Hutchinson-Gilford progeria syndrome: oral and craniofacial phenotypes

Oral Dis. 2009 Apr;15(3):187-95. doi: 10.1111/j.1601-0825.2009.01521.x. Epub 2009 Feb 19.


Objective: Hutchinson-Gilford progeria syndrome (HGPS) is a rare early-onset accelerated senescence syndrome. In HGPS, a recently identified de novo dominant mutation of the lamin A gene (LMNA) produces abnormal lamin A, resulting in compromised nuclear membrane integrity. Clinical features include sclerotic skin, cardiovascular and bone abnormalities, and marked growth retardation. Craniofacial features include 'bird-like' facies, alopecia, craniofacial disproportion, and dental crowding. Our prospective study describes dental, oral soft tissue, and craniofacial bone features in HGPS.

Methods: Fifteen patients with confirmed p.G608G LMNA mutation (1-17 years, seven males, eight females) received comprehensive oral evaluations. Anomalies of oral soft tissue, gnathic bones, and dentition were identified.

Results: Radiographic findings included hypodontia (n = 7), dysmorphic teeth (n = 5), steep mandibular angles (n = 11), and thin basal bone (n = 11). Soft tissue findings included ogival palatal arch (n = 8), median sagittal palatal fissure (n = 7), and ankyloglossia (n = 7). Calculated dental ages (9 months to 11 years 2 months) were significantly lower than chronological ages (1 year 6 months to 17 years 8 months) (P = 0.002). Eleven children manifested a shorter mandibular body, anterior/posterior cranial base and ramus, but a larger gonial angle, compared to age/gender/race norms.

Conclusion: Novel oral-craniofacial phenotypes and quantification of previously reported features are presented. Our findings expand the HGPS phenotype and provide additional insight into the complex pathogenesis of HGPS.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Abnormalities, Multiple / pathology
  • Adolescent
  • Age Determination by Teeth*
  • Alveolar Process / pathology
  • Anodontia / complications*
  • Anodontia / pathology
  • Child
  • Child, Preschool
  • Facies
  • Female
  • Humans
  • Infant
  • Male
  • Malocclusion / complications
  • Malocclusion / pathology
  • Maxillofacial Abnormalities / complications*
  • Maxillofacial Abnormalities / pathology
  • Mouth Diseases / complications
  • Mouth Diseases / pathology
  • Phenotype
  • Progeria / complications*
  • Progeria / pathology
  • Prospective Studies
  • Syndrome
  • Tooth Abnormalities / complications*
  • Tooth Abnormalities / pathology