Benign Pediatric Jawbone Lesions: A 10-Year Clinical and Radiological Pilot Study

This study aimed at presenting a retrospective longitudinal analysis of the pediatric jaw lesions treated at the Oral and Maxillofacial Surgery Clinic in Cluj-Napoca, Romania, over a timeframe of ten years (2012 to 2022). The clinical and radiological characteristics of the jawbone lesions, the trea...

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Main Authors: Emil Crasnean, Alina Ban, Mihaela Hedeșiu, Raluca Roman, Cristian Dinu, Mihaela Băciuț, Sergiu Văcăraș, Ileana Mitre, Oana Almășan, Vlad-I. Nechita, Gabriel Armencea, Simion Bran, Florin Onișor
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/10/2/335
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author Emil Crasnean
Alina Ban
Mihaela Hedeșiu
Raluca Roman
Cristian Dinu
Mihaela Băciuț
Sergiu Văcăraș
Ileana Mitre
Oana Almășan
Vlad-I. Nechita
Gabriel Armencea
Simion Bran
Florin Onișor
author_facet Emil Crasnean
Alina Ban
Mihaela Hedeșiu
Raluca Roman
Cristian Dinu
Mihaela Băciuț
Sergiu Văcăraș
Ileana Mitre
Oana Almășan
Vlad-I. Nechita
Gabriel Armencea
Simion Bran
Florin Onișor
author_sort Emil Crasnean
collection DOAJ
description This study aimed at presenting a retrospective longitudinal analysis of the pediatric jaw lesions treated at the Oral and Maxillofacial Surgery Clinic in Cluj-Napoca, Romania, over a timeframe of ten years (2012 to 2022). The clinical and radiological characteristics of the jawbone lesions, the treatment outcome, and the recurrence incidence were described. All consecutive patients aged below 18 years, with histologically diagnosed odontogenic tumors (OTs), nonodontogenic tumors (non-OTs), or odontogenic cysts (OCs) were included. Age, dentition type, clinical symptoms, preoperative and postoperative radiological tests, histological diagnosis, treatment, and follow-up information one year following the diagnoses were all examined. Eighty-two cases were included. The ratio of men to women was 1.15:1, with the mandible predominating by 64.4%. Inflammatory radicular cysts predominated in 31.7% of cases. A total of 42.68% of the patients were asymptomatic. Enucleation was the most frequent surgical technique (45.1%), followed by cystectomies (28%) and marsupialization (14.6%). The overall recurrence rate was 7.3%; the most recurrent histopathological lesion was the odontogenic keratocyst. This study sheds new light on the clinical and radiological characteristics, treatment outcomes, and recurrence rate of juvenile jawbone lesions in children and adolescents. The diagnosis and treatment of jawbone lesions in children and adolescents can be enhanced with the use of epidemiological, clinical, and imagistic information.
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spelling doaj.art-35a5f4c23ccf410684b01ae60ebfbf6c2023-11-16T19:49:21ZengMDPI AGChildren2227-90672023-02-0110233510.3390/children10020335Benign Pediatric Jawbone Lesions: A 10-Year Clinical and Radiological Pilot StudyEmil Crasnean0Alina Ban1Mihaela Hedeșiu2Raluca Roman3Cristian Dinu4Mihaela Băciuț5Sergiu Văcăraș6Ileana Mitre7Oana Almășan8Vlad-I. Nechita9Gabriel Armencea10Simion Bran11Florin Onișor12Department of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Prosthetic Dentistry and Dental Materials, Iuliu Hațieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400006 Cluj-Napoca, RomaniaDepartment of Medical Informatics and Biostatistics, Iuliu Hațieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaDepartment of Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 37 Iuliu Hossu Street, 400029 Cluj-Napoca, RomaniaThis study aimed at presenting a retrospective longitudinal analysis of the pediatric jaw lesions treated at the Oral and Maxillofacial Surgery Clinic in Cluj-Napoca, Romania, over a timeframe of ten years (2012 to 2022). The clinical and radiological characteristics of the jawbone lesions, the treatment outcome, and the recurrence incidence were described. All consecutive patients aged below 18 years, with histologically diagnosed odontogenic tumors (OTs), nonodontogenic tumors (non-OTs), or odontogenic cysts (OCs) were included. Age, dentition type, clinical symptoms, preoperative and postoperative radiological tests, histological diagnosis, treatment, and follow-up information one year following the diagnoses were all examined. Eighty-two cases were included. The ratio of men to women was 1.15:1, with the mandible predominating by 64.4%. Inflammatory radicular cysts predominated in 31.7% of cases. A total of 42.68% of the patients were asymptomatic. Enucleation was the most frequent surgical technique (45.1%), followed by cystectomies (28%) and marsupialization (14.6%). The overall recurrence rate was 7.3%; the most recurrent histopathological lesion was the odontogenic keratocyst. This study sheds new light on the clinical and radiological characteristics, treatment outcomes, and recurrence rate of juvenile jawbone lesions in children and adolescents. The diagnosis and treatment of jawbone lesions in children and adolescents can be enhanced with the use of epidemiological, clinical, and imagistic information.https://www.mdpi.com/2227-9067/10/2/335childrenbenignodontogenic tumornonodontogenic tumorodontogenic cyst
spellingShingle Emil Crasnean
Alina Ban
Mihaela Hedeșiu
Raluca Roman
Cristian Dinu
Mihaela Băciuț
Sergiu Văcăraș
Ileana Mitre
Oana Almășan
Vlad-I. Nechita
Gabriel Armencea
Simion Bran
Florin Onișor
Benign Pediatric Jawbone Lesions: A 10-Year Clinical and Radiological Pilot Study
Children
children
benign
odontogenic tumor
nonodontogenic tumor
odontogenic cyst
title Benign Pediatric Jawbone Lesions: A 10-Year Clinical and Radiological Pilot Study
title_full Benign Pediatric Jawbone Lesions: A 10-Year Clinical and Radiological Pilot Study
title_fullStr Benign Pediatric Jawbone Lesions: A 10-Year Clinical and Radiological Pilot Study
title_full_unstemmed Benign Pediatric Jawbone Lesions: A 10-Year Clinical and Radiological Pilot Study
title_short Benign Pediatric Jawbone Lesions: A 10-Year Clinical and Radiological Pilot Study
title_sort benign pediatric jawbone lesions a 10 year clinical and radiological pilot study
topic children
benign
odontogenic tumor
nonodontogenic tumor
odontogenic cyst
url https://www.mdpi.com/2227-9067/10/2/335
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