palmar crease
What should you ask a patient with down syndrome prior to leaning them back?
Heart defects
Spinal problems
Seizures
What should you know about a patient with down syndrome?
Heartburn
Sleep apnea
Endocrine problems
Dental problems
People with down sydrome should always be referred to as
people first