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what does hereditary mean?
inherited traits from birth or later in life
what is a syndrome?
multiple pathologically related anomalies
when is a phenotype?
physical, biochemical, and physiologic traits
what is genotype defined by?
one’s genes
what is genotype?
a specific set of genes
where are chromosomes located in?
nucleus of the cell
every cell in the body normally has how many chromosomes?
46
which type of cell is the exception to the 46 chromosome rule?
mature germ cells
what are examples of mature germ cells?
the ova and spermatozoa
why do chromosomes contain DNA?
to direct production of amino acids, polypeptides, and proteins
what is mitosis?
cellular division for somatic cells
what type of cells do not follow mitosis?
germ cells
what are the stages of mitosis?
prophase
metaphase
anaphase
telephase
what is meiosis?
cellular division for germ cells
how does meiosis work?
germ cells cut their chromosomes in half
germ cells become nature
how many parts of meiosis is there?
2
what happens during the first part of meiosis?
dna replication
meiosis
exchange of choromosomal segments
what happens during the second part of meiosis?
mitotic division
what kind of chromosomes do females have?
XX
what kind of chromosomes do males have?
XY
when is 1 X from a female chromosome inactivated?
during development
what is the inactivated portion of XX chromosomes?
barr body what
what does lyon hypothesis say about chromosomes?
males have XY, females have XX
what is DNA made of?
chains of nucleotides
when is RNA formed?
when DNA goes through transcription
what do RNA produce?
amino acids
polypeptides
proteins
what are the types of RNA?
heterogenous RNA
messenger RNA
transfer RNA
ribosomal RNA
what is heterogenous RNA?
precursor to messenger RNA
what does messenger RNA do?
carries messages to ribosomes in cytoplasm
what does transfer RNA do?
transfers amino acids to messenger RNA
what does ribosomal RNA do?
forms ribosomes with polypeptides
what are alleles?
genes located at the same level in homologous chromosomes
what is homozygosity?
when allelic genes are identical
what are dominant alleles?
always passed down
how many dominant alleles are needed to pass down a trait?
1
how many recessive alleles are needed to pass down a trait?
2
what are molecular abnormalities?
mutations of DNA that cannot be seen without a microscope
what are gross abnormalities?
mutations seen when there is a change of physical view of chromosomes
what are the different alterations in chromosomal numbers?
euploid
polyploid
aneuploid
what does euploid mean?
having a completed second set of chromosomes
what does polyploid mean?
having 3rd or 4th set of chromosomes
what does aneuploid mean?
any change in number where a complete set isn’t added
what are the types of alterations in chromosomal structure?
deletion
translocation
inversion
duplication
what is deletion?
part of chromosome is lost
what is translocation?
other portions attached to chromosome
what is inversion?
portion of chromosome upside down
what is duplication?
extra segment
what is the most frequent trisomy?
down syndrome
what is down syndrome?
when someone has a trisomy of chromosome 21
what is a trisomy?
having 3 sets of a chromosome instead of 2 like normal
what is the most frequent trisomy?
down syndrome
what are common characteristics of down syndrome?
slanted eyes
short statute
cardiac abnormality
fissured tongue
premature tooth loss
what is trisomy 13?
when someone has 3 copies of chromosome 13
what are characteristics of trisomy 13?
involves many organ abnormalities
bilateral cleft lip and palate
micropthalmia/anopthalmia
stunted growth
polydactyl
what does micropthalmia mean?
having small eyes
what does anopthalmia mean?
having no eyes
what does polydactyl mean?
having extra fingers
what is the mortality rate with trisomy within 7 months of life?
70%
what is turner syndrome?
when someone has 44 normal autosomal chromosomes, but only X instead of XX
what gender does turner syndrome have a predilection towards?
females
what does turner syndrome often present with?
neck webbing
what is klinefelter syndrome?
when someone has the presence of 1(+) extra X chromosome (ex: XXY or XXXY)
what is the most common dental finding with klinefelter syndrome?
hypoplastic maxilla
what does hypoplastic maxilla mean?
smaller maxilla
what is a deletion of cri du chat syndrome?
deletion of short arm of chromosome 5
which syndrome deletes the short arm of chromosome 5?
cri du chat syndrome
what is commonly seen in cri du chat syndrome?
newborns: have a cat-like cry at birth
mental disability
what is a deletion of wolf-hischhorn syndrome?
short arm of chromosome 4
what is deleted in wolf-hirschhorn syndrome?
short arm of chromosome 4
what is the most common dental finding of wolf-hirschhorn syndrome?
cleft palate
what does penetrance mean?
numbers of individuals affected
what is expressivity?
the range of signs/symptoms that can occur in different people with the same genetic condition
what are disorders of the periodontium?
cyclic neutropenia
papillion-lefevre syndrome
gingival fibromatosis
what is cyclic neutropenia characterized by?
decreased number of circulating neutrophils
when is treatment for cyclic neutropenia best?
when neutrophils are at their highest
how long do neutrophil cycles last with cyclic neutropenia?
21-27 days
what are common dental findings with cyclic neutropenia?
severe oral ulcers
periodontal disease
what is the difference between chronic and cyclic neutropenia?
chronic: neutrophils always low
cyclic: goes through cycles of neutrophils being low
is papillion lefevre syndrome autosomal dominant or recessive?
autosomal recessive
what happens with someone has papillion lefevre syndrome?
severe periodontitis
premature tooth loss
palmoplantar keratosis
inflamed gingiva
what is palmoplantar keratosis?
thick keratotic plaque on hands and feet
what are patterns of tooth loss and periodontitis with papillon lefevre syndrome?
eruption of primary teeth
periodontitis occurs
premature loss of these teeth
gingiva returns to normal appearance
eruption of permanent teeth
periodontitis occurs
loss of most/all teeth
patient is edentulous at early age
when do papillon lefevre syndrome patients usually become edentulous?
early age, teens
what treatment is used for periodontal disease in papillon lefevre syndrome?
tetracyclines and anti-microbial clearance of Aa bacteria
what treatments can stop patients from losing their teeth with papillon lefevre syndrome?
none, treatments help but do not fully fix
what is focal palmoplantar?
having keratosis on tips of fingers and toes, extending to palms and soles
what is gingival hyperkeratosis
having a band of keratosis on one’s gingiva
what is gingival fibromatosis?
gingival enlargement that develops later in life
what is gingival fibromatosis associated with?
laband syndrome
hypertrichosis, epilepsy, and mental disability
multiple hyaline fibromas
what are the disorders of the jaw and face?
cherubism
gardner syndrome
mandibulofacial dysostosis
gorlin syndrome
osteogenesis imperfecta
tori and exostoses
what is a cherubism?
jaw condition that causes painless bilateral swelling of posterior mandible which displaces the eyes
what are symptoms of cherubism?
painless bilateral swelling of posterior mandible
what can be moved during cherubism?
eyes
cherubism has high ___
penetrance
cherubism has variable ___
expressivity
which 2 chromosomes are cherubism mapped to?
4 and 16
when does cherubism usually develop?
2-5
do lesions with cherubism get worse after puberty?
no
when do lesions with cherubism progress until?
hits puberty
what happens to lesions with cherubism after puberty?
stabilize and regress