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Living with Tricho-dento-osseous syndrome

A genetic condition with curly hair at birth, tooth enamel differences, and denser bones.

Understanding Tricho-dento-osseous syndrome

Tricho-dento-osseous (TDO) syndrome is a genetic condition of the ectodermal dysplasia group that affects hair, teeth, and bones.

It is marked by curly or kinky hair at birth, thin or discolored tooth enamel, teeth with enlarged pulp spaces (taurodontism), and denser, thicker bones in the skull. It is noticed in childhood.

Signs & symptoms

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

  • Curly or kinky hair at birth
  • Poorly formed tooth enamel
  • Small, widely spaced teeth
  • Tooth abscesses
  • Higher than usual bone density
  • Brittle nails

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, genetic specialists, gum, teeth and mouth specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in DLX3 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

    National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias
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 Foundation for Ectodermal Dysplasias 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 of the DLX3 gene confirm this diagnosis?
How can we protect my teeth, and which dentist should we see?
Does bone density need to be monitored?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesDLX3

This condition is caused by changes in the DLX3 gene. It is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticSkin

Also known as: amelogenesis imperfecta - osteosclerosis syndrome; taurodontism - curly hair - osteosclerosis syndrome; tdo; tdo - trichodento-osseous syndrome; tdo syndrome; tricho dento osseous syndrome

Patient organizations

Source: NIH GARD · Tricho-dento-osseous syndromeGARD ID 7799 · 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 Tricho-dento-osseous syndrome.

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