Evidence map›Paper›PMID 32912316›Full record

ArticleOrphanet journal of rare diseases2020

Retained primary teeth in STAT3 hyper-IgE syndrome: early intervention in childhood is essential.

Iris Meixner, Beate Hagl, Carolin I Kröner, Benedikt D Spielberger, Ekaterini Paschos, Gregor Dückers, Tim Niehues, Ronny Hesse, Ellen D Renner

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Italian pediatric experts' consensus statement on diagnosis and management of primary atopic disorders.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Guideline
  2. Observational
  3. How I Treat: STAT3 hyper IgE syndrome.Journal of human immunity · 2026
    Review
  4. Article
  5. Review
  6. The genetics of hyper IgE syndromes.Frontiers in immunology · 2025
    Review
  7. Understanding and Managing Hyper IgE Syndromes.ImmunoTargets and therapy · 2025
    Review
  8. Review
  9. Article
  10. Extensive dental caries and periodontal disease in a child with GATA2 deficiency.Journal of clinical and experimental dentistry · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Iris MeixnerUniversity Children's Hospital, Dr. von Haunersches Kinderspital, Ludwig Maximilian University, Munich, Germany.
Beate HaglUniversity Children's Hospital, Dr. von Haunersches Kinderspital, Ludwig Maximilian University, Munich, Germany.
Carolin I KrönerUniversity Children's Hospital, Dr. von Haunersches Kinderspital, Ludwig Maximilian University, Munich, Germany.
Benedikt D SpielbergerUniversity Children's Hospital, Dr. von Haunersches Kinderspital, Ludwig Maximilian University, Munich, Germany.
Ekaterini PaschosDepartment of orthodontics, Ludwig Maximilian University, Munich, Germany.
Gregor DückersHELIOS Children's Hospital, Krefeld, Germany.
Tim NiehuesHELIOS Children's Hospital, Krefeld, Germany.
Ronny HesseOral and maxillofacial surgery, Ludwig Maximilian University, Munich, Germany.
Ellen D RennerChair and Institute of Environmental Medicine, UNIKA-T, Technical University of Munich and HelmholtzZentrum München, Munich/Augsburg, Germany. Ellen.Renner@tum.de.ORCID 0000-0001-9816-8538
Ludwig-Maximilians-Universität München · DEHelios Klinikum Krefeld · DEHelmholtz Zentrum München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSTAT3 hyper-IgE syndrome (STAT3-HIES) is a rare primary immunodeficiency that clinically overlaps with atopic dermatitis. In addition to eczema, elevated serum-IgE, and recurrent infections, STAT3-HIES patients suffer from characteristic facies, midline defects, and retained primary teeth. To optimize dental management we assessed the development of dentition and the long-term outcomes of dental treatment in 13 molecularly defined STAT3-HIES patients using questionnaires, radiographs, and dental investigations.

resultsPrimary tooth eruption was unremarkable in all STAT3-HIES patients evaluated. Primary tooth exfoliation and permanent tooth eruption was delayed in 83% of patients due to unresorbed tooth roots. A complex orthodontic treatment was needed for one patient receiving delayed extraction of primary molars and canines. Permanent teeth erupted spontaneously in all patients receiving primary teeth extraction of retained primary teeth during average physiologic exfoliation time.

conclusionsThe association of STAT3-HIES with retained primary teeth is important knowledge for dentists and physicians as timely extraction of retained primary teeth prevents dental complications. To enable spontaneous eruption of permanent teeth in children with STAT3-HIES, we recommend extracting retained primary incisors when the patient is not older than 9 years of age and retained primary canines and molars when the patient is not older than 13 years of age, after having confirmed the presence of the permanent successor teeth by radiograph.

Indexed as

Dermatitis, AtopicJob SyndromeChildFaciesHumansMutationSTAT3 Transcription FactorTooth, DeciduousSTAT3 protein, humanSTAT3 Transcription FactorDelayed eruption of permanent teethHIESHyper-IgE syndromePIDPrimary immunodeficiencyRetained primary teethRoot resorptionSTAT3STAT3-HIES

Identifiers

PMID32912316
PMCPMC7488068
OpenAlexW3083797684

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.