Management Considerations for Pediatric Oral Pathology

Abstract

Comprehensive oral examination includes thorough evaluation of all oral tissues and documentation of unusual findings. This best practice describes clinical characteristics of oral lesions or conditions that are common to infants, children, and adolescents and establishes diagnostic criteria, surgical interventions, and pharmacologic options for their management. Detailed medical and dental histories and assessment of signs and symptoms are critical to developing a working diagnosis. Biopsy and histopathologic analysis of suspicious lesions can establish a definitive diagnosis. The need for either surgical or pharmacologic intervention is dependent on multiple factors, including etiology, symptoms, recurrence, and prognosis. While most lesions are mucosal conditions, developmental anomalies, or inflammatory lesions, practitioners should be vigilant for neoplastic diseases.

This document was developed through a collaborative effort of the American Academy of Pediatric Dentistry Councils on Clinical Affairs and Scientific Affairs to offer updated information and guidance on management considerations for pediatric oral pathology.

^{KEYWORDS:  BIOPSY; MUCOSAL LESION; NEWBORN CYSTS; VIRAL INFECTION; APHTHOUS ULCERS}