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Table 1 Histopathological diagnosis of dental tumours |
|||
Benign
|
Diagnosis |
total |
% |
keratosis without dysplasia |
16 |
13.91% |
|
keratosis with dysplasia |
11 |
10.57% |
|
Mucocele |
10 |
9.25% |
|
Fibroma |
9 |
8.57% |
|
Leukoplakia |
8 |
6.95% |
|
Myxoma |
5 |
4.76% |
|
pyogenic granuloma |
5 |
4.76% |
|
Dentigerous cyst |
4 |
3.80% |
|
Ameloblastoma |
3 |
2.85% |
|
Lobular capillary hemangioma |
2 |
1.90% |
|
Oral submucous fibrosis |
1 |
0.95% |
|
Lipoma |
1 |
0.95% |
|
Epidermoid cyst |
1 |
0.95% |
|
Benign fibro epithelial polyp |
1 |
0.95% |
|
Benign inflammatory ulcer |
1 |
0.95% |
|
Verrucous hyperplasia |
1 |
0.95% |
|
Total |
79 |
60.03% |
|
Malignant
|
Squamous cell carcinoma |
21 |
18.26% |
Verrucous cell carcinoma |
7 |
6.66% |
|
Non- hodgkins lymphoma |
1 |
0.95% |
|
Total |
29 |
22.34 |
|
Inflammatory Lesions |
7 |
6.66% |
|
Total |
7 |
6.66% |
|
Inflammatory |
Grand total |
115 |
100.00 |
RESULT
During the present study, the most common lesion we encounter is keratosis without dysplasia (13.91 %) followed by keratosis with dysplasia (10.57 %). (Table I).
All the odontogenic tumours are more common in male compare to female. (Table II).
TABLE 2 FREQUENCY OF ODONTOGENIC TUMORS IN SEX |
||
|
MALE(%) |
FEMALE (%) |
BENIGN |
56 % |
43 % |
MELIGNANT |
58 % |
42 % |
DISCUSSION
Odontogenic tumors are relatively uncommon lesion. In our study, benign lesion is most common as compare to malignant. In the present study keratosis with dysplasia (18.97 %) followed by keratosis without dysplasia (10.57%) is common among benign lesion. In studies carried out in Turkey4the ameloblastoma was the most prevalent tumors. Probably, such differences result from geographical variations[6] and awareness of people seeking early treatment and diagnosed earlier in tertiary health care centre. Among malignant lesion squamous cell carcinoma (18.26 %) is most common may be due to tobacco chewing, alcohol, and cigarette smoking among Indian population.[7]Which matches with those of Brazilian (5.5%) [8], Chinese (6.0%) [9]. Age of patients present with odontogenic tumors ranged from 9- 75 years with median age 5th decade ,similar to Sriram et al., [10] Avelar et al. [12] ,Fernandes et al., [13] and Okada [11] studies reported the average age of 39.1.Maxilla is the most common site for odontogenic tumors. According to PHILIPSEN; REICHART [15] (1998) in a review of the literature carried out in 1991, this type of lesion has been more frequently found in the maxilla than in the mandible. According to our study male female ratio 1.4:1,in most of the previous studies, in terms of gender, Odontogenic tumors had a rather similar distribution for males and females. Nonetheless, there was a female preponderance in studies done by Regezi,[16]Wu and Chan [17] and Santos et al., [18]
CONCLUSION
Among odontogenic tumors benign condition is the most common with predominance of keratosis with dysplasia followed by keratosis without dysplasia among them and among malignant conditions squamous cell carcinoma is most common and male predominance with maxilla is most common site for all Otontogenictumors. They are common in 5th decade is most common age of presentation.
ACKNOWLEDGEMENT
I, Dr PratibhaVyas , specially thanks to Dr .Urvi Parikh and Dr.HansaGoswami for their guidance and cooperation for this research.
References:
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