Abstract

Objective: The aim of this study was to evaluate the clinicopathological features of oral lesions in children and adolescents diagnosed in an Oral Pathology Laboratory. Study design: Between 2000 and 2010, all oral lesions diagnosed in patients younger than 18 years old, from the Oral Pathology Laboratory, Federal University of Pernambuco, Brazil, were selected for the study. The clinical data were obtained from the patient charts filed in the Laboratory. All cases were microscopically reviewed and the diagnosis classified into 10 categories. Results: From the 2395 lesions, 315 (13.1%) occurred in this age group. The lesions were more common in the female gender (59%) during the second decade of life (69%). The inflammatory/reactive lesions were the most common (64.4%), followed by the epithelial and soft tissue neoplasms (8.6%). The mucocele (33.3%) was the most common lesion, with the lip mucosa representing the most affected site (48%). In 61.5% there was concordance between clinical hypothesis of diagnosis and histopathological diagnosis. Conclusions: Inflammatory/reactive lesions were the most common biopsied lesions and the lip the most frequent site. Similar studies are important, reinforced by the low correlation between clinical diagnosis and histopathological diagnosis. Key words:Adolescents, children, differential diagnosis, oral diseases, prevalence.

Highlights

  • Children and adolescents may present various oral lesions, with clinical features, symptomatology, behaviour and prevalence differing from those that occur in adults (1-4)

  • The prevalence of oral lesions in children and adolescents presents considerable variation according to studies conducted in different geographic regions, with prevalence of all oral lesions ranging between 5.5 and 24.8% (1-3,5,8,9)

  • Other limitation is the lack of detailed clinical features of the lesions, when the data come from an oral pathology laboratory

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Summary

Introduction

Children and adolescents may present various oral lesions, with clinical features, symptomatology, behaviour and prevalence differing from those that occur in adults (1-4). Some studies have been restricted to identifying and relating series of specific groups of diseases, such as odontogenic tumors, bone lesions and salivary gland diseases (1-3,7). There is considerable variation in the prevalence of these lesions among the different regions of the world (1,5,6), as racial and environmental specificities and the lifestyle of each population may influence the prevalence of these diseases. Another important factor is the lack of standardization of age limit for considering the patient within the group of children and adolescents. The aim of this study was to evaluate, retrospectively, the clinicopathological features of the oral lesions diagnosed in an oral pathology laboratory in Brazil

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