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Binmadi NO, AlDehlawi H. Pediatric oral pathology in Saudi Arabia: A 10-year retrospective study at an academic dental hospital. Saudi Dent J 2024; 36:751-755. [PMID: 38766292 PMCID: PMC11096618 DOI: 10.1016/j.sdentj.2024.03.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 01/31/2024] [Accepted: 03/05/2024] [Indexed: 05/22/2024] Open
Abstract
Introduction Pediatric oral pathology encompasses a wide range of diseases and conditions affecting the oral cavity in children. In this study we conducted an analysis on a dataset from one academic center in Saudi Arabia to investigate the prevalence of various oral lesions in pediatric patients. Methods To conduct this study we analyzed oral pathology reports of pediatric patients (age range: 0-18 years) who underwent biopsies at our institution's oral pathology laboratory between January 2012 and December 2022. The data we collected included demographic information and diagnostic findings. Statistical analysis was performed to determine the prevalence rates of and associations between different variables. Results The study analyzed a total of 183 pediatric cases with oral pathologies. The most common conditions observed were mucocele (12 %), periapical granuloma (7.7 %), dentigerous cyst (6.6 %), and radicular cyst (6.6 %). Some conditions showed variations in prevalence based on age and gender. For example, mucoceles were more prevalent among patients who were 6-12 years of age and female. Conclusion This retrospective study provides valuable insights into the prevalence and demographic characteristics of pediatric oral pathologies. By understanding the prevalence of conditions in this population and recognizing differences in distribution compared with those cited in other studies, we highlighted the importance of considering regional and demographic influences. Further prospective studies are needed to investigate factors that may contribute to these variations.
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Affiliation(s)
- Nada O. Binmadi
- Department of Oral Diagnostic Sciences, King Abdulaziz University Faculty of Dentistry, Jeddah, Saudi Arabia
| | - Hebah AlDehlawi
- Department of Oral Diagnostic Sciences, King Abdulaziz University Faculty of Dentistry, Jeddah, Saudi Arabia
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2
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Rezende KM, de Barros Gallo C, Nogueira GP, Corraza AC, Haddad AE, Gallottini M, Bönecker M. Retrospective study of oral lesions biopsied in babies and toddlers. Oral Dis 2024; 30:1242-1244. [PMID: 36825395 DOI: 10.1111/odi.14552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 01/25/2023] [Accepted: 02/14/2023] [Indexed: 02/25/2023]
Abstract
Epidemiological data on the distribution of oral and maxillofacial diseases present in early childhood are scarce in the literature. This study analyzed the frequency of lesions biopsied in this region in children aged 0 to 3 years and sent for histopathological analysis in a reference oral pathology laboratory . Histopathological diagnostic data, lesion location, sex, and age were collected. Of the total of 93,950 records, 250 cases (0.27%) belonged to the age group from 0 to 3 years old. The most frequently diagnosed oral alterations were: mucocele (34/250; 13.6%); papilloma (11/250; 4.4%), giant cell fibroma (6/250; 2.4%), pyogenic granuloma (5/250; 2%) and hemangioma (3/250; 1.2%). The lip was the most affected site, followed by the gingiva and the tongue. These results generate information on the lesions most frequently diagnosed in early childhood, which facilitates the process of diagnosis and, consequently, treatment.
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Affiliation(s)
- Karla Mayra Rezende
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | | | | | - Ana Carolina Corraza
- Department of Stomatology and Special Patients, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Ana Estela Haddad
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Marina Gallottini
- Department of Stomatology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Marcelo Bönecker
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
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3
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Vélez-León E, Albaladejo A, Guerrero E, Galván G, Melo M. Intraoral Soft Tissue Lesions in 6-Year-Old Schoolchildren in Regions of Southern Ecuador: An Epidemiological Study. CHILDREN (BASEL, SWITZERLAND) 2024; 11:406. [PMID: 38671623 PMCID: PMC11049665 DOI: 10.3390/children11040406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Revised: 03/13/2024] [Accepted: 03/22/2024] [Indexed: 04/28/2024]
Abstract
Oral Mucosal Lesions (OMLs) are conditions of the oral mucosa that cause alterations in their presentation and pain in the affected patient, highlighting their importance for study. The aim of this research is to determine the prevalence of oral lesions in the Ecuadorian Austro. Descriptive statistics were used to associate variables, yielding statistically significant findings based on oral lesions, sex, and geographical environment. This study was conducted under the appropriate bioethical permissions. The results obtained correspond to the prevalence of lesions by province. Morona Santiago displays a rate of 17% for abscesses, surpassing the provinces of Azuay (13.50%) and Cañar (10.67%). However, gingivitis for pathology, Azuay stands out with 13.17%, while Cañar and Morona Santiago present 10.50% and 8.33%, respectively. There is also a predominant occurrence of abscesses in rural areas (41.17%) compared to urban ones (26.33%). Regarding sex, girls show a higher percentage of abscesses (41.17%) compared to boys who have a clear tendency to present GUM lesions (22.33%). The data indicates that in the studied provinces, geographical environment and sex are key variables to understand the distribution of oral lesions. These findings encourage us to continue pursuing this type of research, which contributes to improving the quality of life for children.
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Affiliation(s)
- Eleonor Vélez-León
- Unidad Académica de Salud y Bienestar, Carrera de Odontología, Universidad Católica Cuenca, Cuenca 010107, Ecuador; (E.G.); (G.G.)
- Department of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain;
| | - Alberto Albaladejo
- Department of Surgery, Faculty of Medicine, University of Salamanca, 37007 Salamanca, Spain;
| | - Emilia Guerrero
- Unidad Académica de Salud y Bienestar, Carrera de Odontología, Universidad Católica Cuenca, Cuenca 010107, Ecuador; (E.G.); (G.G.)
| | - Ginger Galván
- Unidad Académica de Salud y Bienestar, Carrera de Odontología, Universidad Católica Cuenca, Cuenca 010107, Ecuador; (E.G.); (G.G.)
| | - María Melo
- Faculty of Medicine and Dentistry, Department of Stomatology, University of Valencia, 46010 Valencia, Spain;
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4
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de Arruda JAA, Gómez R, Bracho V, Cavalcante IL, Pérez-Alfonzo R, Villarroel-Dorrego M, de Andrade BAB. Congenital Melanotic Macule of the Tongue: Report of Two Cases and Literature Review. Head Neck Pathol 2023; 17:581-586. [PMID: 36723851 PMCID: PMC10293539 DOI: 10.1007/s12105-023-01530-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 01/11/2023] [Indexed: 02/02/2023]
Abstract
BACKGROUND Congenital melanotic macule of the tongue (CMMT) has been described as a distinct entity, despite its unknown etiology. However, the diagnosis and management of affected newborns may challenge clinicians and pediatric dentists. METHODS We document here the clinicopathological findings of two additional cases of CMMT. A literature review of CMMT reports identified across PubMed, Web of Science, Embase, and Scopus was also conducted. RESULTS The patients, 2- and 4 month-old Venezuelan boys, respectively, presented at birth with a single or multiple dark-brown-pigmented macule exclusively on the dorsum of the tongue. Histopathological features revealed increased melanin pigmentation in the basal epithelial layer with overlying hyperkeratosis and pigment-laden subepithelial macrophages with normal morphological appearance. Nine studies comprising 17 cases of CMMT have been described hitherto. Most cases were from the USA and France (n = 6 each). Twelve (70.6%) patients were males, eight (50%) were white, and median age was 2.7 months. CMMT presented as brownish to black, solitary or multiple pigmentations located in the right or left region of the dorsum of the tongue, ranging in size from 3.0 to 30.0 mm. CONCLUSION An important feature for the diagnosis of CMMT is the information about the manifestation at birth and consequent proportional growth. This report intends to draw the attention of pediatricians and dentists to this apparently underdiagnosed condition for decision-making and management of affected newborns.
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Affiliation(s)
- José Alcides Almeida de Arruda
- Department of Oral Surgery, Pathology and Clinical Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Rosanna Gómez
- Department of Oral Medicine, Dental School, Universidad Central de Venezuela, Caracas, Venezuela
| | - Verónica Bracho
- Dermatology Programme, Biomedicine Institute, Universidad Central de Venezuela, Caracas, Venezuela
| | - Israel Leal Cavalcante
- Department of Oral Diagnosis and Pathology, School of Dentistry, Universidade Federal do Rio de Janeiro, R. Rodolpho Paulo Rocco, n. 325, 1st floor, Rio de Janeiro, RJ, Brazil
- Department of Dentistry, Universidade de Fortaleza, Fortaleza, Brazil
| | - Ricardo Pérez-Alfonzo
- Dermatology Programme, Biomedicine Institute, Universidad Central de Venezuela, Caracas, Venezuela
| | | | - Bruno Augusto Benevenuto de Andrade
- Department of Oral Diagnosis and Pathology, School of Dentistry, Universidade Federal do Rio de Janeiro, R. Rodolpho Paulo Rocco, n. 325, 1st floor, Rio de Janeiro, RJ, Brazil.
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5
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Owczarek-Drabińska JE, Nowak P, Zimoląg-Dydak M, Radwan-Oczko M. The Prevalence of Oral Mucosa Lesions in Pediatric Patients. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11277. [PMID: 36141550 PMCID: PMC9517449 DOI: 10.3390/ijerph191811277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 09/01/2022] [Accepted: 09/03/2022] [Indexed: 06/16/2023]
Abstract
The prevalence of oral mucosa lesions (OMLs) among children varies from 4.1% up to 69.5%. There is a lack of sufficient epidemiological data and adequate knowledge about OMLs in relation to minors' gender and age. The aim of the study was to evaluate the prevalence of OMLs in children, patients of the oral pathology clinic in south-western parts of Poland, and to investigate the potential correlation between the occurrence of particular types of OMLs and the gender and age. A retrospective study was performed using a total of 2474 clinical charts from 2015 to 2019. Data collected included age, gender, and OMLs' type. The prevalence of OMLs in minors was 5.21%. Aphthae was the most frequent diagnosis. Boys were more commonly affected, and traumatic erosion and ulcers were significantly more often detected in males. The mean age of children was 8 y/o, preschoolers were significantly more often diagnosed with geographic tongue, while Morsicatio buccarum was significantly more common in school children and adolescents. Clinicians should be familiar with OMLs prevalence and with its specific frequency in connection to age and gender of children. Furthermore, they should be aware of the diversity of OMLs found in the oral cavity of children and that their frequency in the pediatric population is different from that in adults.
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Affiliation(s)
| | - Patrycja Nowak
- Student Scientific Society of Oral Health, Department of Oral Pathology Wroclaw Medical University, 50-376 Wroclaw, Poland
| | - Małgorzata Zimoląg-Dydak
- Student Scientific Society of Oral Health, Department of Oral Pathology Wroclaw Medical University, 50-376 Wroclaw, Poland
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Zhang C, Pan D, Li Y, Hu Y, Li T, Zhou Y. The risk factors associated with geographic tongue in a southwestern Chinese population. Oral Surg Oral Med Oral Pathol Oral Radiol 2022; 134:342-346. [DOI: 10.1016/j.oooo.2022.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Revised: 04/25/2022] [Accepted: 05/13/2022] [Indexed: 10/18/2022]
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7
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Lapitskaya A, Cahuana-Bartra P, Brunet-Llobet L, Miranda-Rius J. Oral irritation fibroma associated with the pathological migration of a primary tooth. BMJ Case Rep 2022; 15:e249369. [PMID: 35296499 PMCID: PMC8928246 DOI: 10.1136/bcr-2022-249369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2022] [Indexed: 11/04/2022] Open
Abstract
We report the case of a 3-year-old girl referred to our hospital dentistry service, from a public health centre, due to a 4-week-old swelling in the area of the hard palate, causing displacement of the deciduous tooth and the appearance of an interincisal diastema. The clinical characteristics suggested the possibility of a reactive fibroma and we decided to intervene surgically by means of an excisional biopsy. Histology confirmed the presumptive diagnosis. Prompt referral and early surgical care spontaneously favoured both repositioning of the displaced primary tooth and closure of the diastema. This is an infrequent lesion in paediatric patients.
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Affiliation(s)
- Anastasiya Lapitskaya
- Department of Paediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Catalonia, Spain
| | - Pau Cahuana-Bartra
- Department of Paediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Catalonia, Spain
- Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain
| | - Lluís Brunet-Llobet
- Department of Paediatric Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Catalonia, Spain
- Hospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group (HDCORPEMrg), Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Catalonia, Spain
| | - Jaume Miranda-Rius
- Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain
- Hospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group (HDCORPEMrg), Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Catalonia, Spain
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Yao H, Song Q, Zhang Q, Tang G, Liu M. Prevalence of oral mucosal lesions in children in Xiangyun of Yunnan, China: a cross-sectional study. Ital J Pediatr 2022; 48:15. [PMID: 35093135 PMCID: PMC8800258 DOI: 10.1186/s13052-022-01209-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Accepted: 01/12/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
This population-based cross-sectional study aimed to evaluate the prevalence of oral mucosal lesions (OMLs) in children in a rural area in China as epidemiological data on these conditions from such areas are insufficient.
Methods
A total of 3145 children in Xiangyun of Yunnan were enrolled. A socio-economic questionnaire and a field survey of OMLs were administered. We gathered information on factors (sex, age, caregiver, parental education, and last-month household income) that might be associated with OMLs in these children.
Results
OMLs in children in Xiangyun of Yunnan had a prevalence of 1.8% (95% CI; 1.3–2.3%). The most prevalent OML was oral ulcer (n = 11; 18.3%), followed by linea alba (n = 10; 16.7%), whereas the least prevalent OMLs were frenal tag (n = 1; 1.7%) and herpes labialis (n = 1; 1.7%). On unadjusted or adjusted regression, school-aged children had about 50% lower risk of OMLs than preschoolers.
Conclusions
These findings indicate that the prevalence of OMLs in Xiangyun of Yunnan is lower than previously reported. Additionally, the age might be associated with the occurrence of OMLs in children in Xiangyun of Yunnan, China.
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9
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Nibali L, Bayliss-Chapman J, Halai H, Somani C, Davies J, Ancliff P, Donos N. Periodontal status in children with primary immunodeficiencies. J Periodontal Res 2021; 56:819-827. [PMID: 33811759 DOI: 10.1111/jre.12880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 12/22/2020] [Accepted: 03/15/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This study aimed to assess associations between neutrophil-related primary immunodeficiencies (PIDs) and the presence of periodontal disease and other oral diseases and response to periodontal treatment. BACKGROUND Presence of neutrophil-related PIDs is thought to be a major risk factor for development of periodontitis. METHODS This study had both a cross-sectional and cohort design. Twenty-four children (age 4-16) with PIDs and 24 age-matched systemically healthy subjects received a dental clinical examination, including measures of probing pocket depths (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP). Those found to be affected by periodontal disease were offered periodontal treatment and reassessed 6 months later. RESULTS Diagnosis of PIDs was associated with increased odds of presence of periodontal disease (p = .008 adjusted for age, gender, plaque, OR = 10.0, 95% CI = 1.83-54.38) and with continuous measures of periodontal disease such as number of PPDs >4 mm, mean PPD and mean CAL (all p < .001) and BOP (p = .001). However, only 7 out of 24 children were diagnosed with periodontitis. PIDs were also associated with a history of oral ulcers (p = .001, OR 12.47, 95% CI 2.71-57.29). An improvement in periodontal parameters (PPD and CAL) was detected following oral hygiene instructions and non-surgical periodontal therapy. CONCLUSION Although children affected by neutrophil-associated PIDs exhibited a higher prevalence of periodontal disease compared with systemically healthy children, severe periodontitis was rarely seen. This suggests that good systemic control of the PIDs may reduce their impact on the periodontium.
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Affiliation(s)
- Luigi Nibali
- Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.,Department of Paediatric Dentistry, The Royal London Hospital, Barts Health NHS Trust, London, UK
| | - Josephine Bayliss-Chapman
- Centre for Oral Immunobiology & Regenerative Medicine & Centre for Oral Clinical Research, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University London, London, UK
| | - Hiten Halai
- Periodontology Unit, Centre for Host Microbiome Interactions, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.,Centre for Oral Immunobiology & Regenerative Medicine & Centre for Oral Clinical Research, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University London, London, UK
| | - Cheryl Somani
- Department of Paediatric Dentistry, The Royal London Hospital, Barts Health NHS Trust, London, UK
| | - Janet Davies
- Centre for Oral Bioengineering, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University London, London, UK
| | - Philip Ancliff
- Haematology & Oncology Department, Great Ormond Street Hospital for Children, London, UK
| | - Nikolaos Donos
- Centre for Oral Immunobiology & Regenerative Medicine & Centre for Oral Clinical Research, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University London, London, UK
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10
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Clinical Orodental Anomalies in Taiwanese Children under Age Six: a Study Based on the 1995-1997 National Dental Survey. BIOMED RESEARCH INTERNATIONAL 2020; 2020:2056340. [PMID: 32766305 PMCID: PMC7387978 DOI: 10.1155/2020/2056340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 05/28/2020] [Accepted: 06/23/2020] [Indexed: 11/18/2022]
Abstract
There are few published studies that report the prevalence of intraoral anomalies for young children. The purpose of this study was to investigate the prevalence and distribution of several congenital oral and paraoral anomalies in Taiwanese children under age six. Twenty-five cities and townships were randomly sampled in different areas of Taiwan using the stratified method. These cities and townships represent cross-sectional samples of geographic locations and socioeconomic levels. A total of 981 Taiwanese children under age six were examined with dental mirrors and explorers as part of the national dental survey. The results of this survey indicated an 11.31% prevalence of geographic tongue. This number is higher than that reported in studies previously performed in different countries. The occurrence of double teeth in primary dentition was found to be 2.14%. Ankyloglossia had a frequency of 1.22%, and primary talon cusp a frequency of 0.61%. Seven (0.71%) children exhibited fissured tongues. Thirteen (1.33%) cases of hypodontia were found. These values were different from those reported in several other countries, which may be attributed to differences in the ethnic and racial composition of the population studied.
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11
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Ahluwalia J, Han A, Kusari A, Eichenfield LF. Recurrent herpes labialis in the pediatric population: Prevalence, therapeutic studies, and associated complications. Pediatr Dermatol 2019; 36:808-814. [PMID: 31497896 DOI: 10.1111/pde.13978] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Recurrent herpes labialis (RHL) is an incredibly common condition, though the medical literature evaluating pediatric aspects is limited. This paper assesses prevalence and therapeutic studies of pediatric RHL as well as disease complications. A comprehensive literature search of English-language citations based on PubMed queries of selected terms was performed, with exclusion if methodology was not discussed, or if studies had 10 or fewer patients. RHL prevalence in pediatrics has been assessed by measures of point and periodic prevalence, though methodologic limitations may under- or over-estimate the true prevalence of RHL. Studies have been conducted to evaluate therapeutic safety, tolerability, and efficacy of antivirals in the pediatric population. Pediatric RHL point prevalence ranges from 0.72% to 5.2% depending on the population study and the methodologies used. Pediatric RHL carries a significant public health burden and is often implicated in patients with eczema herpeticum, erythema multiforme, reactive infectious mucositis eruptions, and hypersensitivity reactions. There are few studies that evaluate the rates of occurrence of these sequelae associated with pediatric RHL.
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Affiliation(s)
- Jusleen Ahluwalia
- Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California.,Departments of Dermatology and Pediatrics, San Diego School of Medicine, University of California, San Diego, California
| | - Allison Han
- Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California.,Departments of Dermatology and Pediatrics, San Diego School of Medicine, University of California, San Diego, California
| | - Ayan Kusari
- Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California.,Departments of Dermatology and Pediatrics, San Diego School of Medicine, University of California, San Diego, California
| | - Lawrence F Eichenfield
- Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California.,Departments of Dermatology and Pediatrics, San Diego School of Medicine, University of California, San Diego, California
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12
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Kaptan A, Tekin E. Oral Mucosal White Lesions. ANKARA MEDICAL JOURNAL 2019. [DOI: 10.17098/amj.624695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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13
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Hong CHL, Dean DR, Hull K, Hu SJ, Sim YF, Nadeau C, Gonçalves S, Lodi G, Hodgson TA. World Workshop on Oral Medicine VII: Relative frequency of oral mucosal lesions in children, a scoping review. Oral Dis 2019; 25 Suppl 1:193-203. [DOI: 10.1111/odi.13112] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 04/23/2019] [Accepted: 04/24/2019] [Indexed: 12/27/2022]
Affiliation(s)
- Catherine H. L. Hong
- Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry National University of Singapore Singapore Singapore
| | - David R. Dean
- Department of Oral Medicine University of Washington School of Dentistry Seattle United States of America
| | - Katrusha Hull
- Department of Oral Medicine The Royal Dental Hospital of Melbourne Melbourne Victoria Australia
| | - Shi Jia Hu
- Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry National University of Singapore Singapore Singapore
| | - Yu Fan Sim
- Faculty of Dentistry National University of Singapore Singapore Singapore
| | - Christine Nadeau
- Faculté de Médecine Dentaire de l’Université Laval Quebec City Canada
| | - Sandra Gonçalves
- Department of Oral Medicine Sheffield Teaching Hospitals Sheffield UK
| | - Giovanni Lodi
- Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche Università degli Studi di Milano Milan Italy
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14
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Bussari S, Thakur SM, Koshy AV, Shah AA. Dentinogenic ghost cell tumor - A case report and review of literature. J Oral Maxillofac Pathol 2019; 23:66-68. [PMID: 30967728 PMCID: PMC6421922 DOI: 10.4103/jomfp.jomfp_123_18] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Dentinogenic ghost cell tumor (DGCT) was first described by Praetorius et al. in 1981 and now believed to be the tumor counterpart of the calcifying odontogenic cyst (COC). DGCT is an extremely rare odontogenic tumor and accounts for only 2% to 14% of all COCs. A case of DGCT in a 40-year-old female patient is being reported.
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Affiliation(s)
- Smita Bussari
- Department of Oral Pathology and Microbiology, M.A. Rangoonwala Dental College and Research Centre, Azam Campus, Pune, Maharashtra, India
| | - Samantha M Thakur
- Department of Oral Pathology and Microbiology, M.A. Rangoonwala Dental College and Research Centre, Azam Campus, Pune, Maharashtra, India
| | - Ajit V Koshy
- Department of Oral Pathology and Microbiology, M.A. Rangoonwala Dental College and Research Centre, Azam Campus, Pune, Maharashtra, India
| | - Amisha A Shah
- Department of Oral Pathology and Microbiology, M.A. Rangoonwala Dental College and Research Centre, Azam Campus, Pune, Maharashtra, India
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Lengua geográfica: factores predisponentes, diagnóstico y tratamiento. Revisión sistemática. Rev Clin Esp 2018; 218:481-488. [DOI: 10.1016/j.rce.2018.05.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Revised: 05/03/2018] [Accepted: 05/12/2018] [Indexed: 02/08/2023]
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17
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Pennacchiotti G, Oviedo C, Ortega-Pinto A. Solitary pigmented lesions in oral mucosa in Latin American children: A case series. Pediatr Dermatol 2018; 35:374-377. [PMID: 29573458 DOI: 10.1111/pde.13465] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND A variety of local and systemic processes caused exogenous and endogenous pigmentation of the oral mucosa. Solitary melanotic pigmentation is rare, hence the scarce number of studies in children and adolescents. METHODS Clinical and histopathologic features of 10 Latin American children with solitary pigmented lesions of the oral mucosa were reviewed. RESULTS The area most affected was the gingiva, followed by the palate. All lesions were flat and <1 cm in diameter. A brown color was observed in oral melanocytic macules and nevi. The exogenously pigmented lesion was bluish gray. Histopathology showed that the biopsied lesions corresponded to melanotic macules, junctional nevus, blue nevus, and exogenous pigmentation. CONCLUSION Solitary pigmented lesions on the oral mucosa of children, from melanin pigment or exogenous pigment, may have a similar clinical presentation, but melanotic lesions such as oral melanotic macules and nevi can be differentiated from one another only with histopathologic examination.
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Affiliation(s)
- Gina Pennacchiotti
- Department of Pathology and Oral Medicine, School of Dentistry, Oral Medicine Clinic, Universidad de Chile, Santiago, Chile
| | - Carlos Oviedo
- Public Dental Service, Dental Center of Development Corporation, Universidad del Desarrollo, La Reina, Chile
| | - Ana Ortega-Pinto
- Department of Pathology and Oral Medicine, School of Dentistry, Oral Medicine Clinic, Universidad de Chile, Santiago, Chile
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SILVA LVDO, ARRUDA JAA, MARTELLI SJ, KATO CDNADO, NUNES LFM, VASCONCELOS ACU, TARQUINIO SBC, GOMES APN, GOMEZ RS, MESQUITA RA, SILVEIRA MMFD, SOBRAL APV. A multicenter study of biopsied oral and maxillofacial lesions in a Brazilian pediatric population. Braz Oral Res 2018; 32:e20. [DOI: 10.1590/1807-3107bor-2018.vol32.0020] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Accepted: 02/08/2018] [Indexed: 01/12/2023] Open
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Safadi RA, Shaweesh AI, Hamasha AA, Azzam R, Alazzam MF, Devang Divakar D. The significance of age group, gender and skin complexion in relation to the clinical distribution of developmental oral mucosal alterations in 5-13 year-old children. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2017; 119:122-128. [PMID: 29246755 DOI: 10.1016/j.jormas.2017.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2017] [Revised: 11/04/2017] [Accepted: 12/06/2017] [Indexed: 11/17/2022]
Abstract
INTRODUCTION To describe the relationship and impact of age group, gender and skin complexion on the prevalence and clinical distribution of oral mucosal alterations of developmental origin (OMA-DO) among school children aged 5-13 years. METHODS A randomized representative national survey of Jordanian school children including all Country geographic areas was performed. Cut-off age that significantly correlated with presence and distribution of OMA-DO was identified (ROC curve). Skin complexion was classified into light/fair, intermediate/tan, dark/brown based on skin complexion index. Chi square test with P value≤0.05 was used for significance of correlations. RESULTS Two thousand two hundred and fifty one children were clinically examined. The average age that significantly correlated with prevalence and distribution of OMA-DO was 9.9 years. Female gender was significantly correlated with four OMA-DO: leukoedema (L), linea Alba (LA), Fordyce's granules (FG), commissural lip pits (CLP) and wider distribution of racial pigmentations (RP) (P<0.05, χ2 test). Older age group (9.9-13 years) was significantly correlated with 7 OMA-DO: L, LA, FG, frenal tag, CLP, mandibular and maxillary tori (MT) as well as wider clinical distribution of RP, FG, L (P<0.05 χ2 test). Dark skin complexion significantly correlated with 5 OMA-DO: L, LA, FG, RP, MT and wider clinical distribution of RP (P<0.02, χ2 test). CONCLUSIONS Increased prevalence and wider clinical distribution of OMA-DO are significantly associated with older age group of 9.9-13 years, female gender, and dark skin complexion. Oral health care provides are encouraged to be familiar with these correlations. This knowledge is expected to improve OMA-DO diagnosis and clinical management. Continuous education programs in this field are recommended.
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Affiliation(s)
- R A Safadi
- Department of Oral Medicine and Oral Surgery, Faculty of Dentistry, Jordan University of Science and Technology, P.O Box 3030, 22110 Irbid, Jordan.
| | - A I Shaweesh
- Department of Oral Medicine and Oral Surgery, Faculty of Dentistry, Jordan University of Science and Technology, P.O Box 3030, 22110 Irbid, Jordan
| | - A A Hamasha
- Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, P.O Box 3030, 22110 Irbid, Jordan
| | - R Azzam
- Department of Oral Medicine and Oral Surgery, Faculty of Dentistry, Jordan University of Science and Technology, P.O Box 3030, 22110 Irbid, Jordan
| | - M F Alazzam
- Department of Oral Medicine and Oral Surgery, Faculty of Dentistry, Jordan University of Science and Technology, P.O Box 3030, 22110 Irbid, Jordan
| | - D Devang Divakar
- College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
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Amadori F, Bardellini E, Conti G, Majorana A. Oral mucosal lesions in teenagers: a cross-sectional study. Ital J Pediatr 2017; 43:50. [PMID: 28569171 PMCID: PMC5452358 DOI: 10.1186/s13052-017-0367-7] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Accepted: 05/18/2017] [Indexed: 11/23/2022] Open
Abstract
Background Adolescence is a period of transition to adulthood. Little is known about oral mucosal lesions (OMLs) in teenagers, in which the emergence of new habits, unfamiliar to children, could affect the type of lesions. The aim of this study was to evaluate the distribution of oral mucosal lesions (OMLs) in a wide sample of adolescents. Methods A retrospective cross-sectional study was carried out examining all medical records of adolescents (aged 13–18 years) treated at the Dental Clinic of the University of Brescia (Italy) in the period from 2008 to 2014. Cases with OMLs were selected. Data regarding age, gender, type of OML, bad habits, systemic chronic diseases were collected. Results A total of 6.374 medical records (mean age 15.2 + −1.7 years) were examined. We found 1544 cases (31.7%) of oral mucosal lesions; 36 different types of mucosal alterations were detected and the most frequent were: aphthous ulcers (18%), traumatic ulcerations (14.3%), herpes simplex virus (11%), geographic tongue (9.6%), candidiasis (5.5%), and morsicatio buccarum (4.7%). Papilloma virus lesions (1.7%), piercing-related lesions (4%), multiform erythema (0.13%), oral lichen planus (0.13%) and granular cell tumour (0.06%) were also diagnosed. Conclusions The prevalence of OMLs in adolescents are different from those in children and, in some conditions, it could increase with age.
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Affiliation(s)
- Francesca Amadori
- Dental School, Pediatric Dentistry Department, University of Brescia, P.le Spedali Civili, 1, 25123, Brescia, Italy
| | - Elena Bardellini
- Dental School, Pediatric Dentistry Department, University of Brescia, P.le Spedali Civili, 1, 25123, Brescia, Italy. .,Clinica Odontoiatrica, P.le Spedali Civili 1, 25123, Brescia, Italy.
| | - Giulio Conti
- University Vita-Salute San Raffaele, Milan, Italy
| | - Alessandra Majorana
- Dental School, Pediatric Dentistry Department, University of Brescia, P.le Spedali Civili, 1, 25123, Brescia, Italy
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Erriu M, Pili FMG, Cadoni S, Garau V. Diagnosis of Lingual Atrophic Conditions: Associations with Local and Systemic Factors. A Descriptive Review. Open Dent J 2016; 10:619-635. [PMID: 27990187 PMCID: PMC5123136 DOI: 10.2174/1874210601610010619] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2016] [Revised: 10/09/2016] [Accepted: 10/15/2016] [Indexed: 12/16/2022] Open
Abstract
Atrophic glossitis is a condition characterised by absence of filiform or fungiform papillae on the dorsal surface of the tongue. Consequently, the ordinary texture and appearance of the dorsal tongue, determined by papillary protrusion, turns into a soft and smooth aspect. Throughout the years, many factors, both local and systemic, have been associated with atrophic glossitis as the tongue is currently considered to be a mirror of general health. Moreover, various tongue conditions were wrongly diagnosed as atrophic glossitis. Oral involvement can conceal underlying systemic conditions and, in this perspective, the role of clinicians is fundamental. Early recognition of oral signs and symptoms, through a careful examination of oral anatomical structures, plays a crucial role in providing patients with a better prognosis.
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Affiliation(s)
- M Erriu
- Department of Surgical Sciences, Cagliari University, Cagliari, Italy
| | - F M G Pili
- Department of Surgical Sciences, Cagliari University, Cagliari, Italy
| | - S Cadoni
- Digestive Endoscopy Unit, S. Barbara Hospital, Iglesias (CA), Italy
| | - V Garau
- Department of Surgical Sciences, Cagliari University, Cagliari, Italy
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Nam SW, Ahn SH, Shin SM, Jeong G. Clinical features of Bednar's aphthae in infants. KOREAN JOURNAL OF PEDIATRICS 2016; 59:30-4. [PMID: 26893601 PMCID: PMC4753197 DOI: 10.3345/kjp.2016.59.1.30] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/18/2014] [Revised: 05/12/2015] [Accepted: 06/13/2015] [Indexed: 11/27/2022]
Abstract
Purpose Although Bednar's aphthae are common and regress spontaneously, these lesions may lead to feeding intolerance and are often misdiagnosed, rendering examinations useless. This study sheds new light on the clinical features of Bednar's aphthae. Methods Sixteen neonates and infants were newly diagnosed with Bednar's aphthae via routine health check-ups in an outpatient clinic. Medical records were retrospectively reviewed, and the following parameters were analyzed; sex, gestational age, birth weight, mode of delivery, and perinatal problems. A physical examination was carried out during the next outpatient visit to examine the healing process and check for the existence of scars or complications. Results Initial presentation included changes in feeding habits (n=10), longer feeding time, reduced intake, and increased irritability. In 6 patients, Bednar's aphthae were discovered incidentally, without prior symptoms. Feeding posture and method of feeding are important causes of Bednar's aphthae. Eleven patients were fed in a horizontal position, whereas 5 patients were fed in a semiseated position. Fifteen patients were bottle-fed, whereas 1 patient was exclusively breastfed. After correcting the feeding position, the ulcerative lesions disappeared within 1 month of diagnosis. During the follow-up period, lesions did not recur in any of the patients. Conclusion This study suggests that Bednar's aphthae are caused by mechanical pressure. A diagnosis of Bednar's aphthae should be considered when lesions are found on the palate of infants and when symptoms seem to be feeding related. Proper education of parents can both treat Bednar's aphthae and easily prevent its recurrence.
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Affiliation(s)
- Seung-Woo Nam
- Department of Pediatrics, Cheil General Hospital & Women's Healthcare Center, Seoul, Korea
| | - Seol Hee Ahn
- Department of Pediatrics, Cheil General Hospital & Women's Healthcare Center, Seoul, Korea
| | - Son-Moon Shin
- Department of Pediatrics, Cheil General Hospital & Women's Healthcare Center, Seoul, Korea.; Department of Pediatrics, Dankook University College of Medicine, Cheonan, Korea
| | - Goun Jeong
- Department of Pediatrics, Cheil General Hospital & Women's Healthcare Center, Seoul, Korea.; Department of Pediatrics, Dankook University College of Medicine, Cheonan, Korea
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Pessôa CP, Alves TDB, dos Santos NCN, dos Santos HLR, Azevedo ADCS, dos Santos JN, Oliveira MC. Epidemiological survey of oral lesions in children and adolescents in a Brazilian population. Int J Pediatr Otorhinolaryngol 2015; 79:1865-71. [PMID: 26343945 DOI: 10.1016/j.ijporl.2015.08.026] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Revised: 08/18/2015] [Accepted: 08/19/2015] [Indexed: 10/23/2022]
Abstract
OBJECTIVES To identify the most frequent oral lesions in children and adolescents in Reference Units of Oral Lesions of Public Universities of Bahia, Brazil, in the period between 1996 and 2010, and estimate the association between socio-demographic factors and type of oral lesions found. METHODS Cross-sectional study using secondary data obtained from medical records, records of requests and reports of biopsies from patients aged between 0 and 19 years treated in Reference Units of Oral Lesions of Public Universities in Bahia, Brazil, in the period between 1996 and 2010. For data analysis, we used descriptive analysis of the variables, bivariate analysis by calculating the prevalence ratios (PR) to assess the association between oral lesions and gender, age and skin color, and the analysis of potential modifying and confounding effects by logistic regression modeling. To calculate the p-value of associations, we used the chi-square test, and p<0.05 was considered statistically significant. RESULTS There were 360 records of patients between 0 and 19 years (8.7% of total records). The results revealed 72 different types of lesions. The most prevalent lesions were mucoceles (14.2%), fibroma (5.6%) and pyogenic granuloma (5.3%). The variable "age" was the only socio-demographic characteristics among those analyzed that showed a statistically significant association with both neoplastic and non-neoplastic lesions, according to bivariate analysis, considering the rates adjusted for potential confounders. Neoplastic lesions appeared more often in the age group 0-9 years, while the non-neoplastic lesions were more prevalent in individuals 10-19 years. There was no effect modification noted in the predictive models analyzed. CONCLUSIONS The study identified the existence of a broad range of oral lesions affecting children and adolescents. Most of the lesions found were of the non-neoplastic type. The age of individuals was associated with the type of oral lesion found.
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Affiliation(s)
- Camila Porto Pessôa
- Universidade Estadual de Feira de Santana, Departamento de Saúde, Núcleo de Câncer Oral, Av. Transnordestina, s/n - Módulo VI, Bairro Novo Horizonte, CEP: 44036-900 Feira de Santana, BA, Brasil.
| | - Técia Daltro Borges Alves
- Universidade Estadual de Feira de Santana, Departamento de Saúde, Núcleo de Câncer Oral, Av. Transnordestina, s/n - Módulo VI, Bairro Novo Horizonte, CEP: 44036-900 Feira de Santana, BA, Brasil
| | - Nilton César Nogueira dos Santos
- Universidade Estadual de Feira de Santana, Departamento de Saúde, Núcleo de Câncer Oral, Av. Transnordestina, s/n - Módulo VI, Bairro Novo Horizonte, CEP: 44036-900 Feira de Santana, BA, Brasil
| | - Heloísa Laís Rosário dos Santos
- Universidade Estadual de Feira de Santana, Departamento de Saúde, Núcleo de Câncer Oral, Av. Transnordestina, s/n - Módulo VI, Bairro Novo Horizonte, CEP: 44036-900 Feira de Santana, BA, Brasil
| | - Alana de Cássia Silva Azevedo
- Universidade de São Paulo, Avenida Professor Lineu Prestes, 2277, Cidade Universitária, CEP: 05508-000 Sao Paulo, SP, Brasil
| | - Jean Nunes dos Santos
- Universidade Federal da Bahia, Faculdade de Odontologia, Departamento de Apoio Diagnóstico e Terapêutica, Av. Araújo Pinho, 62, Canela, CEP: 40110-150 Salvador, BA, Brasil
| | - Márcio Campos Oliveira
- Universidade Estadual de Feira de Santana, Departamento de Saúde, Núcleo de Câncer Oral, Av. Transnordestina, s/n - Módulo VI, Bairro Novo Horizonte, CEP: 44036-900 Feira de Santana, BA, Brasil
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de Oliveira LJC, Torriani DD, Correa MB, Peres MA, Peres KG, Matijasevich A, dos Santos IDS, Barros AJ, Demarco FF, Tarquinio SBC. Oral mucosal lesions’ impact on oral health-related quality of life in preschool children. Community Dent Oral Epidemiol 2015; 43:578-85. [DOI: 10.1111/cdoe.12185] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Accepted: 06/15/2015] [Indexed: 11/26/2022]
Affiliation(s)
| | - Dione Dias Torriani
- Postgraduate Program in Dentistry of Federal University of Pelotas (PPGO-UFPel); Pelotas Brazil
| | - Marcos Britto Correa
- Postgraduate Program in Dentistry of Federal University of Pelotas (PPGO-UFPel); Pelotas Brazil
- Postgraduate Program in Epidemiology; Federal University of Pelotas (PPGE-UFPel); Pelotas Brazil
| | - Marco Aurélio Peres
- Australian Research Centre for Population Oral Health (ARCPOH); The University of Adelaide; Adelaide SA Australia
| | - Karen Glazer Peres
- Australian Research Centre for Population Oral Health (ARCPOH); The University of Adelaide; Adelaide SA Australia
| | - Alicia Matijasevich
- Postgraduate Program in Epidemiology; Federal University of Pelotas (PPGE-UFPel); Pelotas Brazil
- Department of Preventive Medicine; Faculty of Medicine; University of São Paulo; São Paulo Brazil
| | - Iná da Silva dos Santos
- Postgraduate Program in Epidemiology; Federal University of Pelotas (PPGE-UFPel); Pelotas Brazil
| | - Aluisio J.D. Barros
- Postgraduate Program in Epidemiology; Federal University of Pelotas (PPGE-UFPel); Pelotas Brazil
| | - Flávio Fernando Demarco
- Postgraduate Program in Dentistry of Federal University of Pelotas (PPGO-UFPel); Pelotas Brazil
- Postgraduate Program in Epidemiology; Federal University of Pelotas (PPGE-UFPel); Pelotas Brazil
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Vieira-Andrade RG, Martins-Júnior PA, Corrêa-Faria P, Marques LS, Paiva SM, Ramos-Jorge ML. Impact of oral mucosal conditions on oral health-related quality of life in preschool children: a hierarchical approach. Int J Paediatr Dent 2015; 25:117-26. [PMID: 24730747 DOI: 10.1111/ipd.12107] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To determine the impact of oral mucosal conditions on OHRQoL in preschool children. METHODS A cross-sectional study was carried out with a selected representative sample of 724 children aged 2-5 years and their parents/caregivers. Data were collected through interviews with parents/caregivers, who also answered the B-ECOHIS. A clinical oral examination was performed to determine oral mucosal conditions, dental caries, dental trauma, and malocclusion. Data analysis involved descriptive statistics, the Kolmogorov-Smirnov normality test, the Mann-Whitney U-test and hierarchically adjusted Poisson regression models (P < 0.05, 95% CI). RESULTS The prevalence of oral mucosal conditions was 50.7%, the most prevalent of which were melanotic macules (17.8%), oral ulcers (11.0%), Fordyce's spots (9.4%), geographic tongue (5.2%), fissured tongue (1.9%), median rhomboid glossitis (1.8%), and fistula (1.4%). In the final multivariate model, child with 5 years of age (RR = 1.60; 95% CI: 1.08-2.38; P = 0.020), with presence of fistula (RR = 1.94; 95% CI: 1.27-2.95; P = 0.002), and with dental caries (RR = 2.58; 95% CI: 2.00-3.35; P < 0.001) had a negative impact on children's OHRQoL. CONCLUSION Child with 5 years of age, presence of fistula, and dental caries were associated with a negative impact on the quality of life of preschool children.
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Affiliation(s)
- Raquel Gonçalves Vieira-Andrade
- Department of Pediatric Dentistry and Orthodontics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Rai S, Prabhat M, Goel S, Bhalla K, Panjwani S, Misra D, Agarwal A, Bhatnagar G. Dentinogenic ghost cell tumor - a neoplastic variety of calcifying odontogenic cyst: case presentation and review. NORTH AMERICAN JOURNAL OF MEDICAL SCIENCES 2015; 7:19-23. [PMID: 25709974 PMCID: PMC4325392 DOI: 10.4103/1947-2714.150084] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
CONTEXT The calcifying odontogenic cyst (COC), also referred to as calcifying ghost cell odontogenic cyst (CGCOC) is a heterogeneous lesion existing either as cystic or solid variant. Due to the fact that all CGCOC lesions are not cystic, and the biological behavior is often not consistent with a cyst, there has always been a controversy as to whether COC is a cyst or a tumor. The dentinogenic ghost-cell tumor (DGCT), a solid variant of the COC, is an uncommon odontogenic neoplasm occurring predominantly in later life. Case report is followed by a concise review and disambiguation of controversial terminologies regarding nomenclature of COC. CASE REPORT We report a case of 33-year-old female patient who presented with an insidious, steadily increasing swelling on the left side of her face since 8 months. Patient reported slight difficulty in eating because of reduced intraoral space and an obvious concern with facial disfigurement. There was no contributory dental or medical history. Intraorally, a hard, well defined, bicortical swelling was noted in left maxillary region with slight mobility of the associated teeth and normal appearing overlying mucosa. A provisional diagnosis of adenomatoid odontogenic tumor was made, and orthopantomogram, paranasal sinus radiograph and computed tomograpy scan of the face were acquired. A radiographic diagnosis of COC was made, which was subsequently confirmed on histopathology postenucleation of the tumor mass. COC has been seen to be of extensive diversity in its clinical and histopathological features as well as in its biological behavior. CONCLUSION The present case of 33-year-old female was diagnosed as DGCT, a tumorous form of COC, due to its characteristic histological features; numerous ghost cells and dentinoid material.
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Affiliation(s)
- Shalu Rai
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, India
| | - Mukul Prabhat
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, India
| | | | - Kanika Bhalla
- Department of Oral Pathology, Inderprastha Dental College, Sahibabad, Ghaziabad, India
| | - Sapna Panjwani
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, India
| | - Deepankar Misra
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, India
| | - Ankur Agarwal
- Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, India
| | - Gunjan Bhatnagar
- Department of Microbiology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, Uttar Pradesh, India
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PADOVANI MCRL, SANTOS MTBR, SANT’ANNA GRD, GUARÉ RO. Prevalence of oral manifestations in soft tissues during early childhood in Brazilian children. Braz Oral Res 2014. [DOI: 10.1590/1807-3107bor-2014.vol28.0036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Lee SK, Kim YS. Current Concepts and Occurrence of Epithelial Odontogenic Tumors: II. Calcifying Epithelial Odontogenic Tumor Versus Ghost Cell Odontogenic Tumors Derived from Calcifying Odontogenic Cyst. KOREAN JOURNAL OF PATHOLOGY 2014; 48:175-87. [PMID: 25013415 PMCID: PMC4087130 DOI: 10.4132/koreanjpathol.2014.48.3.175] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2014] [Revised: 06/01/2014] [Accepted: 06/03/2014] [Indexed: 12/22/2022]
Abstract
Calcifying epithelial odontogenic tumors (CEOTs) and ghost cell odontogenic tumors (GCOTs) are characteristic odontogenic origin epithelial tumors which produce calcifying materials from transformed epithelial tumor cells. CEOT is a benign odontogenic tumor composed of polygonal epithelial tumor cells that show retrogressive calcific changes, amyloid-like deposition, and clear cytoplasm. Differentially, GCOTs are a group of transient tumors characterized by ghost cell presence, which comprise calcifying cystic odontogenic tumor (CCOT), dentinogenic ghost cell tumor (DGCT), and ghost cell odontogenic carcinoma (GCOC), all derived from calcifying odontogenic cysts (COCs). There is considerable confusion about COCs and GCOTs terminology, but these lesions can be classified as COCs or GCOTs, based on their cystic or tumorous natures, respectively. GCOTs include ameloblastomatous tumors derived from dominant odontogenic cysts classified as CCOTs, ghost cell-rich tumors producing dentinoid materials as DGCTs, and the GCOT malignant counterpart, GCOCs. Many authors have reported CEOTs and GCOTs variably express keratins, β-catenin, BCL-2, BSP, RANKL, OPG, Notch1, Jagged1, TGF-β, SMADs, and other proteins. However, these heterogeneous lesions should be differentially diagnosed to allow for accurate tumor progression and prognosis prediction.
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Affiliation(s)
- Suk Keun Lee
- Department of Oral Pathology, College of Dentistry, Gangneung-Wonju National University, Gangneung, Korea
| | - Yeon Sook Kim
- Department of Dental Hygiene, College of Health Sciences, Cheongju University, Cheongju, Korea
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Oral transmucosal drug delivery for pediatric use. Adv Drug Deliv Rev 2014; 73:50-62. [PMID: 23999459 DOI: 10.1016/j.addr.2013.08.011] [Citation(s) in RCA: 80] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2013] [Revised: 07/13/2013] [Accepted: 08/22/2013] [Indexed: 12/25/2022]
Abstract
The formulation of medicines for children remains a challenge. An ideal pediatric formulation must allow accurate dose administration and be in a dosage form that can be handled by the target age group. It is also important to consider the choices and the amount of excipients used in the formulation for this vulnerable age group. Although oral formulations are generally acceptable to most pediatric patients, they are not suitable for drugs with poor oral bioavailability or when a rapid clinical effect is required. In recent years, oral transmucosal delivery has emerged as an attractive route of administration for pediatric patients. With this route of administration, a drug is absorbed through the oral mucosa, therefore bypassing hepatic first pass metabolism and thus avoiding drug degradation or metabolism in the gastrointestinal tract. The high blood flow and relatively high permeability of the oral mucosa allow a quick onset of action to be achieved. It is a simple and non-invasive route of drug administration. However, there are several barriers that need to be overcome in the development of oral transmucosal products. This article aims to provide a comprehensive review of the current development of oral transmucosal delivery specifically for the pediatric population in order to achieve systemic drug delivery. The anatomical and physiological properties of the oral mucosa of infants and young children are carefully examined. The different dosage forms and formulation strategies that are suitable for young patients are discussed.
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Järvinen J, Mikkonen JJ, Kullaa AM. Fissured tongue: A sign of tongue edema? Med Hypotheses 2014; 82:709-12. [DOI: 10.1016/j.mehy.2014.03.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2013] [Accepted: 03/05/2014] [Indexed: 02/08/2023]
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Abstract
This article provides an overview of common color changes and soft tissue oral nodular abnormalities in children and adolescents. The clinical presentation and treatment options to address these conditions are presented in a concise approach, highlighting key features relevant to the oral health care professional.
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Affiliation(s)
- Andres Pinto
- Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, University Hospitals Case Medical Center and Case Western Reserve School of Dental Medicine, 2124 Cornell Road, Rm 1190, Cleveland, OH 44106, USA.
| | - Christel M Haberland
- Yale Hamden Dental Center, Yale School of Medicine, Yale-New Haven Hospital, 2560 Dixwell Avenue, Hamden, CT 06514, USA
| | - Suher Baker
- Pediatric Dentistry Residency Program, Department of Dentistry, Yale School of Medicine, Yale-New Haven Hospital, 1 Long Whart Drive, Suite 403, New Haven, CT 06511, USA
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Vieira-Andrade RG, Martins-Júnior PA, Corrêa-Faria P, Stella PEM, Marinho SA, Marques LS, Ramos-Jorge ML. Oral mucosal conditions in preschool children of low socioeconomic status: prevalence and determinant factors. Eur J Pediatr 2013; 172:675-81. [PMID: 23354789 DOI: 10.1007/s00431-013-1950-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2012] [Revised: 01/07/2013] [Accepted: 01/14/2013] [Indexed: 01/30/2023]
Abstract
The aim of the present study was to determine the prevalence of oral mucosal conditions and associated factors among 541 preschoolers of low socioeconomic status. A cross-sectional study was carried out. Sociodemographic data and information on harmful oral habits were gathered with the use of a questionnaire. A clinical exam was performed for the determination of oral mucosal conditions, dental caries and level of oral hygiene. Data analysis involved statistical analysis, the Kruskal-Wallis test, Mann-Whitney test, chi-square test, Fisher's exact test and multivariate regression (p < 0.05, 95 % CI). The prevalence of oral mucosal conditions was 40.7 %. The most prevalent oral mucosal conditions were coated tongue (23.4 %), melanotic macules (14.4 %), oral ulcers (11.8 %), Fordyce's spots (8.1 %), angular cheilitis (3.0 %), geographic tongue (2.8 %), linea alba (1.5 %) and fistula (1.3 %). Children between 3 and 5 years of age had a greater chance of exhibiting coated tongue (OR, 2.55; 95 % CI, 1.6-4.1), melanotic macules (OR, 4.07; 95 % CI, 2.3-7.2) and Fordyce's spots (OR, 12.70; 95 % CI, 7.2-28.6). The female gender had a greater chance of exhibiting melanotic macules (OR, 2.23; 95 % CI, 1.3-1.8). Coated tongue was more prevalent among children from low-income families (OR, 2.35; 95 % CI, 1.3-4.3) and those with inadequate oral hygiene (OR, 4.65; 95 % CI, 2.9-7.4). Caries constituted a predictive factor for oral ulcers (OR, 2.15; 95 % CI, 1.2-3.9) and fistula (OR, 12.00; 95 % CI, 1.4-11.3). Bruxism (teeth clenching/grinding) was a predictive factor for angular cheilitis (OR, 5.55; 95 % CI, 1.9-16.3). The determinant factors for oral mucosal conditions were the female gender, age between 3 and 5 years, inadequate oral hygiene, low household income, residence in rural areas and presence of dental caries and bruxism.
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Affiliation(s)
- Raquel Gonçalves Vieira-Andrade
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
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Köse O, Güven G, Özmen I, Akgün ÖM, Altun C. The oral mucosal lesions in pre-school and school age Turkish children. J Eur Acad Dermatol Venereol 2011; 27:e136-7. [PMID: 22188486 DOI: 10.1111/j.1468-3083.2011.04405.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Vieira-Andrade RG, Zuquim Guimarães FDF, Vieira CDS, Freire STC, Ramos-Jorge ML, Fernandes AM. Oral mucosa alterations in a socioeconomically deprived region: prevalence and associated factors. Braz Oral Res 2011; 25:393-400. [DOI: 10.1590/s1806-83242011000500004] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2011] [Accepted: 08/26/2011] [Indexed: 11/21/2022] Open
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Olczak-Kowalczyk D, Witt A, Gozdowski D, Ginalska-Malinowska M. Oral mucosa in children with Prader-Willi syndrome. J Oral Pathol Med 2011; 40:778-84. [PMID: 21457346 DOI: 10.1111/j.1600-0714.2011.01034.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
UNLABELLED Prader-Willi syndrome is a genetic disorder. Abnormal saliva secretion, emotional and behaviour problems, may affect the health status of the oral mucousa. OBJECTIVES To assess the impact of self-destructive behaviour and abnormal saliva secretion on the oral mucosa in children with Prader-Willi syndrome (PWS). MATERIALS AND METHODS Fifteen PWS's children (mean age 9.8 ± 4.4 years) and 15 healthy children (mean age 11.5 ± 3.5 years) were assessed for self-destructive behaviours, such as picking at the skin, physical and chemical saliva characteristics, mycology, and the clinical status of the oral mucosa. RESULTS Picking at the skin was only in children with PWS (n = 12). In contrast to the control group, the moistening rate of the lower lip mucosa was slower, and the mean pH of the resting saliva was reduced in the affected subjects. Sticky frothy or frothy saliva, decreased secretion rate of the stimulated saliva, and a reduced buffer capacity were more frequently in PWS's children; Candida spp. and oral candidiasis were also more common. Injurious lesions in the oral mucosa were found in one control child, and in eight PWS's subjects. In affected children, the lesions were concurrent with picking at the skin. A statistical correlation was noted between the presence of Candida spp. and oral candidiasis, and unfavourable saliva properties, and between injurious lesions and a slow moistening rate of the lower lip mucosa, and oral candidiasis. CONCLUSIONS Abnormal saliva secretion and self-destructive behaviours in children with Prader-Willi syndrome predispose them to injurious lesions in the oral mucosa, and possibly, to oral candidiosis.
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Goregen M, Melikoglu M, Miloglu O, Erdem T. Predisposition of allergy in patients with benign migratory glossitis. ACTA ACUST UNITED AC 2010; 110:470-4. [PMID: 20674406 DOI: 10.1016/j.tripleo.2010.04.036] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2010] [Revised: 04/12/2010] [Accepted: 04/21/2010] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The purpose of this study was to investigate the presence of allergy in patients with benign migratory glossitis (BMG) using patch and prick tests. PATIENTS AND METHODS Eighty patients (40 BMG and 40 healthy controls) received patch and prick tests. If at least one test result was positive, patients were considered to be allergic. RESULTS The prick test was positive in 10 patients (25.0%) of the study group and in 4 patients (10.0%) of the control group. The patch test was positive in 12 patients (30.0%) of the study group and in 6 patients (15.0%) of the control group. When results of both tests were evaluated together, the study group showed a positive rate of 47.5% (n = 19), whereas the control group showed a positive rate of 22.5% (n = 9) (P = .02). CONCLUSION Our results revealed that a combination of prick and patch tests can significantly enhance the diagnostic accuracy of predisposition of allergy in patients with BMG.
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Affiliation(s)
- Mustafa Goregen
- Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
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Carrard VC, Haas AN, Rados PV, Filho MS, Oppermann RV, Albandar JM, Susin C. Prevalence and risk indicators of oral mucosal lesions in an urban population from South Brazil. Oral Dis 2010; 17:171-9. [DOI: 10.1111/j.1601-0825.2010.01712.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Oral mucosal lesions in children from 0 to 12 years old: ten years' experience. ACTA ACUST UNITED AC 2010; 110:e13-8. [DOI: 10.1016/j.tripleo.2010.02.025] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2009] [Revised: 02/15/2010] [Accepted: 02/19/2010] [Indexed: 11/22/2022]
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Grossmann SDMC, Teixeira R, de Aguiar MCF, de Moura MDG, do Carmo MAV. Oral mucosal conditions in chronic hepatitis C Brazilian patients: a cross-sectional study. J Public Health Dent 2010; 69:168-75. [PMID: 19486464 DOI: 10.1111/j.1752-7325.2009.00119.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
OBJECTIVE Our purpose was to carry out an epidemiological study to assess the prevalence of oral mucosal conditions in Brazilian patients with chronic hepatitis C. METHODS A cross-sectional survey was carried out on 215 patients with chronic hepatitis C who were examined for oral mucosal conditions, including oral mucosal lesions and variations of normality. RESULTS The prevalence of patients with chronic hepatitis C presenting oral mucosal conditions was 96.3 percent (207 patients). Oral mucosal lesions were present in 147 patients (68.4 percent), whereas variations of normality were observed in 173 patients (80.5 percent). The most common lesions included cheek biting in 42 cases (19.5 percent), candidiasis in 39 cases (18.1 percent), and leukoplakia in 28 cases (13.0 percent). The association of oral lichen planus with hepatitis C virus (HCV) infection proved to be statistically significant (P = 0.002). The most frequent variations of normality included Fordyce's spots in 96 cases (44.7 percent), lingual varicosities in 67 cases (31.2 percent), and fissured tongue in 60 cases (27.9 percent). CONCLUSION The prevalence of patients with chronic hepatitis C presenting oral mucosal conditions was 96.3 percent. Despite this high prevalence, only the association between oral lichen planus and hepatitis C showed statistical significance. Considering that HCV infection may be associated with extrahepatic disorders, such as oral manifestations, efforts should be made to clarify the possible relation between oral conditions and HCV infection. This may be helpful in the earlier diagnosis of the infection mainly in asymptomatic patients.
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Affiliation(s)
- Soraya de Mattos Camargo Grossmann
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Abstract
Oral candidiasis caused by species other than Candida albicans has been observed. This study evaluated the prevalence of oral yeast species among 196 children during routine oral exam. Based on standard mycological testing, 130 (66%) subjects had fungal growth. Candida albicans isolates were recovered in 56% of children, but an extensive diversity in the non-albicans species was observed. Intrinsic differences in the pediatric population may favor the presence of yeast species other than C. albicans.
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Jahanbani J, Sandvik L, Lyberg T, Ahlfors E. Evaluation of oral mucosal lesions in 598 referred Iranian patients. Open Dent J 2009; 3:42-7. [PMID: 19444343 PMCID: PMC2681169 DOI: 10.2174/1874210600903010042] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2008] [Revised: 10/23/2008] [Accepted: 02/26/2009] [Indexed: 12/13/2022] Open
Abstract
The mucosal membrane of the oral cavity displays at times classical developmental lesions considered to be variations of normal structures rather than having disease characteristics. Of these lesions leukoedema, Fordyce granules, geographic-, fissured- and hairy tongue, median rhomboid glossitis and lingual varices were studied in 598 patients referred to the School of Dentistry, Tehran, Iran. The prevalence was studied in relation to age, gender, occupation, education, smoking habits, general health, addictions and or drug therapies. Oral developmental lesions were seen in 295 patients (49.3%). Only Fordyce granules (27,9%), fissured tongue (12,9%), leukoedema (12,5%) and hairy tongue (8,9%) had enough cases for statistical analysis. Three of these lesions increased with age but not fissured tongue. All were more common in men. After adjusting for age, the parameters education, occupation and complaints upon referral had little influence on the prevalence of the lesions. Fewer Fordyce granules were seen in oral mucosa of smoking men. Leukoedema and hairy tongue were significantly associated with smoking, leukoedema with diabetes mellitus. We conclude that there was a highly significant association between these oral lesions and age, gender and smoking. Few significant associations were found between oral lesions and general diseases.
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Affiliation(s)
- Jahanfar Jahanbani
- Department of Oral Pathology, School of Dentistry, Islamic Azad University of Tehran, Iran
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Miloğlu Ö, Göregen M, Akgül HM, Acemoğlu H. The prevalence and risk factors associated with benign migratory glossitis lesions in 7619 Turkish dental outpatients. ACTA ACUST UNITED AC 2009; 107:e29-33. [DOI: 10.1016/j.tripleo.2008.10.015] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2008] [Revised: 10/11/2008] [Accepted: 10/18/2008] [Indexed: 11/24/2022]
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Woo SB, Lin D. Morsicatio Mucosae Oris—A Chronic Oral Frictional Keratosis, Not a Leukoplakia. J Oral Maxillofac Surg 2009; 67:140-6. [DOI: 10.1016/j.joms.2008.08.040] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2008] [Revised: 07/30/2008] [Accepted: 08/28/2008] [Indexed: 10/21/2022]
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Marque M, Vabres P, Prigent F, Guillot B, Bessis D. [Congenital melanotic macules of the tongue]. Ann Dermatol Venereol 2008; 135:567-70. [PMID: 18789290 DOI: 10.1016/j.annder.2008.07.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2008] [Accepted: 07/11/2008] [Indexed: 11/26/2022]
Abstract
BACKGROUND Congenital oral and labial melanotic macules are the leading causes of hyperpigmented lesions of the oral mucosa in adults. Although they usually appear in the second decade of life, there are rare reports of these phenomena in children. Congenital lingual melanotic macules have been recently identified as a peculiar and benign cause of hyperpigmentation of the tongue in newborn babies and infants. CASE REPORTS We describe the cases of five infants presenting with smooth brown macules of the dorsum of the tongue, measuring several millimetres and detected either at birth or a few days after birth. No history of trauma, medication or similar lesions in relatives was found. Surgical excision of the lesions was performed in two cases. Clinical follow-up in the three other children showed no changes in the lesions in the first two and lightening of the brown macules in the third. DISCUSSION Congenital lingual melanotic macules represent a clinically distinct and benign cause of hyperpigmentation of the oral mucosa. They may be more common than the literature suggests, especially among dark-skinned subjects.
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Affiliation(s)
- M Marque
- Service de dermatologie, CHU Saint-Eloi, université de Montpellier 1, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
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Domingo DL, Freeman AF, Davis J, Puck JM, Tianxia W, Holland SM, Hart TC. Novel intraoral phenotypes in hyperimmunoglobulin-E syndrome. Oral Dis 2008; 14:73-81. [PMID: 18173452 DOI: 10.1111/j.1601-0825.2007.01363.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
AIM Hyperimmunoglobulin-E syndrome (HIES) is a primary immunodeficiency characterized by eczema, recurrent skin and lung infections with pneumatocoele formation, and extremely elevated serum immunoglobulin-E. The precise immunologic defect and genetic etiology remain unknown. Non-immunologic findings include characteristic facial features (prominent forehead, fleshy nasal tip, and increased interalar distance); skeletal involvement (pathological fractures, scoliosis, and craniosynostosis); and retention of primary teeth. This study aims to characterize intraoral soft tissue findings in HIES patients. METHODS Sixty HIES patients (4-54 years, 27 males, 33 females) received intraoral and radiographic evaluations. Chronological dental development was also assessed. RESULTS Lesions of the hard palate and dorsal tongue were found in 55% and 60% of patients, respectively. Palatal lesions ranged from a generalized surface keratosis to a midline sagittal fibrotic bridge. Tongue lesions consisted of multiple fissures and a midline cleft. On the lip and buccal mucosa, keratotic plaques and/or surface fissures were found in 8% and 23% of patients, respectively. Manifested in 76.7% of patients, the intraoral lesions were significantly more prevalent than the characteristic facial traits (P=0.0013). CONCLUSIONS Alterations in oral mucosa and gingiva were present in the majority of HIES patients. These novel intraoral findings may facilitate the diagnosis of HIES.
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Affiliation(s)
- D L Domingo
- National Institute of Dental and Craniofacial Research, Bethesda, MD 20892, USA.
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Campisi G, Di Liberto C, Carroccio A, Compilato D, Iacono G, Procaccini M, Di Fede G, Lo Muzio L, Craxi A, Catassi C, Scully C. Coeliac disease: oral ulcer prevalence, assessment of risk and association with gluten-free diet in children. Dig Liver Dis 2008; 40:104-7. [PMID: 18063428 DOI: 10.1016/j.dld.2007.10.009] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2007] [Revised: 10/08/2007] [Accepted: 10/16/2007] [Indexed: 12/11/2022]
Abstract
AIMS Oral mucosal lesions may be markers of chronic gastrointestinal disorders, such as those causing malabsorption. Our objectives were to assess the prevalence of recurrent oral aphthous-like ulcers in coeliac disease patients living in the Mediterranean area, and to evaluate the impact of a gluten-free diet. METHODS A test group of 269 patients (age range 3-17 years) with coeliac disease confirmed both serologically and histologically was compared with a control group of 575 otherwise clinically healthy subjects for the presence, or a positive history of aphthous-like ulcers. Coeliac disease patients with aphthous-like ulcers were re-evaluated 1-year after starting a gluten-free diet. RESULTS Aphthous-like ulcers were found significantly more frequently in coeliac disease, in 22.7% (61/269) of patients with coeliac disease versus 7.1% (41/575) of controls (p=<0.0001; chi-square=41.687; odds ratio=4.3123; 95% confidence interval=2.7664:6.722). Most coeliac disease patients with aphthous-like ulcers and adhering strictly to gluten-free diet (71.7%; 33/46) reported significant improvement on gluten-free diet, with no or reduced episodes of aphthous-like ulcers (p=0.0003; chi-square=13.101; odds ratio=24.67; 95% confidence interval=2.63:231.441). CONCLUSIONS The epidemiological association found between coeliac disease and aphthous-like ulcers suggests that recurrent aphthous-like ulcers should be considered a risk indicator for coeliac disease, and that gluten-free diet leads to ulcer amelioration.
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Affiliation(s)
- G Campisi
- Department of Oral Sciences, University Hospital of Palermo, Palermo, Italy
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Markiewicz MR, Margarone JE, Barbagli G, Scannapieco FA. Oral Mucosa Harvest: An Overview of Anatomic and Biologic Considerations. ACTA ACUST UNITED AC 2007. [DOI: 10.1016/j.eeus.2007.05.002] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Abstract
OBJECTIVES To report intercurrent nonrespiratory complications of unprecedented survival for Werdnig-Hoffman disease (spinal muscular atrophy type 1 [SMA 1]). DESIGN A retrospective chart review and caregiver questionnaire for 103 consecutively referred SMA 1 patients for whom death was prevented during infancy. RESULTS Overall, 15 of 63 (23.8%) respondents had severe, symptomatic bradycardias. Thirteen of 25 males had bilateral cryptorchidism, and two were unilateral. Ten of 42 (24%) respondents had recurrent oral candidiasis, and eight (19.0%) had recurrent nonoral candidiasis. All patients had hip dislocation/subluxation. They had collapsing spines and scoliosis by 1 yr of age. Ninety-six had indwelling gastrostomy/nasogastric tubes before 24 mos of age. Twenty-six underwent fundoplication to decrease reflux. Fifty-seven were on modified elemental diets with reported benefits. About one half had early pubarche. Three patients had episodes of acute pancreatitis. One untreated patient died of candidal endocarditis at 4 mos of age, and a second child had mitral valve candidiasis on autopsy. CONCLUSION Prolonged survival of SMA 1 results in a high incidence of concomitant medical conditions that need to be addressed.
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Affiliation(s)
- John R Bach
- Department of Physical Medicine and Rehabilitation and Neurosciences, UMNDJ New Jersey Medical School, Newwark, New Jersey 07871, USA
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Parlak AH, Koybasi S, Yavuz T, Yesildal N, Anul H, Aydogan I, Cetinkaya R, Kavak A. Prevalence of oral lesions in 13- to 16-year-old students in Duzce, Turkey. Oral Dis 2006; 12:553-8. [PMID: 17054767 DOI: 10.1111/j.1601-0825.2006.01235.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The aim of this study was to determine the prevalence of oral lesions in 13- to 16-year-old students. METHODS A cross-sectional survey was carried out on students in Duzce, a province in the western Black Sea region of Turkey. A total of 993 children aged between 13 and 16 from eight secondary schools were examined. Oral lesions with recurrent behavior, if observed, were recorded at the time of examination. Venous blood samples were obtained for detecting hemoglobin levels. RESULTS Two hundred sixty adolescents (26.2%) were diagnosed with at least one oral mucosal lesion at the time of the examination. Thirteen different mucosal alterations were diagnosed, and the most common lesions were angular cheilitis (9%), linea alba (5.3%), and aphthous ulceration (3.6%). The correlation between occurrence of mucosal lesions and sex was not statistically significant (P > 0.05). Statistical evaluation of the data revealed a significant relationship only between the presence of angular cheilitis and anemia (P < 0.05). CONCLUSION This study is the first epidemiologic study of oral mucosal lesions in adolescents in Turkey. Angular cheilitis was the only oral mucosal lesion that had a significant correlation with anemia.
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Affiliation(s)
- A H Parlak
- Izzet Baysal Tip Fakültesi Dermatoloji, Abant Izzet Baysal University, Bolu, Turkey.
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Furlanetto DLC, Crighton A, Topping GVA. Differences in methodologies of measuring the prevalence of oral mucosal lesions in children and adolescents. Int J Paediatr Dent 2006; 16:31-9. [PMID: 16364090 DOI: 10.1111/j.1365-263x.2006.00674.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM This review offers a brief summary of three of the more commonly surveyed and reported oral mucosal conditions found in children, and an appraisal of the variation between selected elements of prevalence study methodologies. DESIGN Searches of electronic databases (i.e. MEDLINE, CINAHL, EMBASE and EBM Reviews) were conducted to find publications related to oral mucosal conditions in children. Studies were included and reviewed if they contained data on the prevalence of any of the following oral mucosal conditions: geographical tongue, oral ulceration and herpes labialis in children or adolescents (up to the age of 19 years). RESULTS A total of 29 articles out of 333 met the inclusion criteria and were reviewed. Of these 29 reports, 18 considered geographical tongue, 12 herpes labialis and 10 oral ulceration, although a number of the surveys reported on more than one condition. The approaches used in these studies varied on a number of the potentially important areas associated with validity, comparability, and whether or not the findings may be extrapolated beyond the study population, such as the sampling frame, diagnostic criteria, training and calibration, and examination features. CONCLUSION Although there were a number of surveys relating to the prevalence of geographical tongue, herpes labialis and oral ulcers in children and adolescents, reported prevalences varied and few studies were directly comparable in terms of the methodology applied. In particular, there was substantial variation between surveys in terms of the diagnostic criteria and method of detection employed although, in many instances, there was inadequate detail to allow full appraisal of the methodology. There is a need for more good-quality epidemiological studies in this area.
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Affiliation(s)
- D L C Furlanetto
- Dental Health Services Research Unit, Mackenzie Building, University of Dundee, Kirsty Semple Way, Ninewells Hospital, Dundee DD2 3BF, UK
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