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Living with KBG syndrome

A rare genetic condition with distinctive facial features, large upper front teeth, bone differences, and developmental delay.

Understanding KBG syndrome

KBG syndrome is a rare genetic condition that affects several body systems.

A characteristic feature is unusually large upper front teeth (macrodontia). Other features include facial differences, delayed bone age, spine, rib, and hand differences, short height from birth, and delayed speech and walking. Most people have mild to moderate intellectual disability, and many have neurodevelopmental conditions such as hyperactivity, anxiety, or autism spectrum disorder. Less common features are hearing loss, seizures, and heart defects.

Signs & symptoms

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

  • Large upper front teeth (macrodontia)
  • Developmental delay
  • Short stature
  • Delayed bone maturation
  • Hearing loss
  • Cleft palate

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 bone and joint specialists, brain and nervous system specialists, genetic specialists and gum, teeth and mouth specialists.

  3. Consider genetic testing

    Changes in ANKRD11 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists)
Expert care
Expert lists: World Craniofacial Foundation
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 KBG 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
Can genetic testing for the ANKRD11 gene confirm the diagnosis?
Should my child's hearing, heart, and teeth be checked?
What therapies can help with speech and learning?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesANKRD11

Changes in the ANKRD11 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough to cause it.

GeneticNeurological

Also known as: kbgs; short stature-characteristic facies-mental retardation-macrodontia-skeletal anomalies syndrome; short stature-facial and skeletal anomalies-intellectual disability-macrodontia syndrome; short stature, facial and skeletal anomalies, intellectual disability, macrodontia syndrome

Patient organizations

Source: NIH GARD · KBG syndromeGARD ID 82 · 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 KBG syndrome.

Explore the KBG syndrome blog

Explore research for KBG syndrome

Explore actively recruiting KBG syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for KBG syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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