Mutations can occur at the gene or chromosome level. Gene mutations include point mutations such as substitutions (nonsense, missense, silent), insertions, and deletions. Point mutations change a single nucleotide, while insertions and deletions cause frameshift mutations by altering the entire reading frame. Chromosome mutations include aneuploidy, where an extra or missing chromosome causes monosomy or trisomy, and chromosomal rearrangements like duplications, deletions, inversions, and translocations. Mutations can have advantages by allowing adaptation, but can also cause genetic disorders and diseases.