An analysis of oral and maxillofacial pathology found in children over a 30‐year period

Abstract

Summary.Aim. The vast majority of oral diseases are confined to oral tissues, but numerous underlying systemic conditions may present with signs and symptoms within the oral cavity. Since the epidemiology of diseases is variable between regions, the authors carried out Europe's first paediatric-based survey of oral and maxillofacial pathology specimens submitted for diagnosis. Design. All entries for specimens from children between the ages of 0 and 16 years during the 30-year period from 1973 to 2002 were retrieved and compiled into 12 diagnostic categories. Results. During the study period, 4406 (8·2%) specimens came from children between the ages of 0 and 16 years, with a male to female ratio of 1·01. The diagnostic category with the largest number of specimens was tooth pathology (22·1%), followed by salivary gland disease (19·1%) and mucosal pathology (12·1%). In all, there were 114 benign tumours of nonodontogenic origin, 43 odontogenic tumours and 31 malignant tumours. The most frequently diagnosed lesions were mucous extravasation cysts, which accounted for over 16% of cases. Periapical pathology in the form of a radicular cyst, residual cyst or chronic periapical granuloma formed almost 13% of all cases.Conclusions. This survey shows that, while nearly 10% of specimens submitted to the authors' laboratory are from children under 16 years of age, the majority of lesions are of a benign nature, requiring minimal intervention; less than 1% of cases comprise malignant lesions. Odontogenic tumours are relatively rare in this age group; however, certain lesions such as adenomatoid odontogenic tumour and ameloblastic fibroma occur predominantly in children and, therefore, remain an important diagnostic consideration.

Retrospective Evaluation of Pediatric Oral Biopsies from A Dental and Maxillofacial Surgery Centre in Salem, Tamil Nadu, India

“…In our study, malignancy was very low, only 4 out of 97 biopsies (4.1%) similar to the studies reportedby Jones and franklin [13] (1%) and Monique Maria MeloMouchrek [2] (8.9%). Among the fibro osseous lesions, fibrous dysplasia was the commonest with 3 cases followed by one case of cemento osseous dysplasia.…”

“…Many studies showed an almost equal distribution between both genders (M:F = 1.05:1) as reported by Gultelkin [12], Das and Das [9] and Jones and Franklin [13]. But in our study, the pathologies were more common in females.…”

Prevalence of oral and maxillofacial diseases diagnosed in an Oral Medicine service during a 7-year period

“…Studies conducted in dental schools, both with patients in routine dental treatment or referred for stomatological evaluation, in spite of probably showing a different picture from the general population, may better represent a model of what occurs in daily practice of the profession 6,[11][12][13][14] . In contrast, studies with samples derived from oral surgical pathology laboratories do not evaluate the frequency of clinically diagnosed lesions, basing their results on diseases diagnosed and/or treated by surgical procedures 15,16 . Studies selecting populations by age group provide highly specific information, therefore, need to be analyzed separately.…”

Intra-Osseous Jaw Lesions in Paediatric Patients: A Retrospective Study

“…Following inclusion criteria were considered 1. All intra-osseous cases with evidence of radiographic changes in bone were included.…”