S S Patil1, U R Kontham2, R K Kontham3, A Chowdhery4. 1. Department of Paedodontics, Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune, India. snehapatil.bds@gmail.com. 2. Department of Paedodontics, Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune, India. 3. Department of Orthodontics, Nair Hospital Dental College, Mumbai, India. 4. Department of Oral and Maxillofacial Radiology, Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune, India.
Abstract
AIM: This retrospective study reviewed the paediatric oral biopsies received over 10 years at a teaching hospital and dental college in India. It is important that paediatric dentists know the diagnostic tendencies of oral pathological conditions in children, and possess updated information for their diagnosis and treatment. METHODS: Biopsies of patients 17 years of age or younger were selected. Computerised data regarding age, gender, anatomic location, and histopathological diagnosis was retrieved and classified into nine categories. RESULTS: Of a total 2959 oral biopsies, 359 cases (12.1%) were in the paediatric population with a slight male predominance. Salivary gland pathology (21.4%) was most frequently observed followed by dental pathology, maxillofacial tumours and maxillofacial cysts. More than a third of cases (35.9%) were found to occur in the mandible. Five cases of malignancies were found, two of which were salivary gland tumours. CONCLUSION: The majority of lesions identified were of a benign nature necessitating minimal intervention; however, it is important to recognise that malignant lesions can occur in children. Any swelling, especially related to the salivary glands, must be investigated immediately, so as to prevent mortality and reduce morbidity. Diverse classifications used by previous authors make comparison of data challenging.
AIM: This retrospective study reviewed the paediatric oral biopsies received over 10 years at a teaching hospital and dental college in India. It is important that paediatric dentists know the diagnostic tendencies of oral pathological conditions in children, and possess updated information for their diagnosis and treatment. METHODS: Biopsies of patients 17 years of age or younger were selected. Computerised data regarding age, gender, anatomic location, and histopathological diagnosis was retrieved and classified into nine categories. RESULTS: Of a total 2959 oral biopsies, 359 cases (12.1%) were in the paediatric population with a slight male predominance. Salivary gland pathology (21.4%) was most frequently observed followed by dental pathology, maxillofacial tumours and maxillofacial cysts. More than a third of cases (35.9%) were found to occur in the mandible. Five cases of malignancies were found, two of which were salivary gland tumours. CONCLUSION: The majority of lesions identified were of a benign nature necessitating minimal intervention; however, it is important to recognise that malignant lesions can occur in children. Any swelling, especially related to the salivary glands, must be investigated immediately, so as to prevent mortality and reduce morbidity. Diverse classifications used by previous authors make comparison of data challenging.
Authors: Giana da Silveira Lima; Silvia Terra Fontes; Lenita Maria Aver de Araújo; Adriana Etges; Sandra Beatriz Chaves Tarquinio; Ana Paula Neutzling Gomes Journal: J Appl Oral Sci Date: 2008 Nov-Dec Impact factor: 2.698