Management and outcome following extraction of 303 supernumerary teeth in pediatric patients.

PURPOSE: The purpose of this study was to describe the treatment of permanent teeth impacted by supernumerary teeth and their outcome following extraction. METHODS: The study population comprised 200 2- to 14-year-olds. RESULTS: A total of 303 supernumerary teeth were removed from the 200 patients. Surgery was performed on: 129 teeth (~43%) from the vestibular and palatine/lingual (mixed) side; 110 teeth (~36%) from the palatine/lingual side; and 64 teeth (~21%) from the vestibular side. Regarding the shape of the supernumerary teeth, the distribution was: 118 conoid teeth; 92 supplementary teeth; 66 tuberculate teeth; and 27 teeth of varied shapes. In approximately 61% of the permanent teeth (159 teeth), the supernumerary teeth caused impaction of the former, while no case of impaction was recorded in the case of the primary dentition. The impacted permanent teeth evolved favorably in 100% of the orthodontic tractions, in 80% of the relocations, and in approximately 65% of the conductive alveolectomies. CONCLUSIONS: The highest percentage success rate in treating permanent teeth impacted by supernumerary teeth corresponded to those cases in which surgery could be combined with orthodontic treatment. There were no displacements of neighboring buds during removal of the supernumerary teeth in the primary dentition.

Pediatric oral ranula: Clinical follow-up study of 57 cases

Objective: To present 57 cases of oral ranula in children, analyzing the clinical characteristics, treatment andoutcome of these lesions.Methods: The clinical histories of patients diagnosed with oral ranula, seen between 1998 and 2008 at the Oral andMaxillofacial Surgery Unit of a reference Children’s Hospital (0-14 years) were reviewed. All patients with clinicaldiagnosis of oral ranula were included.Results: Fifty-seven patients, 21 boys and 36 girls, with a mean age of 5.1 years were included in the study. Thirtytwocases were located on the left side of the floor of the mouth. The lesion diameter varied between 1 and 3 cm in27 cases, 22 were less than 1 cm, and 8 were larger than 3 cm. Fifty-four cases were asymptomatic and 3 ranulashad pain on swallowing. Twenty-two cases were resolved by opening with a tract dilator and 35 by marsupialization.Seven cases recurred at a mean of 12 months after treatment, three of these from the marsupialization group.Conclusion: The majority of the oral ranulas occurred in females, asymptomatic, on the left side of the floor of themouth, with a mean size of 1 to 3 cm; all lesions were treated by surgery, of which 7 recurred (AU)

Orofacial dermoid cysts in pediatric patients: A review of 8 cases

Objective: The aim was to analyze the clinical characteristics, treatment and outcome of 8 orofacial dermoid cysts(DC) in pediatric patients.Material and Methods: A retrospective observational study was made, reviewing the medical records with clinicaldiagnosis of dermoid cyst between 1987 and 2006 in the Children’s Maxillofacial Surgery Department of the HospitalUniversitario La Fe, Valencia, Spain. The following data were collected: sex, age, location, size and durationof the lesion, treatment, length of follow-up, and recurrence.Results: Eight patients (3 girls and 5 boys) with a mean age of 2.7 years (range 0-12 years). Four DC were located inthe oral area (3 sublingual and 1 lingual), one in the periorbital and three in the nasal areas. The size ranged from0.8 cm to 4 cm. The mean duration of the lesion was 13.7 months (range 4 days to 2 years). All DC were diagnosedpathologically following surgical removal of the lesion. There were no recurrences.Conclusion: The appearance of DC in the maxillofacial region of pediatric patients is uncommon. The floor of themouth is the most frequently affected area in the oral cavity. Treatment is surgical removal of the lesion. Recurrenceis unusual (AU)

Clinical characteristics, treatment, and evolution in 14 cases of pediatric orofacial lymphangioma.

PURPOSE: To present the largest series of orofacial lymphangioma in children published to date, analyzing the clinical characteristics and evolution of, and the treatment used for, these lesions. MATERIALS AND METHODS: The clinical data from patients diagnosed with orofacial lymphangioma, who were treated from 1998 to 2008 at the Oral and Maxillofacial Surgery Unit, Children's Hospital La Fe of Valencia (age 0 to 14 years), were reviewed. All patients with a clinical, radiographic, or, in surgical cases, histopathologic, diagnosis of orofacial lymphangioma were included. RESULTS: A total of 14 patients (8 boys and 6 girls; mean age 4.6 years) were included in the present study. Of the 14 cases, 9 had been diagnosed before the patients were 2 years old and 2 of which were congenital; 8 cases were located on the dorsum of the tongue. The lesion diameter was 1 to 2 cm in 9 patients, with 1 less than 1 cm, and was larger than 2 cm in 5. For treatment, 4 lymphangiomas were monitored periodically and resolved spontaneously, 1 was treated with sclerotherapy, and 9 with surgical extirpation. After surgery, 2 patients developed a recurrence within 13 months. CONCLUSIONS: Most of the lymphangiomas diagnosed in children occurred before 2 years of age, were on the dorsum of the tongue, and had a mean size of 1 to 2 cm. Of those treated with surgical extirpation, 2 recurred.

Pediatric oral ranula: clinical follow-up study of 57 cases.

OBJECTIVE: To present 57 cases of oral ranula in children, analyzing the clinical characteristics, treatment and outcome of these lesions. METHODS: The clinical histories of patients diagnosed with oral ranula, seen between 1998 and 2008 at the Oral and Maxillofacial Surgery Unit of a reference Children 's Hospital (0-14 years) were reviewed. All patients with clinical diagnosis of oral ranula were included. RESULTS: Fifty-seven patients, 21 boys and 36 girls, with a mean age of 5.1 years were included in the study. Thirty-two cases were located on the left side of the floor of the mouth. The lesion diameter varied between 1 and 3 cm in 27 cases, 22 were less than 1 cm, and 8 were larger than 3 cm. Fifty-four cases were asymptomatic and 3 ranulas had pain on swallowing. Twenty-two cases were resolved by opening with a tract dilator and 35 by marsupialization. Seven cases recurred at a mean of 12 months after treatment, three of these from the marsupialization group. CONCLUSION: The majority of the oral ranulas occurred in females, asymptomatic, on the left side of the floor of the mouth, with a mean size of 1 to 3 cm; all lesions were treated by surgery, of which 7 recurred.

Clinical characteristics, treatment and outcome of 28 oral haemangiomas in pediatric patients

Objective: To present a large series of oral haemangiomas in children, analyzing the clinical characteristics, treatmentand outcome of oral haemangiomas in 28 children.Material and Methods: We conducted an observational retrospective study, reviewing medical records with clinicaldiagnosis of haemangioma between 1990 and 2006 at the Children’s Maxillofacial Surgery Service of the Hospital Universitario la Fe, Valencia. All patients with a clinical, radiographic, pathologically confirmed diagnosis of oral haemangioma were included.Results: The study included 28 patients (19 females and 9 males) with a mean age of 4.27 years (range 0-14 years).Nine were congenital haemangioma. The most frequent location of oral haemangioma was in the lip with 23 cases,followed by three cases in the tongue and 2 in the buccal mucosa. The mean diameter of the lesion was 1.67 cm(range 1-3cm). The mean duration of the lesion was 6.3 months (range 1 month to 5 years). Of the 28 haemangiomas,13 were surgically removed, 2 were treated with embolization and 13 disappeared spontaneously. The meanfollow up was 2.7 months (1-8 months). There were no cases of recurrence.Conclusions: Haemangiomas usually present in children, and can be seen from birth. They have a predilectionfor females. They are uncommon in the oral cavity. In the oral region, the most common location is the lip. Mostcongenital haemangioma regress spontaneously without treatment. The treatment of choice is surgical excisionof the lesion (AU)

Orofacial dermoid cysts in pediatric patients: a review of 8 cases.

OBJECTIVE: The aim was to analyze the clinical characteristics, treatment and outcome of 8 orofacial dermoid cysts (DC) in pediatric patients. MATERIAL AND METHODS: A retrospective observational study was made, reviewing the medical records with clinical diagnosis of dermoid cyst between 1987 and 2006 in the Children's Maxillofacial Surgery Department of the Hospital Universitario La Fe, Valencia, Spain. The following data were collected: sex, age, location, size and duration of the lesion, treatment, length of follow-up, and recurrence. RESULTS: Eight patients (3 girls and 5 boys) with a mean age of 2.7 years (range 0-12 years). Four DC were located in the oral area (3 sublingual and 1 lingual), one in the periorbital and three in the nasal areas. The size ranged from 0.8 cm to 4 cm. The mean duration of the lesion was 13.7 months (range 4 days to 2 years). All DC were diagnosed pathologically following surgical removal of the lesion. There were no recurrences. CONCLUSION: The appearance of DC in the maxillofacial region of pediatric patients is uncommon. The floor of the mouth is the most frequently affected area in the oral cavity. Treatment is surgical removal of the lesion. Recurrence is unusual.

Clinical characteristics, treatment and outcome of 28 oral haemangiomas in pediatric patients.

OBJECTIVE: To present a large series of oral haemangiomas in children, analyzing the clinical characteristics, treatment and outcome of oral haemangiomas in 28 children. MATERIAL AND METHODS: We conducted an observational retrospective study, reviewing medical records with clinical diagnosis of haemangioma between 1990 and 2006 at the Children's Maxillofacial Surgery Service of the Hospital Universitario la Fe, Valencia. All patients with a clinical, radiographic, pathologically confirmed diagnosis of oral haemangioma were included. RESULTS: The study included 28 patients (19 females and 9 males) with a mean age of 4.27 years (range 0-14 years). Nine were congenital haemangioma. The most frequent location of oral haemangioma was in the lip with 23 cases, followed by three cases in the tongue and 2 in the buccal mucosa. The mean diameter of the lesion was 1.67 cm (range 1-3 cm). The mean duration of the lesion was 6.3 months (range 1 month to 5 years). Of the 28 haemangiomas, 13 were surgically removed, 2 were treated with embolization and 13 disappeared spontaneously. The mean follow up was 2.7 months (1-8 months). There were no cases of recurrence. CONCLUSIONS: Haemangiomas usually present in children, and can be seen from birth. They have a predilection for females. They are uncommon in the oral cavity. In the oral region, the most common location is the lip. Most congenital haemangioma regress spontaneously without treatment. The treatment of choice is surgical excision of the lesion.

Clinical characteristics, treatment, and evolution of 89 mucoceles in children.

PURPOSE: The present study was undertaken to evaluate mucoceles in the oral cavity of pediatric patients, including the clinical characteristics, treatment, and progress of the lesions. PATIENTS AND METHODS: A retrospective study was performed from the medical records of patients (0-14 years old) treated for oral mucoceles between 1998 and 2008 in a reference children's hospital. All subjects with mucoceles on lips, mouth, buccal mucosa, and palate were included. The following data were recorded: age, gender, history of trauma, location, size, progression, time before diagnosis, treatment, histologic type, follow-up time, and recurrence. RESULTS: A total of 89 patients (mean age, 6.1 years) participated in this study. There were 89 mucoceles: 4 were congenital; 79.8% were located on the lower lip; and 69% were larger than 5 mm in diameter. Average progression time was 5.7 months (range, 1-24 months). It was observed that older patients developed more mucoceles on the tongue and lips and younger patients developed more mucoceles on the buccal mucosa and palate. The lesions of 39 subjects resolved spontaneously; 50 were removed but 4 reappeared afterward. Histologically, all lesions were extravasation mucoceles. CONCLUSION: Mucoceles were more commonly located on the lower lip; 43.8% resolved spontaneously and 8% of the surgically removed mucoceles reappeared.