Evidence map›Paper›PMID 41286975›Full record

ArticleOrphanet journal of rare diseases2025

Dentomaxillofacial abnormalities associated with rare bone disease in two pediatric populations from southern Europe and East Africa.

Lluís Brunet-Llobet, Elias Isaack Mashala, Anastasiya Lapitskaya, Judit Rabassa-Blanco, María Dolores Rocha-Eiroa, Jaume Miranda-Rius

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Article in Orphanet journal of rare diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Lluís Brunet-LlobetDepartment of Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain.
Elias Isaack MashalaDepartment of Orthopedic Surgery and Traumatology, Mount Meru Regional Referral Hospital, Arusha, Tanzania.
Anastasiya LapitskayaDepartment of Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain.
Judit Rabassa-BlancoDepartment of Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain.
María Dolores Rocha-EiroaDepartment of Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain.
Jaume Miranda-RiusDepartment of Dentistry, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain. jmiranda-rius@ub.edu.ORCID 0000-0001-8211-1561

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is well known that certain bone diseases of congenital origin are associated with dentomaxillofacial (DOMF) disorders. The objective of this study was to evaluate and compare the DOMF alterations in pediatric patients with bone diseases in Arusha (Tanzania, East Africa) and Barcelona (Spain, southern Europe). In each area of study, the clinical differences between subgroups of bone diseases in relation to their etiopathogenesis were reported and analysed. MATERIAL &

methodsA cross-sectional study of pediatric patients with bone diseases was carried out at two hospitals, Mount Meru Regional Referral Hospital (MMRRH), Arusha (n = 60) and Hospital Sant Joan de Déu (HSJD), Barcelona (n = 89), from 2019 to 2023. Mean age of the sample was 10.5 years (SD 4.05). In both groups the samples were recruited consecutively and were clinically evaluated for skeletal and DOMF disorders. The different bone pathologies were further divided into two subgroups according to their etiopathogenesis: (i) disorders in cellular metabolism (DCM); (ii) disorders of bone growth/deformity (DGD).

resultsGingival health indexes were significantly better in the HSJD group (p = 0.033). The HSJD group also had better caries indices (DMF-T), though these differences were not significant (p = 0.105). Among dental alterations, dental agenesis was significantly more prevalent in the MMRRH sample (p < 0.001); in this sample, DGD was significantly more frequent than DCM (p = 0.045). Fluorosis was practically non-existent in the HSJD group, but was moderate to severe fluorosis in 26.6% of MMRRH patients and was significantly more prevalent in the MMRRH DCM subgroup (p < 0.001). Malocclusion was more frequent in the MMRRH group (p < 0.001 in the case of Class III inverted overjet and p = 0.008 in the case of crossbite), and in the HSJD group the DCM subgroup presented a more severe overbite and open bite than the DGD subgroup (p = 0.027). Pathological fractures were significantly more frequent in the DGD subgroups in both samples (p < 0.001).

conclusionThere is a clear relationship between dentomaxillofacial abnormalities and rare bone diseases in the two pediatric populations studied. Comparing the two samples, the East African children displayed higher rates of gingivitis, dental fluorosis and malocclusion than their southern European peers.

Indexed as

Bone DiseasesMaxillofacial AbnormalitiesRare DiseasesTooth AbnormalitiesAdolescentAfrica, EasternChildChild, PreschoolCross-Sectional StudiesEuropeFemaleHumansMaleBone diseasesCongenital conditionDental abnormalitiesDentomaxillofacial disordersFluorosisRare diseases

Identifiers

PMID41286975
PMCPMC12641925

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