Dental management of long-term childhood cancer survivors: a systematic review.

Autor: Seremidi K; Department of Pediatric Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece., Gizani S; Department of Pediatric Dentistry, School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece., Dahllöf G; Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, 14104, Huddinge, Sweden.; Center of Pediatric Oral Health, Stockholm, Sweden.; Center for Oral Health Services and Research, Mid-Norway (TkMidt), Trondheim, Norway., Barr-Agholme M; Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, 14104, Huddinge, Sweden.; Center of Pediatric Oral Health, Stockholm, Sweden., Kloukos D; Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Bern, Switzerland.; Department of Orthodontics, 251 Greek Air Force Hospital, Athens, Greece., Tsilingaridis G; Division of Orthodontics and Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, 14104, Huddinge, Sweden. georgios.tsilingaridis@ki.se.; Center of Pediatric Oral Health, Stockholm, Sweden. georgios.tsilingaridis@ki.se.
Jazyk: angličtina
Zdroj: European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry [Eur Arch Paediatr Dent] 2024 Oct; Vol. 25 (5), pp. 611-636. Date of Electronic Publication: 2024 May 21.
DOI: 10.1007/s40368-024-00896-5
Abstrakt: Purpose: Critically review and summarise existing knowledge on prevalence of oral, dental, and craniofacial side-effects of antineoplastic treatment in childhood cancer survivors (CCS).
Methods: A literature search was conducted for studies reporting on children aged 4-19 years treated for any type of malignancy up to the age of 15 years and for whom, at the time of the examination, more than 8 months have elapsed since the end of treatment. Data regarding dental late effects on teeth and craniofacial complex were collected and mean prevalence of each defect was reported.
Results: From the 800 articles identified, 17 studies fulfilled inclusion criteria and were included. A total of 983 CCS were examined, with the total number of healthy controls being 1266 children. Haematological malignancy was the most prevalent diagnosis with the age at diagnosis ranging between 0-15 years. Multiple antineoplastic protocols were implemented with the elapsed time being 8 months up to 17 years. One-third of CCS experienced at least one late effect, with corresponding value for the control group being below 25%. Among the defects identified clinically, microdontia, hypodontia and enamel developmental defects were recorded in 1/4 of CCS. Impaired root growth and agenesis were the two defects mostly recorded radiographically. The effect on dental maturity and on salivary glands was unclear.
Conclusion: CCS are at risk of developing dental late effects because of their disease and its treatment and therefore, routine periodic examinations are essential to record their development and provide comprehensive oral healthcare.
(© 2024. The Author(s).)
Databáze: MEDLINE
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