The Impact of Benign Jawbone Tumors on the Temporomandibular Joint and Occlusion in Children: A Ten-Year Follow-Up Study

This study aimed to provide a complex analysis of the modifications in craniofacial skeleton development that may arise following the diagnosis of pediatric benign jaw tumors. A prospective study was undertaken involving 53 patients younger than 18 years of age, who presented for treatment at the De...

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Published inBiomedicines Vol. 11; no. 4; p. 1210
Main Authors Crasnean, Emil, Ban, Alina, Roman, Raluca, Dinu, Cristian, Băciuț, Mihaela, Nechita, Vlad-Ionuț, Bran, Simion, Onișor, Florin, Badiu, Teodora, Almășan, Oana, Hedeșiu, Mihaela
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 01.04.2023
MDPI
Subjects
Benign
Care and treatment
Cartilage
Children
Craniofacial growth
Cysts
Health aspects
Interdisciplinary aspects
Investigations
Jaw
Medical research
Medicine, Experimental
occlusion
odontogenic cyst
Odontogenic tumors
Patients
Pediatrics
Pharmacy
Temporomandibular joint
Temporomandibular joint disorders
tumor
Tumors
Romania
benign
temporomandibular joint
odontogenic cyst
occlusion
tumor
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Summary:This study aimed to provide a complex analysis of the modifications in craniofacial skeleton development that may arise following the diagnosis of pediatric benign jaw tumors. A prospective study was undertaken involving 53 patients younger than 18 years of age, who presented for treatment at the Department of Maxillo-Facial Surgery, University of Medicine and Pharmacy, Cluj-Napoca, with a primary benign jaw lesion between 2012 and 2022. A total of 28 odontogenic cysts (OCs), 14 odontogenic tumors (OTs), and 11 non-OTs were identified. At follow-up, dental anomalies were identified in 26 patients, and overjet changes were found in 33 children; lateral crossbite, midline shift, and edge-to-edge bite were found in 49 cases; deep or open bite were found in 23 patients. Temporomandibular disorders (TMDs) were found in 51 children, with unilateral TMJ changes identified in 7 cases and bilateral modifications found in 44 patients. Degenerative changes in the TMJ were also diagnosed in 22 pediatric patients. Although benign lesions could be associated with dental malocclusions, a direct etiological factor could be not identified. The presence of jaw tumors or their surgical treatment could, however, be linked to a change of the occlusal relationships or the onset of a TMD.
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These authors contributed equally to this work.
ISSN:2227-9059
2227-9059
DOI:10.3390/biomedicines11041210