{"id":994,"date":"2026-09-30T15:00:48","date_gmt":"2026-09-30T15:00:48","guid":{"rendered":"https:\/\/dentistrykazakhstan.kz\/?p=994"},"modified":"2026-10-02T18:21:24","modified_gmt":"2026-10-02T18:21:24","slug":"%d1%81%d1%82%d0%b8%d0%b3%d0%bc%d1%8b-%d0%b4%d0%b8%d0%b7%d1%8d%d0%bc%d0%b1%d1%80%d0%b8%d0%be%d0%b3%d0%b5%d0%bd%d0%b5%d0%b7%d0%b0-%d1%87%d0%b5%d0%bb%d1%8e%d1%81%d1%82%d0%bd%d0%be-%d0%bb%d0%b8%d1%86","status":"publish","type":"post","link":"https:\/\/dentistrykazakhstan.kz\/en\/%d1%81%d1%82%d0%b8%d0%b3%d0%bc%d1%8b-%d0%b4%d0%b8%d0%b7%d1%8d%d0%bc%d0%b1%d1%80%d0%b8%d0%be%d0%b3%d0%b5%d0%bd%d0%b5%d0%b7%d0%b0-%d1%87%d0%b5%d0%bb%d1%8e%d1%81%d1%82%d0%bd%d0%be-%d0%bb%d0%b8%d1%86\/","title":{"rendered":"STIGMATA OF CRANIOFACIAL DYSEMBRYOGENESIS IN CHILDREN:  A COMPARATIVE CROSS-SECTIONAL STUDY IN THE ARAL SEA REGION"},"content":{"rendered":"<p><em>Received: 02 September 2026<\/em><br \/>\n<em>Accepted: 23 September 2026<\/em><br \/>\n<em>Published online: 30 September 2026<\/em><br \/>\nUDC: (616.31+616.716)-007-053.2<br \/>\nIRSTI: 76.29.55<\/p>\n<p>DOI: <a href=\"https:\/\/www.doi.org\/10.70113\/1815-9443.2026.58.32.001\">10.70113\/1815-9443.2026.58.32.001<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>STIGMATA OF CRANIOFACIAL DYSEMBRYOGENESIS IN CHILDREN: <\/strong><strong>A COMPARATIVE CROSS-SECTIONAL STUDY IN THE ARAL SEA REGION<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Rysbayeva Zh.I. \u00b9, Karkimbayeva G.A. \u00b9*, Mussayev B.S. \u00b2, Abdrazakov A.Kh. \u00b2,<\/strong><\/p>\n<p><strong>Abdikarimov S.Zh. \u00b9, Karzhaubaeva M.M. \u00b2<\/strong><\/p>\n<p>\u00b9 Al-Farabi Kazakh National University, Almaty, Kazakhstan<\/p>\n<p>\u00b2 Kazakh-Russian Medical University, Almaty, Kazakhstan<\/p>\n<p>*Corresponding author: G.A. Karkimbayeva, e-mail: gulshahar_07@mail.ru<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Introduction.<\/strong> Stigmata of dysembryogenesis are minor morphological anomalies formed during intrauterine development. Their clustering may be associated with systemic connective-tissue features and adverse environmental exposures, whereas individual phenotypic signs have limited independent diagnostic value.<\/p>\n<p><strong>Objective<\/strong>. To determine the prevalence of craniofacial stigmata of dysembryogenesis among children living in the Aral Sea region and to compare the findings with a comparison group from Almaty and the Almaty Region.<\/p>\n<p><strong>Materials and Methods<\/strong>. This comparative cross-sectional study included 793 children aged 7\u201316 years. The study group comprised 500 children from the Kyzylorda Region (Aralsk, Kyzylorda, and Shieli; 256 boys and 244 girls), while the comparison group included 293 children from Almaty and the Almaty Region (142 boys and 151 girls). Craniofacial stigmata of dysembryogenesis were assessed clinically; unclassifiable phenotypes were interpreted using the M.F. Waldrop scale. Statistical significance was set at p&lt;0.05.<\/p>\n<p><strong>Results<\/strong>. Stigmata of dysembryogenesis were identified in 83.1% of the 793 examined children (n=659). Microanomalies were detected in 91.6% of the study group (458\/500) and 68.6% of the comparison group (201\/293). A high level of stigmatization was observed in 43.0% of the study group (n=197) versus 16.4% of the comparison group (n=33), a 2.6-fold difference. The most frequent findings included a short lingual frenulum, low attachment of the maxillary labial frenulum, and malocclusion.<\/p>\n<p><strong>Discussion.<\/strong> The higher frequency of microanomalies and high stigmatization levels among children from the Aral Sea region indicates marked differences between the examined groups. Because of the cross-sectional design, causal relationships between environmental exposures and the observed phenotypes cannot be established; the findings should therefore be interpreted primarily in terms of screening and clinical monitoring.<\/p>\n<p><strong>Conclusion.<\/strong> The identified microanomalies may have limited diagnostic value when considered individually; however, their clustering may serve as an additional clinical marker warranting more comprehensive pediatric, dental, and, where appropriate, genetic assessment.<\/p>\n<p><strong>Keywords:<\/strong> stigmata of dysembryogenesis, craniofacial region, oral microanomalies, Aral Sea region, children, dental status.<\/p>\n\n<style id=\"kama-click-counter-shortcode\">.kcc_block{ position:relative; padding:1em 0 2em; transition:background-color 0.4s; cursor:pointer; }\r\n.kcc_block img{ float:left; width:2.1em; height:auto; margin:0; border:0px !important; box-shadow:none !important; }\r\n.kcc_block .kcc_info_wrap{ padding-left:1em; margin-left:2.1em; }\r\n.kcc_block a{ border-bottom:0; }\r\n.kcc_block a.kcc_link{ text-decoration:none; display:block; font-size:150%; line-height:1.2; }\r\n.kcc_block .kcc_desc{ color:#666; }\r\n.kcc_block .kcc_info{ font-size:80%; color:#aaa; }\r\n.kcc_block:hover a{ text-decoration:none !important; }\r\n.kcc_block .kcc-edit-link{ position:absolute; top:0; right:.2em; }\r\n.kcc_block:after{ content:&quot;&quot;; display:table; clear:both; }<\/style>\n<div class=\"kcc_block\" title=\"\u0421\u043a\u0430\u0447\u0430\u0442\u044c\">\r\n<img decoding=\"async\" class=\"alignleft\" src=\"https:\/\/dentistrykazakhstan.kz\/wp-content\/plugins\/kama-clic-counter\/assets\/icons\/pdf.png\" alt=\"\" \/>\r\n\r\n<div class=\"kcc_info_wrap\">\r\n\t<a class=\"kcc_link\" href=\"https:\/\/dentistrykazakhstan.kz\/en?download=1&#038;kccpid=994&#038;kcccount=https:\/\/dentistrykazakhstan.kz\/wp-content\/uploads\/2026\/10\/1-\u0421\u0442\u0430\u0442\u044c\u044f_\u0420\u044b\u0441\u0431\u0430\u0435\u0432\u0430.pdf\" title=\"1-\u0421\u0442\u0430\u0442\u044c\u044f_\u0420\u044b\u0441\u0431\u0430\u0435\u0432\u0430.pdf\">\u0421\u043a\u0430\u0447\u0430\u0442\u044c: \u0411\u0410\u041b\u0410\u041b\u0410\u0420\u0414\u0410\u0492\u042b \u0416\u0410\u049a-\u0411\u0415\u0422 \u0410\u0419\u041c\u0410\u0492\u042b \u0414\u0418\u0417\u042d\u041c\u0411\u0420\u0418\u041e\u0413\u0415\u041d\u0415\u0417\u0406\u041d\u0406\u04a2 \u0421\u0422\u0418\u0413\u041c\u0410\u041b\u0410\u0420\u042b: \u0410\u0420\u0410\u041b \u041c\u0410\u04a2\u042b \u04e8\u04a2\u0406\u0420\u0406 \u041c\u0415\u041d \u0421\u0410\u041b\u042b\u0421\u0422\u042b\u0420\u0423 \u0422\u041e\u0411\u042b\u041d\u0414\u0410\u0492\u042b \u041a\u04e8\u041b\u0414\u0415\u041d\u0415\u04a2 \u0417\u0415\u0420\u0422\u0422\u0415\u0423<\/a>\r\n\t<div class=\"kcc_desc\"><\/div>\r\n\t<div class=\"kcc_info\">\u0421\u043a\u0430\u0447\u0430\u043d\u043e: 1, \u0440\u0430\u0437\u043c\u0435\u0440: 1022.2 KB<\/div>\r\n<\/div>\r\n\r\n\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Received: 02 September 2026 Accepted: 23 September 2026 Published online: 30 September 2026 UDC: (616.31+616.716)-007-053.2 IRSTI: 76.29.55 DOI: 10.70113\/1815-9443.2026.58.32.001 &nbsp; STIGMATA OF CRANIOFACIAL DYSEMBRYOGENESIS IN<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34,20],"tags":[],"class_list":["post-994","post","type-post","status-publish","format-standard","hentry","category-03-2026","category-20"],"a3_pvc":{"activated":false,"total_views":0,"today_views":0},"_links":{"self":[{"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/posts\/994","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/comments?post=994"}],"version-history":[{"count":4,"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/posts\/994\/revisions"}],"predecessor-version":[{"id":999,"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/posts\/994\/revisions\/999"}],"wp:attachment":[{"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/media?parent=994"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/categories?post=994"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dentistrykazakhstan.kz\/en\/wp-json\/wp\/v2\/tags?post=994"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}