LARGE ODONTOGENIC TUMORS IN CHILDREN: FROM INITIAL TREATMENT TO FINAL REHABILITATION WITH DENTAL IMPLANTS. REPORT OF 3 CASES
Authors:
Stella Papamikidou1, Nadia Theologie-Lygidakis2, Georgios Ntagiantis3, Agamemnon Chliaoutakis3, Ioannis Iatrou4, Christos Perisanidis5
Affiliation:
1 Post Graduate Student in Dentoalveolar Surgery
2 Associate Professor OMFS
3 MSc Dentoalveolar Surgery
4 Professor Emeritus OMFS
5 Professor and Head OMFS
Department of Oral and Maxillofacial Surgery (Head: Prof. C. Perisanidis) at the Dental School, National and Kapodistrian University and the “P. & A. Kyriakou” Paediatric Hospital, Athens, Greece
Doi: 10.54936/haoms242p90
ABSTRACT:
Objectives: To retrospectively review cases of large odontogenic tumors in 3 children, over a 20-year period; surgical excision of tumors, bone grafting of defects, follow-up, and finally implant rehabilitation in adulthood, were included.
Materials and Methods: Medical records of patients who underwent surgical removal of odontogenic tumors at our department since 2002 were reviewed; all patients who had lost permanent teeth due to tumor size and location and reaching adulthood, underwent implant rehabilitation were selected.
Results: 85 odontogenic tumors of both maxilla and mandible were found in total. Three patients fulfilled the criteria: two girls 14 and 10 years old and a 7-year-old boy, at the time of tumor resection. They were diagnosed with a sizeable odontogenic myxoma of the maxilla, and 2 odontogenic fibromas of the mandible respectively. Following first diagnosis and radiographic examination, surgical removal of tumor, under general anesthesia, was performed; bone defects were reconstructed with grafts. Follow-up was long lasting due to lesions’ diagnosis, to early recognize possible recurrence. The latter occurred twice in one of the cases of odontogenic fibroma, and was again surgically treated. Implant rehabilitation was performed when patients reached adulthood. Prior to implant placement, bone grafting took place for every case, using autologous bone.
Conclusion: Early diagnosis, which is very important to prevent serious consequences, such as permanent teeth loss, was not always the case in our series of tumors. Nevertheless, surgical approach and follow-up were helpful, in cases of large tumors; treatment was completed, with bone grafting and dental implants.
KEY WORDS: odontogenic tumors, children, surgery, follow-up, young adults, implant rehabilitation
Authors:
Stella Papamikidou1, Nadia Theologie-Lygidakis2, Georgios Ntagiantis3, Agamemnon Chliaoutakis3, Ioannis Iatrou4, Christos Perisanidis5
Affiliation:
1 Post Graduate Student in Dentoalveolar Surgery
2 Associate Professor OMFS
3 MSc Dentoalveolar Surgery
4 Professor Emeritus OMFS
5 Professor and Head OMFS
Department of Oral and Maxillofacial Surgery (Head: Prof. C. Perisanidis) at the Dental School, National and Kapodistrian University and the “P. & A. Kyriakou” Paediatric Hospital, Athens, Greece
Doi: 10.54936/haoms242p90
ABSTRACT:
Objectives: To retrospectively review cases of large odontogenic tumors in 3 children, over a 20-year period; surgical excision of tumors, bone grafting of defects, follow-up, and finally implant rehabilitation in adulthood, were included.
Materials and Methods: Medical records of patients who underwent surgical removal of odontogenic tumors at our department since 2002 were reviewed; all patients who had lost permanent teeth due to tumor size and location and reaching adulthood, underwent implant rehabilitation were selected.
Results: 85 odontogenic tumors of both maxilla and mandible were found in total. Three patients fulfilled the criteria: two girls 14 and 10 years old and a 7-year-old boy, at the time of tumor resection. They were diagnosed with a sizeable odontogenic myxoma of the maxilla, and 2 odontogenic fibromas of the mandible respectively. Following first diagnosis and radiographic examination, surgical removal of tumor, under general anesthesia, was performed; bone defects were reconstructed with grafts. Follow-up was long lasting due to lesions’ diagnosis, to early recognize possible recurrence. The latter occurred twice in one of the cases of odontogenic fibroma, and was again surgically treated. Implant rehabilitation was performed when patients reached adulthood. Prior to implant placement, bone grafting took place for every case, using autologous bone.
Conclusion: Early diagnosis, which is very important to prevent serious consequences, such as permanent teeth loss, was not always the case in our series of tumors. Nevertheless, surgical approach and follow-up were helpful, in cases of large tumors; treatment was completed, with bone grafting and dental implants.
KEY WORDS: odontogenic tumors, children, surgery, follow-up, young adults, implant rehabilitation