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Living with Amelogenesis imperfecta type 1G

An extremely rare genetic condition with thin tooth enamel and calcium buildup in the kidneys.

Understanding Amelogenesis imperfecta type 1G

Amelogenesis imperfecta type 1G is an extremely rare genetic syndrome with underdeveloped tooth enamel and calcium deposits in the kidneys.

Teeth can be yellow and misshapen, come in late, and have calcium deposits inside. The kidney calcium buildup (nephrocalcinosis) often causes no symptoms. In late childhood or early adulthood, it can progress to reduced kidney function, repeated urinary infections, or renal tubular acidosis. It starts in childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Weak tooth enamel
  • Yellow or discolored teeth
  • Late-coming teeth
  • Overgrown gums
  • Teeth stuck under the gum (impacted teeth)
  • Bedwetting (enuresis)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists, gum, teeth and mouth specialists and kidney specialists.

  3. Consider genetic testing

    Changes in FAM20A are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Kidney Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is genetic testing for FAM20A available for our family?
How often should kidney function be checked?
Which dental treatments can protect my teeth?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesFAM20A

Changes in the FAM20A gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticKidney

Also known as: absent enamel, nephrocalcinosis and apparently normal calcium metabolism; ai1g; aigfs; amelogenesis imperfecta and gingival fibromatosis syndrome; amelogenesis imperfecta and nephrocalcinosis; amelogenesis imperfecta caused by mutation in fam20a

Patient organizations

Source: NIH GARD · Amelogenesis imperfecta type 1GGARD ID 646 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Amelogenesis imperfecta type 1G.

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Explore research for Amelogenesis imperfecta type 1G

Explore actively recruiting Amelogenesis imperfecta type 1G studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Amelogenesis imperfecta type 1G with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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