Prevalence and Clinical Features of Biopsied Jaw Lesions in an Iranian Population Patient in 7 Years
Document Type : مقالههای پژوهشی
Authors
1 Dentistry Graduate Student, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2 Undergraduate of Dental School, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
3 Postgraduate of Dental School, Department of Oral and Maxillofacial Surgery, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
10.48305/v0i0.1859
Abstract
Introduction: Jawbones can be affected by many lesions such as genetic, metabolic, inflammatory, cysts, and tumors. For proper diagnosis and treatment, t is necessary for dentists to be aware of the most prevalent lesions, demographic and clinical features, and their distribution patterns in every population. The present study aimed to evaluate the distribution pattern of jaw bone lesions in 7 years in Isfahan, Iran.
Materials and Methods: This retrospective analytic descriptive study was performed on 370 reports available from the department of oral pathology at Isfahan Azad university. demographic data, clinical features, and histopathology diagnosis were gathered and analyzed statistically by ANOVA and Chi-square (α = 0.05).
Results: Intraosseous lesions consisted 28.6% of all lesions.41.5% in females and 58.4% in males (p < 0.05. (Mean age of male patients was 35.96 and 33.70 for females (p value > 0.05). Lesions were mostly in the right lower jaw (p value < 0.05). The swelling was the only clinical feature reported in only 15% of 106 intraosseous lesions, 73 cases were odontogenic cysts,19 inflammatory,9 odontogenic tumors,2 benign non-odontogenic tumors, and 3 non-odontogenic cysts. The periapical and dentigerous cyst was the most prevalent lesions reported.
Conclusion: Results of the present study showed jaw bone lesions mostly occurred in the right lower jaw in male patients. it is understood that the distribution of intraosseous lesions of the oral cavity is related to genetic, environmental, and geographic factors. Further studies are required.
Keywords: Jaw, Odontogenic Tumor, Odontogenic Cyst
Materials and Methods: This retrospective analytic descriptive study was performed on 370 reports available from the department of oral pathology at Isfahan Azad university. demographic data, clinical features, and histopathology diagnosis were gathered and analyzed statistically by ANOVA and Chi-square (α = 0.05).
Results: Intraosseous lesions consisted 28.6% of all lesions.41.5% in females and 58.4% in males (p < 0.05. (Mean age of male patients was 35.96 and 33.70 for females (p value > 0.05). Lesions were mostly in the right lower jaw (p value < 0.05). The swelling was the only clinical feature reported in only 15% of 106 intraosseous lesions, 73 cases were odontogenic cysts,19 inflammatory,9 odontogenic tumors,2 benign non-odontogenic tumors, and 3 non-odontogenic cysts. The periapical and dentigerous cyst was the most prevalent lesions reported.
Conclusion: Results of the present study showed jaw bone lesions mostly occurred in the right lower jaw in male patients. it is understood that the distribution of intraosseous lesions of the oral cavity is related to genetic, environmental, and geographic factors. Further studies are required.
Keywords: Jaw, Odontogenic Tumor, Odontogenic Cyst
1. Nevill BW, Damm DD, Allen C ,Chi A. Oral and maxillofacial pathology. 4th ed. Missouri, US: Elsevier; 2016.
2. Rahman NA. Oral and maxillofacial pathologic lesion: retrospective studies on prevalence and sociodemographic features. Arch Orofac Sci 2014; 9(2): 65-75.
3. Alhindi NA, Sindi AM, Binmadi NO, Elias WY. A retrospective study of oral and maxillofacial pathologylesions diagnosed at the Faculty of Dentistry, King Abdulaziz University. Clin Cosmet Investig Dent 2019; 11: 45-52.
4. Ghasemi Moridani S, Shaahsavari F, Bagher Adeli M. A 7-year retrospective study of biopsied oral lesions in 460 Iranian patients. RSBO Revista Sul-Brasileira de Odontologia 2014; 11(2): 118-24.
5. Tandon P, Shah S, Dadhich A, Saluja H, Chauhan H. Incidence and distribution of jaw pathologies among 0-15 years age group at a Tertiary Rural Health-Care Center of Maharashtra: A retrospective study of 10 years. Contemp Clin Dent 2020; 11(1): 39-45.
6. Regezi JA. Odontogenic cysts, odontogenic tumors, fibroosseous, and giant cell lesions of the jaws. Mod Pathol 2002; 15(3): 331-41.
7. Wang YL, Chang HH, Chang JY, Huang GF, Guo MK. Retrospective survey of biopsied oral lesions in pediatric patients. J Formos Med Assoc 2009; 108(11): 862-71.
8. Jones AV, Craig GT, Franklin CD. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med 2006; 35(8): 500-7.
9. Jaafari Ashkavandi Z, Ahmadi Sheshdeh Z, Kamali F. Orofacial pathologic lesions in children and adolescents: a clinicopathological study in southern Iran. Iran J Pediatr 2014; 24(3): 307-12.
10. Siadati S, Khorram N, Mirzapour M. Oral and jaw lesions in adults: A 19-year retrospective study in northern Iran. Iran J Pathol 2013;8(3): 159-64.
11. Mendez M, Carrard VC, Haas AN, Lauxen IS, Barbachan JJ, Rados PV, et al. A 10-year study of specimens submitted to oral pathology laboratory analysis: Lesion occurrence and demographic features. Braz Oral Res 2012; 26(3): 235-41.
12. Nadaf A, Farooq S, Khuroo M. Restrospective clinic-pathological study of 106 odontogenic cyst among Kashmiri population. IJCMSR 2018; 3(1): 53-6.
13. da Silva LP, Serpa MS, Tenorio JR, do Nascimento GJF, de Souza-Andrade ES, Veras-Sobral AP. Retrospective study of 289 odontogenic tumors in a Brazilian population. Med Oral Patol Oral Cir Bucal 2016; 21(3): e271-5.
14. Zare Mahmoodabadi R, Saghafi S, Khazraee R, Javan A. Frequency of non odontogenic lesions with formation of bone or cartlige in referral patients to Mashhad Dental School from the beginning To 2010. J Mashhad Dent Sch 2013; 37(2): 127-136. [In Persian].
15. Jamshidi S, Shojaei S, Roshanaei G, Modabbernia S, Bakhtiary E. Jaw intraosseous lesions biopsied extracted from 1998 to 2010 in an Iranian population. Iran Red Crescent Med J 2015; 17(6): e20374.
16. Becconsall-Ryan K, Tong D, Love RM. Radiolucent inflammatory jaw lesions: A twenty-year analysis. Int Endod J 2010; 43: 859-65.
17. Al Yamani AO, Al Sebaei MO, Bassyoni LJ, Badghaish AJ, Shawly HH. Variation of pediatric and adolescents head and neck pathology in the city of Jeddah: A retrospective analysis over 10 years. Saudi Dent J 2011; 23(4): 197-200.
18. Peker E, Öğütlü F, Karaca İR, Gültekin ES, Çakır M. A 5 year retrospective study of biopsied jaw lesions with the assessment of concordance between clinical and histopathological diagnoses. J Oral Maxillofac Pathol 2016; 20(1): 78-85.
19. Jaafari-Ashkavandi Z, Akbari B. Clinicopathologic study of intra-osseous lesions of the jaws in Southern Iranian population. J Dent (Shiraz) 2017; 18(4): 259-264.
20. Singh J, Singh S, Chandra S, Samadi FM. Prevalence and distribution of odontogenic cysts and tumors in North Indian population: A database study with systematic review. Int J Appl Biol Pharm 2020; 11(2): 46-59.
)