Abstract

ObjectivesThe goal of the current study was to evaluate the relative frequency of oral and maxillofacial pathological lesions among Egyptian children.Materials and methodsRecords of biopsies submitted to the department of oral and maxillofacial pathology from the year 1999 to 2019 were retrieved and reassessed for all cases under the age of 18 years. Information on age, sex, location of the lesion, and the histopathologic diagnosis was analyzed.ResultsOver the course of twenty-one years, 1108 specimens were analyzed where reactive soft tissue lesions, which accounted for 397 (35.8%) of all cases ranked the highest presented category, followed by inflammatory odontogenic cysts, which accounted for 213 cases (19.2%). With 208 cases, the inflammatory radicular cyst was on the top of the most common 20 lesions, followed by pyogenic granuloma (160 cases). Malignancy was found in 19 cases, with soft tissue tumors (10 cases) being the most common, followed by salivary gland (5 cases) and bone pathologies (4 cases).ConclusionsThe frequency of oral and maxillofacial pathological lesions among Egyptian children increased over the years but remained consistent with global trends.Clinical relevanceThis is the first study evaluating the relative frequency of oral and maxillofacial pathological lesions among Egyptian children and provides an insight into the most commonly encountered pediatric pathologies. This may aid in the understanding of the most prevalent oral lesions that impact the pediatric population, as well as providing the key to early detection of lesions.

Highlights

  • Pediatric oral and maxillofacial surgery is of particular interest in dentistry because the nature and severity of oral and maxillofacial diseases in children vary from those in adults

  • Clinical relevance: This is the first study evaluating the relative frequency of oral and maxillofacial pathological lesions among Egyptian children and provides an insight into the most commonly encountered pediatric patholo‐ gies. This may aid in the understanding of the most prevalent oral lesions that impact the pediatric population, as well as providing the key to early detection of lesions

  • A total of 1108 specimens were received from children under the age of 18 years which correspond to 17.5% of the total number

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Summary

Introduction

Pediatric oral and maxillofacial surgery is of particular interest in dentistry because the nature and severity of oral and maxillofacial diseases in children vary from those in adults. This is generally associated with their unique anatomical, and physiological considerations and. The diagnosis of oral and maxillofacial pathologies can be challenging because of the diverse nature and the nonspecific features of diseases in this region [3]. The oral and maxillofacial area is subjected to a lot of harmful factors and carcinogenic chemicals that cause a diversity of diseases, some of which can be identified only on the basis of clinical signs and symptoms. Knowledge of the age, sex, and site predilections of different oral disorders are helpful in understanding their demographics [5]

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