PDF(Pubmed)
Abstract：
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.
摘要：
这项研究旨在对诊断小儿良性颌骨肿瘤后可能出现的颅面骨骼发育变化进行复杂分析。一项前瞻性研究涉及53名年龄小于18岁的患者，他在上颌骨面部外科接受治疗，医药大学，克鲁-纳波卡,2012年至2022年间原发性良性颌骨病变。共有28个牙源性囊肿（OCs），14牙源性肿瘤（OTs），并确定了11例非OTs。在后续行动中,在26名患者中发现了牙齿异常，在33名儿童中发现了过度喷射变化；横向交叉咬合，中线移位,49例发现边缘对边缘咬伤；23例发现深咬伤或开放咬伤。在51名儿童中发现了颞下颌关节紊乱病（TMD），在7例患者中发现单侧TMJ改变，在44例患者中发现双侧改变。在22名儿科患者中也诊断出TMJ的退行性变化。尽管良性病变可能与牙齿咬合不良有关，无法确定直接病因.颌骨肿瘤的存在或其手术治疗可能，然而,与咬合关系的变化或TMD的发作有关。
