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116:A Service Evaluation of Paediatric Oral Mucosal Disease Experience In A Tertiary Join Paediatric-Oral Medicine Clinic[AAOM2020}
EP36035
Poster Title: 116:A Service Evaluation of Paediatric Oral Mucosal Disease Experience In A Tertiary Join Paediatric-Oral Medicine Clinic[AAOM2020}
Submitted on 29 Mar 2021
Author(s): Saunsbury, T 1 Whitelaw, C 1 Johnson, A 2Hodgson, T 1
Affiliations: 1Unit of Oral Medicine, RNENT and Eastman Dental Hospital, UCLH Foundation NHS Trust, London, UK 2 Department of Paediatric Dentistry, RNENT and Eastman Dental Hospital, UCLH Foundation NHS Trust, London, UK
This poster was presented at 2021 American Academy of Oral Medicine Virtual Conference
Poster Views: 273
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Poster Information
Abstract: Objectives

Background

The true, global prevalence of paediatric oral mucosal disease has historically proved difficult to determine, based on heterogeneity and inherent limitations in study designs, and a largely descriptive narrative. The 2019 ‘World Workshop on Oral Medicine VII: Relative frequency of oral mucosal lesions in children, a scoping review’ quantified paediatric oral mucosal disease experience globally based on pooled and region-specific data from clinical studies and biopsy reports.

Aim

The aim of this investigation was to retrospectively review clinical data to compare paediatric disease experience in a tertiary joint paediatric-oral medicine clinic, at the Royal National ENT and Eastman Dental Hospital, UCLH, London, UK to published World Workshop global data.

Methods

Quantitative analysis was retrospectively performed on recorded clinical data from 22 joint clinics attended between January and December 2018, with recording of patient demographics, diagnosis, investigations and management.

Results

- 266 patients (M-143, F-128, age range 8 months-18 years) were seen in the year 2018. Referring clinicians included General Dental Practitioners (n=54; 49%), secondary care medical and dental specialties (n=33; 30%) community dental services (n=15; 14%) and General Medical Practitioners (n=9; 8%).

- Medical co-morbidities were noted in 62 (23%) of patients

- Idiopathic recurrent aphthous stomatitis (n=65; 24%,), mucocele (n=24; 9%), oral Crohn’s disease/OFG (n=18; 7%) and Geographic Tongue (n=11; 4%) were the most commonly presenting conditions.

- Malignancy was the primary diagnosis in only 1 patient ( Muco-epidermoid Carcinoma)

- Investigations performed included imaging (n=27; 11%), blood tests (n=26; 10%) and biopsy procedures (n=23; 9%).

- Management included the use of topical analgesics (n=71; 27%), topical corticosteroids (n=94; 35%) topical calcineurin inhibitors (n=19; 7%), and systemic immunomodulation (n=22; 8%)

Conclusions

Similarity was noted to World Workshop conclusions, with a predominance of benign oral mucosal disease within this patient demographic. Roughly 1 in 10 patients required investigation by imaging, blood testing or biopsy.

Whilst the World Workshop data represented mostly transient conditions, with an infectious or traumatic aetiology, within this cohort there was a greater representation of the oral manifestations of systemic disease, which may well represent the tertiary nature of referral to this unit.
Summary: The aim of this investigation was to retrospectively review clinical data to compare paediatric disease experience in a tertiary joint paediatric-oral medicine clinic, at the Royal National ENT and Eastman Dental Hospital, UCLH, London, UK to published World Workshop global data.

Ask the author questions about this poster:thomas.saunsbury@nhs.net
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